Evidence of meeting #120 for Status of Women in the 42nd Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was housing.

A recording is available from Parliament.

On the agenda

MPs speaking

Also speaking

Cynthia Drebot  Executive Director, North End Women's Centre
Jennifer Gagnon  Executive Director, South Shore Transition House Association (Harbour House)
Donna Smith  Executive Director, Tearmann Society for Abused Women
Samantha Lacourse  Coordinator, A Safe Place, Victoria Faulkner Women's Centre
K. Kellie Leitch  Simcoe—Grey, CPC
Sonia Sidhu  Brampton South, Lib.
Terry Duguid  Winnipeg South, Lib.
Caithlin Scarpelli  Director, Communications and Fund Development, Atira Women's Resource Society
Geneviève Latour  Associate Director, Crossroads for Women inc.
Fiona Cunningham  Mental Health Counsellor, Iris Kirby House
Jean Fong  Transition House Worker, Vancouver Rape Relief and Women's Shelter
Daisy Kler  Transition House Worker, Vancouver Rape Relief and Women's Shelter
Bob Bratina  Hamilton East—Stoney Creek, Lib.

3:30 p.m.

Liberal

The Vice-Chair Liberal Pam Damoff

Good afternoon, everyone.

Welcome to the 120th meeting of the Standing Committee on the Status of Women.

This meeting is in public.

Today we will resume our study on the system of shelters and transition houses servicing women and children affected by violence against women and intimate partner violence.

For this, I am pleased to welcome, via video conference, Cynthia Drebot, executive director at North End Women's Centre.

From the South Shore Transition House Association, Harbour House, we have Jennifer Gagnon, executive director.

From the Tearmann Society for Abused Women, we have Donna Smith, executive director.

From the Victoria Faulkner Women's Centre, we have Samantha Lacourse, coordinator, A Safe Place.

Thank you all for being here.

I will now turn the floor over to you, Ms. Drebot, for your opening statement. You have seven minutes.

3:30 p.m.

Cynthia Drebot Executive Director, North End Women's Centre

Thank you so much for having me.

As introduced, I'm Cynthia, and I'm from North End Women's Centre, which is located in Winnipeg, right in the inner city in the north end. We provide a variety of programs for women to work towards being in charge of their own lives, through a variety of support services. Specifically, I'll talk about shelter and transitional housing with regard to the experience we have, but also some of the challenges and gaps we have seen.

From a shelter perspective, we are not a shelter specifically. We are a women's centre, but we work very closely with shelters. We provide, in terms of capacity, the individual and group counselling that is often needed when it relates to domestic violence. Oftentimes, from a shelter perspective, women will leave the shelter and then have that work to do. Oftentimes, there's a connection back and forth in terms of referral between our centre and shelters.

As well as lots of advocacy and support, there's connecting people to shelter, people who may come to our centre first and talk about domestic violence or intimate partner violence that they're experiencing. They're looking for ways to get into a shelter but they don't really know how to do that. We do those pieces around shelter connection.

As far as transitional housing is concerned, we have 14 transitional housing beds. Six of them are specifically for women who are in addictions recovery and need a place, through their recovery, to live, because they feel that if they were living in their home environment, they would not be successful. We also have eight beds specifically for women who are being sexually exploited or human-trafficked. Women in these transitional housing beds can live with us for anywhere between a year and two years.

As it relates to domestic violence and some of the challenges we've been seeing, I would say that some of our programs are very specific when it comes to whom they may serve. When we talk about transitional housing, I mentioned addictions recovery and sexual exploitation and trafficking. However, the women who come to all of our programs, or a large majority of them, will report domestic violence in their lives, either previously or currently. One of the challenges we've experienced is its prominence. It's spreading across all of our programs. We've been around for 34 years, and in our beginning years, domestic violence was a large portion of what we did solely. The idea of needing to broaden out into different areas of work has allowed us to do different work, but the domestic violence connection is prominent throughout all of our programs.

One challenge we've been experiencing over the last while has been with the increase in poverty and low income, specifically with women involved in domestic violence, specifically racialized women. We're located in the inner city, so we find that many of the women who come to us are living in poverty, with very low incomes. From a domestic violence perspective, they often say to us, “I do not have an option to leave. I do not have a place to stay. I do not have anywhere to go, even if I were to go to a shelter.” They often feel they don't have the choice to leave. Income is a huge barrier for them.

We've seen addictions in connection with domestic violence coping for many years, but the increase in meth use is something that we've definitely been seeing over the last while as well. The challenge that comes with this is that many organizations and agencies do not want to work with people when they're under the influence and using, so that becomes a barrier as well. There are also increased mental health challenges.

From the perspective of accessing resources, often a gender lens is not put on the analysis and on the policy development, which creates a challenge in access for women specifically. An example of that might be policies related to homelessness around a housing first policy, and people needing to be homeless for six months.

Women in domestic violence situations and homelessness situations will often couch surf or find a friend or a family member to live with. They will stay in a situation that isn't the best situation but is the situation that they might feel is the best for them at that time or the safest at that time or the only option at that time.

As far as gaps go, I just want to highlight specifically for Winnipeg that we have a few gaps, I would say, related to domestic violence and other areas. We are in desperate need of a 24-7 safe space for women. We do not have a place that is open 24-7 for women to come to where they're in a situation of safety. That can be very broad, but we do not have such a place for women.

When I say women, I'm including trans women. Trans women typically report that they feel unsafe using many of the existing resources that are in place. I would say that from a crisis shelter bed perspective, we are seeing that there is nothing in place for women fleeing exploitation situations. Often the exploitation is a result of domestic violence that has happened in the past, or there can be a connection with partners who are involved in bringing women into exploitation and trafficking.

Transitional housing and affordable housing—

3:35 p.m.

Liberal

The Vice-Chair Liberal Pam Damoff

That's actually your seven minutes.

3:35 p.m.

Executive Director, North End Women's Centre

Cynthia Drebot

Okay. That's no problem. I had a few more things, but that's really great.

3:35 p.m.

Liberal

The Vice-Chair Liberal Pam Damoff

If there is something specific that doesn't come up during questions, feel free to provide any information to the committee afterwards.

3:35 p.m.

Executive Director, North End Women's Centre

Cynthia Drebot

Okay, I will do that.

3:35 p.m.

Liberal

The Vice-Chair Liberal Pam Damoff

Thank you.

We'll now turn to the South Shore Transition House Association.

Jennifer, you have seven minutes.

3:35 p.m.

Jennifer Gagnon Executive Director, South Shore Transition House Association (Harbour House)

Thank you.

South Shore Transition House Association—or Harbour House—is a 15-bed shelter that covers Lunenburg and Queens counties in Nova Scotia. We provide shelter for women and children, supporting high-risk protocols, emergency protection order application support, crisis and supportive counselling, court and sexual assault exam accompaniment, child and youth counselling, child care, referrals and advocacy. We are in schools doing educational groups. We are speaking and educating in workplaces. We operate through nine satellite locations to offer services in home communities.

Over the past five years, a remarkable increase in access to services has occurred. For example, access to our women's outreach program has increased by 968%, and participation in child and youth programs in schools by 883%. Overall distress calls have increased by 27%, in-house counselling by 105.3% and outreach counselling by 110.1%. Women are coming to the shelter more often with their children, which shows an increase of 111.45%. What these statistics show is that the community is accessing our programs and services consistently and more frequently.

Through the development of partnerships with community service providers in our jurisdiction, we are trying to minimize the risk associated with increased demand for services with no additional position funding. Our organization consists of long-term employees, team members who have immeasurable knowledge of violence against women. However, the increase in program and service access has made it a continual struggle to provide the services that clients are entitled to receive. We have not had an increase in operational funding since 2015.

After attending the Women's Shelters Canada conference this past spring and reviewing the “Blueprint”, it is clear that the trends in accessing shelter services across Canada have increased in all areas, perhaps as a result of movements like #MeToo, but ultimately because people understand gender-based violence differently. It seems that violence against women is being de-normalized.

Shelters are not band-aid solutions to issues of violence against women. Rather, they are part of a larger, system-level component that's essential for supporting women and children in crisis. We provide 24-hour-a-day, 365-days-a-year access to a place that is safe and that helps each woman with her immediate needs. These include health care, safety planning, criminal justice system navigation, trauma-informed supportive counselling for the woman and her children, and linking with a broader system for next steps. Without a safe place to go to escape violence, the level of risk in her situation will certainly increase.

Shelters are an integral component in addressing gender-based violence. Our goal is to eliminate gender-based violence. By doing the things that we do, we are part of the solution. Of course, we have a strong focus on prevention and education, but this is often challenging to embed into our work of direct client service delivery—the clients we support in-house and through our outreach programs are our priority. However, as I detailed previously, our outreach services are reaching more people.

We have been in our community for 31 years. The significant increase in access can also be attributed to an increased understanding that what shelters do works. We engage with people fairly, we understand the impacts of gender-based violence and we provide meaningful contributions, not only to their journey to safety but to the broader system seeking to end gender-based violence.

With regard to existing federal programs and funding, we co-wrote an application with two local partners to Status of Women Canada. We submitted it in March 2018. To this point, we have not received any communication about whether our project was approved or rejected. We also have concerns with restrictions on how the funding can be used. This is an issue for us. For example, we need more people doing outreach activities, but if the funding guidelines state that the money cannot be used to support existing programs, it fails to address one of the greatest needs we have. People are accessing our programs and we need to build our staffing capacity to meet the demands of our communities.

The Canada Mortgage and Housing Corporation, which is offering the co-investment funding, will give us up to 40% for shelter repairs, renovations or—

3:40 p.m.

Liberal

The Vice-Chair Liberal Pam Damoff

Could you slow down just a little bit? The interpreters are having trouble listening and translating at the same time.

3:40 p.m.

Executive Director, South Shore Transition House Association (Harbour House)

Jennifer Gagnon

Okay, sorry.

The Canada Mortgage and Housing Corporation will give up to 40% for repairs, renovations or new capital investments, but for an organization that barely makes it out of a deficit, creating and finding a 60% contribution becomes basically impossible. Fundraising such a large amount is unachievable in a rural area of Nova Scotia that has high unemployment rates and a large geographical boundary.

With regard to the gap between the beds required and the number of beds, reviewing occupancy rates of shelters can be incredibly misleading. If we have a family in a room with three beds and only two are being used, it skews the occupancy rate. When a family is in-house, no single woman can stay in the same room for privacy, as well as safety, concerns. Also, if there's a woman with significant health concerns, it may be difficult or unsafe for her to be housed in a room with other women. However, it is our policy to try to put several single women in a room together as much as possible.

We do not have second- or third-stage housing, although the demand is most certainly there. If we had second- or third-stage housing, every unit would be filled today. Instead, women are staying in shelters longer, as safe and affordable housing is just not readily available in our jurisdiction. Women have left our shelter to go to substandard housing, such as apartments with no flooring other than plywood or rooming houses that are co-located with men, which is a significant safety issue for women experiencing gender-based violence. These rooms often do not have inside or outside locks, which leaves women unsafe when they are home or when they are in the community.

Single staffing of shelters also creates numerous concerns. The staff is responsible for answering the crisis line, meeting the needs of the in-house clients, letting people in and out, monitoring the overall house safety, completing intakes and departures, liaising with community partners, and case conferencing—all while trying to do supportive counselling sessions and working to complete safety assessments and plans. Sessions are interrupted, thus creating problems in the continuity of the counselling rapport.

The solutions I propose are as follows:

Address the increased demand for services by reviewing the core funding to shelters.

Fund double staffing in shelters to ensure the continuity of counselling rapport and case planning. This will also lead to shortened stays and will ensure that all the needs of the shelter are met.

Fund shelters to develop and implement both second- and third-stage housing in Canadian jurisdictions.

Review the existing Canadian shelter data and the outcomes of programs and services.

Create clear and time-sensitive communication with regard to funding allotments and project approvals or rejections.

Thank you.

3:45 p.m.

Liberal

The Vice-Chair Liberal Pam Damoff

Thank you very much.

We'll now turn to Donna Smith with the Tearmann Society for Abused Women.

You have seven minutes.

3:45 p.m.

Donna Smith Executive Director, Tearmann Society for Abused Women

Thank you.

I do appreciate this opportunity to participate in this current study of shelters and transition houses serving women and children affected by violence and intimate partner violence. The Tearmann Society for Abused Women, commonly known as Tearmann House, is a 15-bed shelter providing services similar to our sister shelters across the province, as described by my colleague Jennifer Gagnon of Harbour House.

I would like to note that Tearmann House and Harbour House are members of the Transition House Association of Nova Scotia, which includes seven transition houses, one outreach organization and two healing centres, covering 12 locations throughout Nova Scotia. I will be speaking to the front-line work as it pertains to violence against women and the scope of the study.

Speaking for Tearmann House—and I believe this is common to shelters in Nova Scotia—our occupancy is at near full to full capacity on a consistent basis. Since January of this year, 78 women and 44 children resided at Tearmann, with an occupancy rate of 70%. If a woman is in need of shelter and we are at full capacity, we will offer our living room for the night and work with the woman for options the following morning. Shelters that are at full occupancy often call other shelters closest to them to see if beds are available, and if so, women and their children may agree to transfer to another shelter for a temporary stay. I am aware that in urban areas and some rural areas across the country there are simply not enough beds or shelters to meet the needs of women seeking safety, particularly in our indigenous communities in the north, as Lyda Fuller clearly described in her presentation.

Shelters, whether at full capacity or not, are often single-staffed and are experiencing an increase in the needs of women who are presenting with complex trauma, mental health issues and/or addictions. In our community, the changes to mental health services, for example the closure of a short-stay unit, have resulted in an increase of referrals from the hospital. Transference of trauma treatment from the health care system to community-based organizations, with no additional resources, has created a widening gap for women experiencing trauma and a need for suicide intervention and mental health supports.

Women are triaged, assessed and discharged with a referral to shelters. Shelter staff offer a trauma-informed approach, and meet all women where they are. It is a disservice to women, when they arrive at a shelter and after spending some time with us, to realize we do not have the clinical capacity to provide appropriate treatment or support for the complex trauma they are experiencing. The ability to, at the very least, double staff to contribute to the physical and mental well-being of women and children, in addition to funding for clinical therapists, would contribute effectively to address immediate trauma needs and reduce the long-term impacts of trauma.

The effect of violence on children is manifesting as well, with the presentation of aggression and violent behaviours, and it requires full-time trauma-informed supports. The safety and needs of all children residing in a shelter are the key to healing, but it is an extremely stressful time for both mom and child during their stay. Our child and youth counsellors offer in-house and outreach programs and services to support this. Last year, we had an overwhelming increase of 40% in our child and youth outreach programs, and as resources were stretched, we tried our best to meet the needs of children and youth in the shelter and respond to the needs in the community.

Tearmann was fortunate to receive two years of funding to support a casual child and youth counsellor through our annual letter campaign. We also received funding from the Pictou Mutual Community Foundation, which supports self-esteem programs for girls in rural schools. Additionally, we received funding from the Pictou County United Way to support a house coordinator's position. These options are not always available in every community, and while we are meeting the needs in the short term and temporarily, the temporary and part-time positions are difficult to fill and do not support the hiring and retention of trained staff.

Women and their families can stay at Tearmann House for up to six weeks. Often, depending on available and affordable housing options or other circumstances, they may request an extension. On average, 70% of women departing from Tearmann will be accessing income assistance. The cost of renting an apartment is often $80 to $100 more than the rent budgeted by income assistance, resulting in women having to take their excess rent out of their personal allowance amounts.

Women with children may be entitled to the supplement offered through Housing Nova Scotia, and while this offers women the opportunity to rent decent housing, the supplement is not transferable, meaning that a woman who is being stalked by an abusive partner and needs to relocate will lose her supplement.

We are fortunate to be partnering with the local housing authority and the Affordable Housing Association of Nova Scotia, with funding through the homelessness partnering strategy, to manage six second-stage housing units at Brenda Place, which are at full occupancy. Women can reside in these units for up to a year and have access to ongoing programs and support. We know that the most dangerous time for a woman is when she leaves her abusive partner. It is crucial that first-, second- and third-stage options be available and fully funded for women and their families fleeing family and intimate partner violence.

Transition house workers work with women applying for emergency protection orders, peace bonds, family court hearings, and case conferencing with child welfare agencies. Women designated “high risk” based on the Jacquelyn Campbell risk assessment or the ODARA, through the police or RCMP, are requesting support with case conferencing, ensuring their voices are heard and their choices respected as they navigate through processes meant to protect them.

The pressure on women to protect themselves and their children, to leave abusive partners while knowing that their personal safety is more at risk as they do so, to relocate their families, to reside in a shelter or choose to stay in a relationship to manage risk is a burden no woman should have to endure. We all need to work together to address gender-based violence and eliminate violence against women.

My recommendations are that the federal government support provinces and territories with core funding specifically for transition houses and support services for women and their families; include the voices of women's lived experience in this study; and support “A Blueprint for Canada’s National Action Plan on Violence Against Women and Girls”, presented by Lise Martin of Women's Shelters Canada.

Thank you.

3:50 p.m.

Liberal

The Vice-Chair Liberal Pam Damoff

Thank you very much. That was exactly seven minutes. Well done.

We're now going to turn to Samantha Lacourse of the Victoria Faulkner Women's Centre. Welcome.

November 5th, 2018 / 3:50 p.m.

Samantha Lacourse Coordinator, A Safe Place, Victoria Faulkner Women's Centre

Thank you.

Hello, my name is Samantha Lacourse, and I am here as a representative of the Victoria Faulkner Women's Centre in Whitehorse, Yukon.

At the VFWC, I am in charge of running the only low-barrier evening and weekend drop-in program for self-identified women in the entire territory.

The landscape of issues surrounding women affected by violence in the north is very different from that in the rest of Canada. For one, there are limited services available. Also, a number of barriers and gaps in services exist for women in a northern community, the most pervasive of which I will try to touch on now.

On low-barrier services, speaking specifically about Yukon, currently there are three shelters serving women and children affected by violence across the territory. One is in Whitehorse. A second one is in Dawson City, which is located seven hours north of Whitehorse, and a third is in Watson Lake, which is five hours south of Whitehorse. None of these three shelters and transition houses will accommodate women under the influence of a substance. There is no safe option for a woman who uses substances and is affected by violence. This is indicative of a major gap in low-barrier shelters for women across the Yukon.

Regarding long-term support, when the perception of violence is no longer immediately present, the effects of violence remain. We estimate that it can take as many as three to seven years from the definitive end of an abusive relationship for a woman to get back on her feet. Women in Yukon face a pronounced lack of long-term support from organizations narrowly mandated to serve only women facing current threats to safety.

The Victoria Faulkner Women's Centre does its best with limited capacity and funding. It is not a shelter. We provide vital support for women and non-binary people in terms of advocacy, housing, food, prenatal care programming, as well as basic services in our drop-in, such as access to showers, laundry, Internet, phones, fax, long-distance calling, and hygiene products, among many other things.

More needs to be available for women past the perceived end of a threat to safety. The lens of what long-term support looks like must expand beyond the counselling and trauma treatment programs to include programs that give space for women to support and be supported by peers—

3:55 p.m.

Liberal

The Vice-Chair Liberal Pam Damoff

Could I get you to slow down when you are speaking?

I know your presentation is quite long, but the interpreters—

3:55 p.m.

Coordinator, A Safe Place, Victoria Faulkner Women's Centre

Samantha Lacourse

Thank you. I'll slow down.

The lens of what long-term support looks like must expand beyond the counselling and trauma treatment programs to include programs that give space for women to support and be supported by peers, as well as space to build community as a remedy for isolation. Long-term support includes help with finding housing, tax clinics, employment support, and opportunities for new training and greater education. By broadening the mandate of support to women affected by violence, we can address these gaps and the needs of women past the perceived end of the abusive relationship, because the effects of trauma do not end with the violence.

In terms of capacity for supporting women living with mental health challenges, in Yukon, when an individual accesses a shelter or service due to the presence of violence in their lives and is assessed as having a mental health need, the capacity for those organizations to support them decreases. The more complex the individual's mental health situation is, the more ill-equipped staff are to support them as a victim of violence. Both needs are treated as independent from each other, rather than acknowledging their close intersectionality. This needs to change, and the only way to do so is to build the capacity of the organizations supporting victims of violence, and the people within them.

In terms of confidentiality, compounding the limited services is the social reality of northern communities. Communities in Yukon are small, and therefore an individual's social networks are well connected with others. Confidentiality is a challenge across the board, and conflicts of interest are not always evident, nor do they give favour to the more vulnerable. With only one shelter in Whitehorse, there is no other option if that shelter does not feel safe or if a person is not accepted there.

My recommendations to the committee are the following.

One, increase funding for transportation services in the north, providing lifelines for women in remote communities to get out in times of need.

Two, push for amendments within CRA policy to take into account violence against women. Currently, there is a 90-day waiting period for a person to change their status to single. This 90-day waiting period is a barrier for women to leave an abusive relationship, because many are unable to access social assistance while tied to their partner. Within the Yukon government, a smaller entity, we have advocated for and seen change in their management of applications for social assistance when violence in a relationship is declared. Still, we support many women who are faced with heavier barriers within Indigenous and Northern Affairs Canada. Should both partners in the relationship be accessing social assistance through INAC, a written notice for both parties must currently be provided to change their status to single. This is a problem.

Three, push for low-barrier shelters and create incentive for existing shelters to adopt more harm reduction practices. Again, there is no low-barrier shelter for women affected by violence in Yukon, leaving women who use substances with no safe option.

Four, increase funding for long-term support for women affected by violence. The mandate for violence against women is narrow. Immediate support exists for an individual, yet there is little for women in the years to come.

Five, this issue deserves a more appropriate voice than mine, and frankly more time than I am able to give in this presentation. We cannot talk about improving services affecting indigenous women without acknowledging the colonial mentality that informs these services. More space must be given to traditional ways of living when it is culturally appropriate.

Thank you.

4 p.m.

Liberal

The Vice-Chair Liberal Pam Damoff

Thank you very much.

Thank you to all of you.

We'll turn to Marc Serré for the first seven-minute round of questions.

4 p.m.

Liberal

Marc Serré Liberal Nickel Belt, ON

Thank you, Madam Chair.

Thank you for your recommendations. They will be a great help to us as we prepare our report.

My first question is for Ms. Gagnon and Ms. Smith.

I am happy you talked about children. We know that women are vulnerable and that a lot of work needs to be done in terms of shelters, but what could we do to help you provide services to children more proactively?

4 p.m.

Executive Director, Tearmann Society for Abused Women

Donna Smith

In our centre alone, if we just look at children coming into the shelter who are being affected by violence in their lives, our shelters alone don't specifically have.... I mean, we have our house child and youth counsellor available to support, but we really need services outside of our shelter services that are trauma-informed. Many of the children who come to us are displaying symptoms and behaviours that perhaps fall under the category of ADHD, ADD, or other diagnoses. When you line those up with the effects of violence on children, the behaviours are often directly related to that and not specifically to the other symptoms.

We'd like to see more access to trauma-informed mental health services for children. The sooner we're able to get the services to children following a traumatic event...because studies show that this is the best form of healing. Right now there is a long wait-list for children to get into programs, have assessments done, and get the support they need.

4 p.m.

Liberal

Marc Serré Liberal Nickel Belt, ON

Ms. Gagnon, what do you think?

4 p.m.

Executive Director, South Shore Transition House Association (Harbour House)

Jennifer Gagnon

We have one child and youth outreach worker. Her position is split between getting out in the community, doing girls groups and presentations, and also doing in-house, which greatly limits her time. We've had a major influx of children who are in-house. This is a really significant concern for us. I think a lot of us do really well liaising with mental health and addiction services, but as Donna mentioned, the wait-lists are excruciating. You can get in and have a Choice appointment in Nova Scotia, which will basically look at immediate needs, but it can take you 10 months to get in and see a therapist. It is a significant barrier to the healing and the helping. What we know about trauma is that if you support an individual as soon as you possibly can, you can reduce the long-term impacts.

So that's a very good question. It's something we struggle with on a regular basis. It really comes down to having resources to be able to support them and navigate through the provincial health care system.

4 p.m.

Liberal

Marc Serré Liberal Nickel Belt, ON

Madam Gagnon, you mentioned CMHC and the 40%, that with a larger centre, they could maybe get some private sector donations or fundraising. Would you specify a recommendation on that to the committee? As a rural centre, what percentage would you recommend that this be changed to, or increased to, in order to help you out as a rural centre versus an urban centre?

4 p.m.

Executive Director, South Shore Transition House Association (Harbour House)

Jennifer Gagnon

I think 80% would be appropriate. We would be able to fundraise the 20%, for sure.

4 p.m.

Liberal

Marc Serré Liberal Nickel Belt, ON

Okay. Thank you.

My next question is for Ms. Lacourse and Ms. Drebot.

You both talked about addictions. We've heard from other witnesses about the increase, including, I know, in the Northwest Territories and Yukon.

I think there was a comment that you don't even serve someone who has a substance addiction. We've heard from others that it is a larger issue in terms of the clinical stuff. I'm wondering if you have any specific recommendations.

Maybe we can hear from the North End Women's Centre first.

Now we will go to Ms. Lacourse.

4:05 p.m.

Executive Director, North End Women's Centre

Cynthia Drebot

Can you clarify for me one more time what you're asking?