Victoria integrated outreach team’s work paying off in a healthier street community

Five years since its inception, VICOT boasts significant results in the city

Four months in hospital.

That’s the average total length of time some of Victoria’s most vulnerable people spend in an acute-care bed over the course of one year.

The estimated cost to the health care system of that care: $97,000 per person.

This is only one of the costs associated with the standard approach to the homeless, mentally ill and addicted. A newer approach, however, is showing it can bring these numbers down significantly.

Five years since it launched, the Victoria Integrated Community Outreach Team has published its first set of data showing results over three years.

“It’s been so successful,” said Joe Power, manager of mental health and addictions with the Vancouver Island Health Authority, one of the team’s funders.

VICOT is an interdisciplinary team providing intensive, collaborative support to the region’s most street-entrenched population.

Last week its 2011 annual report was made public.

The numbers show that before being referred to VICOT, an average client spent a total of 121 days in an acute care bed over 12 months.

In the first year of support, that number dropped to an average of 35 days. In the second year, it dropped even further, to 11 days.

Multiplied over 65 clients – VICOT’s average caseload – the savings to the health-care system equals roughly $6 million per year.

“What this doesn’t capture is emergency room visits and ambulance rides – so (there are) significant savings, hence the justification for these teams,” Power said.

VICOT comprises a team of 12 people, including nurses, outreach workers, social workers, a probation officer, a police officer and a Ministry of Social Development assistance worker.

They share an office and meet daily to share information about clients.

In the first year, clients’ lives stabilize as they build a relationship with their team. In year two, they begin the rehabilitation process, Power said.

The annual report also presents data about police intervention.

Police calls related to VICOT clients dropped from 95 in the year before their acceptance into the program to 31 the following year.

The types of police calls also changed, said Trudy Chyzowski, VICOT team leader.

“I think sometimes we always think about police calls as being a negative encounter,” she said. “The one thing that has changed … is that some of the clients are seeing positive encounters with police – perhaps they’re calling in to report crimes.”

Despite its successes, VICOT faces some ongoing challenges.

Finding housing for clients is a constant struggle, Chyzowski said.

“Any change in individual’s lives is not going to be significant unless somebody has a roof over their head first and can create some stability in their lives,” she said. “Trying to change a drug addiction problem … when somebody is living on the street is near impossible.”

Another challenge is tracking.

To date there has been no comprehensive analysis of the costs and benefits of the program over time.

“We’re in the process of gathering the longitudinal, the evaluational data,” Power said. “Information and data gathering is always a challenge (with limited staff resources).”

For instance, the total cost of the 12-member team isn’t known, but elsewhere, similar teams have a budget of $1.4 million.

Also not tracked is client progress after graduating from VICOT’s support program.

“What we hope to find, and we expect to find, is that a certain subset of the clients will no longer need the services of the team at some point and will become productive members of society,” Power said.

rholmen@vicnews.com

Just Posted

Oak Bay teen targets 1,000 toys

Toy drive for Stan Hagen Centre For Families is Dec. 15 and 16 on Oak Bay Avenue

Saanich residents deliver notice to Capital Regional District

Grange Road residents fear the loss of up to 50 trees

Victoria Police investigate stabbing in restaurant on Douglas Street

Police were called to the 800-block around 1:30 p.m.

‘Fix Canada First’ posters found at Victoria bus stops

At least five posters found along Douglas Street

Council approves plan banning cycling in Haro Woods

Municipality accused of caving to small minority of park users

WATCH: Hundreds of gifts go out to Victoria’s Our Place patrons

The Angel Gifts Program saw 700 Christmas presents go out to the community

POLL: Are you dreaming of a white Christmas?

The rain Vancouver Island is famous for is coming down in buckets,… Continue reading

Vancouver Island man named Philadelphia Flyers assistant GM

Courtenay’s Brent Flahr spent nine-plus years in Minnesota

Warning issued as forecast calls for 20-foot waves in Tofino

Dangerous waves, strong currents and upper-shoreline flooding expected for Tofino-Ucluelet area

An 800-pound pig named Theodore needs a forever home, B.C. society says

‘Theodore is not destined to be somebody’s bacon’

Teenager Alphonso Davies wins Canadian Men’s Soccer Player for the Year Award

Derek Cornelius and Chilliwack native, Jordyn Huitema were named Canadian Youth International Players of the Year

B.C. teen MMA fighter shows heart

Young Unity MMA competitors bring home Ws

2,000 Canadians died of an overdose in first 6 months of the year

New data from the Public Health Agency of Canada shows the crisis is not subsiding

Most Read