The residential care sector in Hamilton is facing a crisis, according to a group of local researchers. Despite being a crucial housing option for many individuals needing daily assistance, the current state of residential care facilities (RCFs) is not adequately meeting the complex needs of residents due to outdated regulations.
Hamilton has over 60 licensed RCFs, as per city data. A recent report by the Juravinski Integrated Residential Care Initiative highlighted the shortcomings in the sector, pointing out the lack of sufficient support for individuals with high needs in these facilities.
Research scientist Chi-Ling Joanna Sinn, leading the project funded by the Juravinski Research Institute, emphasized the need for improvements in RCFs. The team put forward six recommendations aimed at enhancing the quality of care provided in these facilities, urging the City of Hamilton to consider these suggestions during their ongoing review of RCF subsidies.
The report revealed that the city subsidizes approximately 800 RCF beds across 48 facilities, out of a total of 1,000 beds. Researchers conducted surveys with 32 RCF operators and spent extensive time within the facilities, identifying a diverse resident population including individuals with mental health disabilities, substance use disorders, and cognitive impairments.
Operators and staff in RCFs are reportedly under strain, often exceeding their roles’ expectations without adequate training or support, leading to burnout and high turnover rates. The RCF model, which has remained largely unchanged for decades, requires these facilities to provide care while also serving as landlords, creating challenges when residents require different services or additional support.
A 2024 coroner’s inquest following the death of a resident shed light on safety issues within RCFs. The inquest highlighted instances of evictions compromising safety and the need for more oversight to ensure residents’ well-being. Recommendations included exploring harm reduction practices for drug users, tracking evictions, and educating residents about their rights.
Financial concerns for RCF residents were also addressed, particularly those receiving Ontario Disability Support Program (ODSP) payments. The report suggested increasing social assistance amounts and allowing residents to retain more of their earnings without affecting their subsidies.
Hamilton’s Director of Housing Services, Michelle Baird, emphasized the city’s efforts to modernize RCFs and align their operations with provincial requirements. A forthcoming report will address subsidy program reviews and potentially lead to further enhancements in public health guidelines and licensing bylaws for RCFs.
Proposed recommendations from the Juravinski report include strengthening staff support, funding based on resident needs, promoting financial empowerment for residents, and updating licensing bylaws to better meet resident requirements.