The Health & Homelessness Whole of Community System Response Research and Evaluation Report is the first formal assessment of London’s Whole of Community System Response. The report, developed by the Centre for Research on Health Equity and Social Inclusion (CRHESI) at Western University, provides an evidence-based analysis of progress to date, drawing on quantitative data and qualitative insights to examine outcomes, challenges, and lessons learned within London’s coordinated health and homelessness response.
Report Findings at a Glance
Highly Supportive Housing Works
Stable housing with on-site supports is proving transformative. At sites like House of Hope and Thompson Road, residents are achieving stability, improving their health, and reducing reliance on emergency services. One participant at the House of Hope lived outside for more than a decade, struggling with substance use and unmanaged mental illness. In one year alone, he had 221 emergency room visits. After moving into the House of Hope, that dropped to just nine. Others spoke of finally having a safe, dignified home where they can focus on their recovery and well-being.
Hubs Are Life-Saving Models
Two 24/7 Hubs have launched since 2023 — Atlohsa Family Healing Service’s Wiigiwaaminaan Lodge and the YOU Community Youth Hub. Together they have provided respite beds, transitional rooms, meals, showers, and access to health and cultural supports. Participants describe them as “a place of healing and belonging” and “a place to reset and feel safe.” Since opening, more than 100 people have been supported and over 40 have transitioned into stable housing.
Workforce Strain and Resilience
The evaluation highlights the dedication of direct service staff who continue to deliver care in very challenging circumstances. Yet many report inadequate pay, high levels of moral distress, and burnout. Supporting this workforce is critical to sustaining progress.
Cost of Inaction Remains High
Without intervention, homelessness is projected to triple in our province over the next decade, according to the Association of Municipalities of Ontario (AMO). Highly Supportive Housing offers a more cost avoidant solution — improving lives while reducing system strain.
Early Signs of System Impact
Preliminary data shows preventable deaths in London among people experiencing homelessness have declined by 20% between 2022 and 2024, despite an increase in homelessness and population growth in our community.
Why This Matters
This report shows that progress is possible when partners work together, but also makes clear that momentum is fragile. Sustaining and scaling success will require:
- Ongoing provincial and federal investment
- Dedicated operating funding to match capital investments
- Continued commitment to workforce wellness and retention
- Meaningful inclusion of Indigenous voices and lived experience
- Strong public communication to maintain transparency, build trust, and reduce stigma.
