Nova Scotia does not have a precise timeline for phasing out large institutional housing for people with disabilities, the deputy minister of the Department of Community Services told a legislature hearing Tuesday.
The government is committed to closing the facilities — as called for in a decade-old report — but it needs to ensure residents are supported as they move out into smaller homes in the community, Tracey Taweel said.
"We need to move at a speed that allows us to ensure we have the human resource capacity to support individuals as they transition to communities," Taweel told the committee. "That we respect where and how they like to live and support them appropriately and that's going to take us some time."
Violation of rights
Last October, the Nova Scotia Court of Appeal ruled that the province's failure to offer "meaningful" access to housing services for people with disabilities amounted to a violation of their basic rights.
The deputy minister said there are eight adult residential and regional rehabilitation centres that are still open, with one — Harbourside Lodge in Yarmouth, N.S., which currently houses 22 people — slated to close by the end of this year. Taweel said her department needs to guard against the risk of creating "mini institutions" in smaller homes if there isn't appropriate support.
"We don't want that," she said. "We need communities to be able to support and welcome in the richness that comes from individuals who have a range of abilities. That's going to take some time to build."
A 2013 report done for the government called for phasing out institutional facilities and replacing them with small options homes by 2023.
"I cannot commit that they will be closed by 2023, that would be false," Taweel said.
Immediate action needed
Vicky Levack, spokeswoman for the Disability Rights Coalition of Nova Scotia, told reporters the government is still using an incremental approach to solve a human rights issue that requires more immediate action.
"One thing COVID-19 taught me is when there's government will we can do things very quickly," said Levack, who has cerebral palsy and is still waiting to move outside a Halifax-area nursing home. She said she has been institutionalized against her will for the past 10 years.
Levack expressed frustration over the lack of government timelines for the closure of large facilities, calling it "so concerning."
"If there's no timelines then they can't be held accountable," Levack said.
Sheila Wildeman, a Dalhousie University law professor and member of the Community Homes Action Group, told the committee Tuesday that hundreds of people continue to live in large institutional settings and more than 1,000 others live in settings with "pressing support needs."
"What is needed for government to meet its obligations now are transparent and forcible goals and standards anchored in human rights and the voices of persons with disabilities," Wildeman said.
Last province to close large institutions
Taweel told reporters that Nova Scotia is the last jurisdiction in Canada to close large institutions.
According to the Department of Community Services, 498 people were housed in adult residential and regional rehabilitation centres as of March 31. Another 375 were housed in residential-care facilities, which provide permanent government-assisted housing for people who need personal care and assistance with day-to-day life.
There were also 199 people under the age of 55 housed in long-term care facilities as of April 1. The department said that number could include people with disabilities but could also include individuals with other medical conditions that require support, such as early onset dementia.
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