Ending youth homelessness starts with preventing it in the first place, say advocates
High cost of living and less affordable housing means more people are at risk of homelessness
Image | Jen Crowe
Caption: Jen Crowe, executive director of Choices for Youth, says fighting homelessness — especially for youth — the best measure of success lies in prevention services that help young people before their situations reach a crisis. (Arlette Lazarenko/CBC)
Newfoundland and Labrador youth advocates say the key to keeping youth off the streets, their bellies full and surrounded by community, is to focus on prevention services.
Jen Crowe, executive director of Choices for Youth, says her organization has updated its mandate from helping youth aged 16 to 29 to as early as infancy. That's because they want to catch as many people as possible before they find themselves in a crisis, she said.
"How do we work to ensure that they're not vulnerable in the first place?" Crowe said. "And the answer is we start by focusing on them when they are children and even younger than that."
In a previous interview, Crowe said there are 200 youth on a housing waitlist in St. John's.
With a cost of living that keeps climbing, she says many families are forced to choose between rent and food. Since the COVID-19 pandemic, she added, the definition of who is at risk of homelessness or food insecurity is expanding to include more people.
Youth are especially at risk of chronic homelessness, says Stephen Geatz, president of the Canadian Observatory on Homelessness. He says research from the federal government indicates almost half of the people who experienced homelessness had their first experience before the age of 25, with the predominant age being between 15 and 19.
"The good news is we now know a lot about what to do," he said. "We've got preventive interventions that have solid evidence for their effectiveness."
WATCH | The Signal with a panel of experts and advocates on helping youth avoid a crisis:
Media Audio | The Signal : System fixes for vulnerable youth in N.L.
Caption: Today on the show we speak with experts and avocates who have frontline perspectives on what vulnerable youth are facing in Newfoundland and Labrador. We talk housing, food insecurity, mental health struggles, and the justice system -- from gaps to fixes.
Open Full Embed in New Tab Loading external pages may require significantly more data usage.
Melissa Power coordinates the school-based program Upstream Canada N.L., which currently has staff in four schools in the province where they identify and help youth and their families at risk.
"We all want youth to get their education and to be employed and to contribute to our society," Power said. "But for a lot of these young people, they are in survival mode. They're just trying to figure out their next step."
Figuring out the next step is where the program comes in.
If a youth needs help with mental health because they are suffering from anxiety or depression, the program provides them access to those services. If they need more food at home, assistance with getting to appointments, or support for family members who have lost their jobs, the program helps with that as well.
Image | Melissa Power
Caption: Melissa Power works for Choices for Youth as the coordinator of the Upstream Canada Newfoundland and Labrador program. It's a prevention-based school program that works with youth to identify issues — from mental and physical health to financial challenges at home — and works with them and their families to resolve them. (Arlette Lazarenko/CBC)
Open Image in New Tab
"The beauty of prevention is that we can really start that process early. But it requires, from my perspective, that that young person has what they need when they need it," Crowe said. "That involves embedding services like what we provide, but also so many other incredible organizations across this province, within the school system as much as possible."
Crowe says the approach should focus not just on investing in emergency shelters, but also on making housing affordable.
"Because we're in a state of crisis right now … the crisis response often feels like, well, we need to make sure that these folks have a place to stay tonight," she said. "But we need to also make sure that they have a place to stay in a year, in two years, in five years, in 10 years, and that they can build a life that makes sense for them and their family."
That means not only building more housing and making rent affordable, but also helping families maintain a steady income. Crowe points to the Canada Emergency Response Benefit provided during the COVID-19 pandemic, which led to a drastic decrease in family and child poverty.
And when youth face a crisis — mental health issues, substance abuse, or family breakdown — these challenges intertwine, making the services needed to help more complex, Crowe said.
"We really need to tackle all three of those things: housing stock, financial security and mental health and other wraparound services in order to really address this mounting issue of homelessness."

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


Winnipeg Free Press
11 hours ago
- Winnipeg Free Press
Manitoba's regional authorities spent over $35M last year in the ongoing effort to keep hospital workers safe
Last Christmas Eve, a man walked into Thompson General Hospital with a loaded rifle concealed in his clothing. He moved through the emergency department and other areas — some full of patients — before taking an elevator to the second-floor chapel. No one knows how long the 33-year-old man was in the facility. He was discovered by a patient who wanted to use the chapel for prayer. The patient, hearing a commotion behind the locked doors, notified a nurse. Security was nowhere to be found. They showed up only after the gunman pointed the weapon at a nurse and fired a bullet through a window. The life-threatening scenario highlights a double-barrel dilemma facing Manitoba's health-care system: how much more needs to be spent on safety measures, which has already increased exponentially in recent years, and is what's already in place making a difference? The Northern Health Region, which oversees Thompson's hospital operations, earmarked $1.18 million for security measures last year, a tenfold increase from a decade ago. 'Our security officers that we have now are untrained, incompetent individuals,' said a Thompson nurse, who spoke on the condition of anonymity. In the last fiscal year, Manitoba's six regional health authorities spent a total of $35.4 million on security measures, according to freedom of information documents obtained by the Free Press. It's an expenditure that has been escalating over the last 10 years, according to the data received from each health authority, and includes equipment, call systems, staffing and contract costs for security guards. The breakdown for the RHAs — comparing spending in the 2014-2015 fiscal year to 2024-2025 — is as follows: • Interlake-Eastern Regional Health Authority jumped from $9,088 to more than $1.86 million. • Southern Health-Santé Sud increased from $336,911 to $1.51 million. • Prairie Mountain Health went from $678,485 to $4.69 million. • Northern Health climbed from $123,281 to $1.18 million; • Winnipeg RHA (excluding Health Sciences Centre) more than doubled from $5.26 million to $13.3 million. HSC spent $10.08 million in 2019-2020 and more than $12.8 million in 2024-2025 (only six years of data was provided for Manitoba's largest health-care facility). Experts and health officials say there are several reasons for the increase, notably enforcement of rules and restrictions during the COVID-19 pandemic and the dramatic way in which hospitals and their staffs increasingly find themselves on the front line dealing with a variety of societal struggles. 'Higher rates of mental-health problems and addiction within our population have contributed to increases in incidents of violence and aggression in ERs and other health-care settings,' Prairie Mountain Health CEO Treena Slate said in a statement. As a result, the western Manitoba region expanded its security personnel numbers to monitor sites in Brandon, Dauphin, Virden and Russell. Cam Baldwin, the provincial protective services lead for Shared Health, attributed HSC's spending to methamphetamine and opioid-related behaviours and ailments, often encountered first by police and paramedics. 'The crimes that are being committed are often related to those dependencies and the resulting outcome of that is many of them need to be treated in hospitals,' Baldwin said in an interview. 'Unfortunately, that has created the requirement for additional security within the hospitals.' In February, the province installed AI-powered weapon detectors at three HSC entrances. The machines have detected 491 'potentially dangerous items,' such as knives thus far. BROOK JONES / FREE PRESS In February, the province installed AI-powered weapon detectors at three HSC entrances. BROOK JONES / FREE PRESS In February, the province installed AI-powered weapon detectors at three HSC entrances. The HSC campus also now employs 42 institutional safety officers, who are specially trained to restrain people and are armed with pepper gel. The province has safety officers — in addition to private security guards — stationed at St. Boniface Hospital, Victoria Hospital, Selkirk Regional Health Centre and Brandon Regional Health Centre. A spokesperson for Southern Health-Santé Sud said a formal security program for the region was not in place until 2019 when baseline funding was established. Prior to that, security was funded on an ad hoc basis. A representative of Interlake-Eastern Health said costs are a reflection of increasing use of contracted and on-staff security services in facilities 'where necessary.' Northern Health did not respond to questions regarding security costs. The pandemic exacerbated violence and security issues in health-care facilities everywhere, according to a U.S.-based security consultant and former security executive for AdventHealth, a faith-based hospital network in Florida. 'A lot of that was politically driven by masks and people not wanting to wear the mask, not necessarily for health reasons, but because they had a political spin on it,' Bill Marcisz said. 'You can imagine what happens when a loved one is passing away, or you want to go visit your son or daughter being born and you're not allowed in there.' Mental health, addictions and the stress that goes along with health care are all factors in security spending, he said, plus there has been a greater push for facilities to document incidents. As more cases are recorded, the need for security increases, Marcisz said. 'There's a lot of things that go into this,' he said. The president of the Manitoba Nurses Union agreed. 'The reality is that we've seen a lot of facilities that have become less of a strictly health-care facility… our emergency departments are seeing more and more individuals attending them because it's a safe place to be,' Darlene Jackson said. JOHN WOODS / FREE PRESS FILES 'A hospital health-care facility is really sort of a beacon of safety, so there are many issues that need to be dealt with,' says Darlene Jackson, President of the Manitoba Nurses Union. JOHN WOODS / FREE PRESS FILES 'A hospital health-care facility is really sort of a beacon of safety, so there are many issues that need to be dealt with,' says Darlene Jackson, President of the Manitoba Nurses Union. Jackson said nurses constantly tell her waiting rooms are used as makeshift shelters because homeless people either can't access a shelter due to barriers or capacity, or they don't feel safe. People often come in with minor ailments to exploit the health-care system's long wait times and spend the night in a secure building, Jackson said. 'A hospital health-care facility is really sort of a beacon of safety, so there are many issues that need to be dealt with. And until those issues are dealt with, I don't see how we can do anything else and just keep increasing security costs,' she said. 'The issue is not in our emergency department. It's beyond the doors of our emergency department.' Manitoba Health is aware some patients in ERs need alternative care and is working with Housing, Addictions and Homelessness Minister Bernadette Smith to redirect them to shelters and other organizations, Health Minister Uzoma Asagwara said Thursday. Working with homeless shelters and non-profits, as well as building a supervised consumption site and sobering centre are part of the government's plan to address the issue, Asagwara said. MIKAELA MACKENZIE / FREE PRESS FILES Health minister Uzoma Asagwara says institutional safety officers are on the way for Thompson. MIKAELA MACKENZIE / FREE PRESS FILES Health minister Uzoma Asagwara says institutional safety officers are on the way for Thompson. 'Our priority is making sure that people have the ability to access the right care at the right place at the right time,' the minister said. 'We're working across government to make sure there are more appropriate places.' More social workers and safety officers in hospitals could also help address the issue, Asagwara said. Dan Nodrick, director of development at Siloam Mission, acknowledged that transient individuals are using health-care facilities as a safe haven or shelter and that the problem will persist without an influx of more affordable housing. Siloam's daily capacity is 143 people, but the organization stretches it to 147 nearly every day. 'Three years ago in the summertime there was always room in the shelter. We've been full for two years solid,' he said. The Thompson nurse and her colleagues have been begging health officials for the institutional safety officer program to be introduced at their hospital. Security personnel hired by the Northern Health Region don't have the ability to physically intervene, leaving many health-care workers vulnerable to violent incidents, she said. 'There's been many situations… security may come out of the office and ask me if I'm calling RCMP,' she said. 'It's often a common occurrence. 'With the multiple socioeconomic barriers and constraints in Thompson… personnel that can actually intervene appropriately, we may see a decrease in the violence that we experience every day.' Only a few days after the Christmas Eve incident, there was another frightening scene. After arriving by ambulance, a patient began hurling insults, racial slurs and threats at emergency department staff while clenching his fists. 'I stood up in front of the patient — I'm only five-foot-one — and I said, 'You are going to leave the facility and when you are ready to be respectful, you can come back,'' the nurse said. 'I'm surprised I didn't get in trouble with my employer; even though we have a zero-tolerance policy it is never enforced. We are almost expected to take the behaviour.' Asagwara said institutional safety officers are on the way for Thompson, but in the meantime, the province is looking at instituting a First Nations Safety Officer program, which will hire and train safety officers from the community to work alongside hospital security. 'Health-care workers should be able to go to work and feel safe and focus on providing the best patient care possible,' the minister said. 'So should patients and visitors.' On William Avenue earlier this week, just outside Winnipeg's downtown core, a security guard clad in a black-and-grey uniform stepped out into the evening sun from HSC's adult emergency department. She scanned the scene from left to right before taking a few steps to peek around each corner of the entrance, something that happens every 15 minutes. The HSC campus employs 42 institutional safety officers. The HSC campus employs 42 institutional safety officers. Check completed, she walked back inside, to a vestibule where her partner sat next to the AI-weapon detector. Similar, but smaller than more-familiar metal detectors used in other venues, the equipment is adorned with Shared Health's logo colours of orange, yellow, teal and green. Just beyond it, a metal-detecting wand sits on a desk with a security log book beside it. Signs at the entrance door warn visitors of the security checkpoint ahead. Hammers, guns and knives are not welcome inside but can be stored in provided amnesty lockers. 'Thank you for keeping this facility safe,' the sign states. Nicole BuffieMultimedia producer Nicole Buffie is a multimedia producer who reports for the Free Press city desk. Born and bred in Winnipeg, Nicole graduated from Red River College's Creative Communications program in 2020 and worked as a reporter throughout Manitoba before joining the Free Press newsroom in 2023. Read more about Nicole. Every piece of reporting Nicole produces is reviewed by an editing team before it is posted online or published in print — part of the Free Press's tradition, since 1872, of producing reliable independent journalism. Read more about Free Press's history and mandate, and learn how our newsroom operates. Our newsroom depends on a growing audience of readers to power our journalism. If you are not a paid reader, please consider becoming a subscriber. Our newsroom depends on its audience of readers to power our journalism. Thank you for your support.


Winnipeg Free Press
14 hours ago
- Winnipeg Free Press
Will you be able to get a COVID-19 shot? Here's what we know so far
Want a COVID-19 vaccination this fall? For many Americans, it's not clear how easy it will be to get one — and some doctors already see signs of trouble. Health Secretary Robert F. Kennedy Jr., who was a longtime anti-vaccine activist, said last month that the shots are no longer recommended for healthy children and pregnant women, usurping a decision normally made by scientific experts, not political appointees. Days later, the Centers for Disease Control and Prevention said healthy children and pregnant women 'may' get COVID-19 vaccinations, removing stronger language that those groups 'should' get the shots. Its website later was changed to list no advice for pregnant women — graying out that section of the vaccine guidance chart. The change follows an earlier Trump administration step to limit COVID-19 vaccinations among healthy people under age 65. Until now, the U.S. — following guidance from independent experts who advise the CDC — has recommended yearly COVID-19 vaccinations for everyone age 6 months and older. Together, the moves have left health experts, vaccine makers and insurers uncertain about what to advise and what comes next. In Seattle, University of Washington infectious disease expert Dr. John B. Lynch said he recently advised a fellow health care worker who's pregnant to get vaccinated. She agreed, only to be turned away by two pharmacies. 'That's the practical implication,' Lynch told reporters in an Infectious Diseases Society of America briefing. 'We see confusion play out. We see chaos play out. And we see barriers to access.' The conflicting statements are also leaving primary care doctors uncertain of how to advise patients, Lynch added. 'I'm not sure when that confusion is going to be abated,' he said. How can I get a COVID-19 shot for myself or my healthy child? Some of this season's vaccine is still available. Insurance industry experts say if people had coverage before Kennedy's announcement, insurance likely would still pay for the shots. In a move that could help access, Wisconsin's health department announced that state 'continues to recommend the current COVID-19 vaccine during pregnancy and for every person 6 months and older,' and reiterating the its state Medicaid program will continue to cover it. Will I still be able to choose a shot in the fall for myself or my child? Who will be able to get what vaccines this fall is still unclear. Vaccine manufacturers plan to issue updated COVID-19 shots in the late summer or fall. But the Food and Drug Administration has said it plans to limit approval of seasonal shots to seniors and others at high risk, pending more studies of everyone else. Even if the U.S. approves vaccines only for certain groups, it still may be possible for others to get the shot depending on the outcome of upcoming advisory meetings, regulatory moves and decisions from insurers and employers. Will my insurance still pay? Insurers base coverage decisions on the recommendations of that CDC panel, the Advisory Committee on Immunization Practices. It's not clear what role that panel now will play. Paying out of pocket could cost about $200. The CDC says its new language for healthy kids — known as shared decision-making — means health insurers must pay for the vaccinations. Some insurers and employers may decide to still cover the shots no matter what, said Jen Kates, a senior vice president at the non-profit KFF, which studies health care issues. She noted that they may view the expense as worthwhile if it avoids a higher bill from someone hospitalized by the coronavirus. What's considered increased risk? The FDA published a list of health conditions it said would qualify, including asthma, cancer, diabetes, obesity and physical inactivity. The CDC has a more extensive list. But, again, it isn't yet known how this will play out. For example, it could be hard for people to prove they're qualified. If they're vaccinated at a drugstore, for instance, the pharmacist wouldn't normally know about underlying health problems or even ask. And Ajay Sethi, an epidemiologist at the University of Wisconsin-Madison, said 'this elephant in the room' is that blocking vaccination to the healthy may mean people who have a risk factor and simply don't know it will miss out. Adding to the confusion was Kennedy's implication that the coronavirus isn't dangerous to pregnant women. COVID-19 complications during pregnancy can include preterm birth as well as serious illness in the mother, and the Society for Maternal-Fetal Medicine said it 'strongly reaffirms' its recommendation for vaccination during pregnancy. Moreover, vaccinating mom can provide spillover protection for the newborn for a few months, until he or she is old enough for their own vaccination, Lynch stressed. ___ Associated Press writer Mike Stobbe contributed to this report. ___ The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.


Cision Canada
18 hours ago
- Cision Canada
GSK invests $300,000 to help launch the Pharmacy Innovation in Immunization Research Collaborative (PIIRC) at the University of Waterloo School of Pharmacy Français
PIIRC serves as a catalyst for innovation by supporting interdisciplinary research and real-world evidence generation focused on improving vaccine access, delivery and education. MISSISSAUGA, ON, June 6, 2025 /CNW/ - GSK is proud to announce a $300,000 investment in the Pharmacy Innovation in Immunization Research Collaborative (PIIRC), a new national initiative led by the School of Pharmacy at the University of Waterloo. This groundbreaking initiative reflects a shared commitment to expanding the role of pharmacy in Canada's immunization landscape and improving equitable access to vaccines across the country. Immunization has never been more critical. The COVID-19 pandemic underscored the life-saving power of vaccines and demonstrated the essential role that pharmacists and pharmacies play in public health. Pharmacy teams have administered more than 20 million COVID-19 vaccines in Canada alone. Yet, there remains untapped potential to leverage the country's 11,000+ pharmacies as accessible, community-based hubs for broader immunization services. PIIRC aims to close that gap. Launched by the largest clinical pharmacy practice research group in Canada, PIIRC serves as a catalyst for innovation by supporting interdisciplinary research and real-world evidence generation focused on improving vaccine access, delivery and education. The initiative brings together researchers from the University of Waterloo, national and international collaborators, policymakers and stakeholders across healthcare and industry to advance pharmacy-based immunization strategies. "As a global leader in vaccines, we believe in harnessing science and partnerships to tackle the world's most pressing health challenges," said Michelle Horn, Country Medical Director, GSK Canada. "Through our founding partnership with PIIRC, we are investing not only in research, but in the future of vaccine delivery in Canada—one that is more accessible, equitable, and community-centred." Transforming Immunization Through Pharmacy Innovation The objective of PIIRC is to re-imagine the role of pharmacy in immunization—from vaccine administration to health education, monitoring, and system design. Areas of research will include: Expanding the role of pharmacists and pharmacy technicians as vaccine educators, facilitators, and immunizers Overcoming barriers to access, especially among rural residents, older adults, immunocompromised individuals, and other underserved populations Leveraging digital health tools and technology to support clinical decision-making and personalized outreach Countering vaccine misinformation through evidence-based communication strategies and resources for healthcare providers Conducting economic analyses to examine the cost-effectiveness and public health value of pharmacy-based vaccine services Implementing science methodologies to ensure successful and scalable solutions across regions and populations This work will be supported by the School's extensive expertise in pharmacy practice research, health systems design, health economics, public policy, behavioural science, and communication strategies. "As a leader in clinical pharmacy practice research and community pharmacy innovation, the University of Waterloo's School of Pharmacy continues to push boundaries," said Andrea Edginton, Hallman Director, School of Pharmacy at the University of Waterloo. "PIIRC is a natural evolution of our work in immunization, and GSK's partnership will accelerate breakthroughs that improve public health both in Canada and globally." Impact Beyond the Lab In addition to funding innovative research, GSK's investment will also: Provide funding to support new interdisciplinary projects with direct policy and practice implications Train the next generation of immunization researchers, including PharmD students, graduate students and postdoctoral fellows Facilitate enhanced access to real-world pharmacy data to monitor vaccine uptake and identify areas for intervention Establish a network of community pharmacies engaged in research, data collection and pilot projects Enable regular knowledge translation activities to ensure research is informed by and disseminated to industry, government and community stakeholders Support the creation of an Advisory Board that includes voices from pharmaceutical and insurance companies, regulators, pharmacy associations and the public Strategic Alignment with Public Health and Policy This investment directly supports the Ontario Life Sciences Strategy by demonstrating private sector leadership in supporting community-based immunization services. By investing in evidence that shows how pharmacy can help achieve broader public health goals—including for future vaccine program rollouts such as RSV—GSK is playing a critical role in advancing both healthcare outcomes and policy development. "Our support for PIIRC is not just about generating data; it's about making a meaningful contribution to the future of healthcare," added Michelle Horn, Country Medical Director, GSK Canada. "We're proud to stand alongside the University of Waterloo School of Pharmacy in driving innovative, patient-centred immunization strategies that reflect our mission to get ahead of disease together and our commitment to doing what's right for communities and for public health." Why Waterloo and Why Now? The University of Waterloo's collaborative ethos, track record of external partnerships and commitment to impact make it an ideal home for PIIRC. The University creates substantial opportunities for high-impact partnerships that bridge the gap between research and application. PIIRC helps shape policy and guides decision-making with timely, actionable evidence that reflects the realities of patients, pharmacists and public health professionals. GSK's early and decisive investment solidifies its reputation as a forward-thinking leader in the pharmacy space and a partner of choice in advancing vaccine innovation. About the University of Waterloo School of Pharmacy The School of Pharmacy at the University of Waterloo is home to Canada's largest clinical pharmacy practice research group and is at the forefront of pharmacy innovation. Through interdisciplinary research and industry collaboration, the School is advancing pharmacy's role in improving health systems and patient outcomes. About GSK GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together. Find out more at Cautionary statement regarding forward-looking statements GSK cautions investors that any forward-looking statements or projections made by GSK, including those made in this announcement, are subject to risks and uncertainties that may cause actual results to differ materially from those projected. Such factors include, but are not limited to, those described in the "Risk Factors" section in GSK's Annual Report on Form 20-F for 2024, and GSK's Q1 Results for 2025. SOURCE GlaxoSmithKline Inc.