Service gaps and barriers

Recommendation 31: All government actors and health care providers must recognize the specific and indispensable expertise of people with lived experience. Increase peer-run and peer-delivered services and peer-support positions within government services by:

• developing a provincial advisory board of people with lived experience of homelessness for BC Housing;
• establishing provincial best practices for engaging people with lived experience of poverty, homelessness, and substance use in service delivery modelled on GIPA (Greater Involvement of People living with HIV/AIDS), MIPA (Meaningful Involvement of People Living with HIV), and NAUWU (Nothing About Us Without Us) principles;
• collaborating with peer-led organizations to audit all provincial services (hospital, health, income assistance, shelter, housing) to identify and fund opportunities for peer engagement in service provision and planning; and
• developing a model for peer-involvement in the design and execution of homeless counts.

Operationalizing stigma-auditing

Recommendation 32: In consultation with experts, including human rights law organizations, trauma specialists, and people with lived experience, the Province of British Columbia should adopt a standardized tool and training protocol for conducting “stigma audits” of current laws, policies, and regulations in BC, and to inform the development of new laws, policies, and regulations.

Operationalizing stigma-auditing

Recommendation 33: The relevant provincial ministries should engage in extensive education and outreach to legislators and staff across the provincial government, and local governments to introduce the stigma-auditing tool to law and policymakers, and to train stigma auditors.

Operationalizing stigma-auditing

Recommendation 34: In its first year in operation, the BC Human Rights Commission should prioritize stigma-auditing areas of law and policy that most directly impact highly stigmatized populations, including, but not limited to:

• public space governance;
income assistance and disability policy;
• housing policy and residential tenancy law;
• child welfare law and policy;
• policing law and policy;
• health policy related to mental health and substance use; and
• privacy law as it relates to people who live in public space and people who are criminalized as a result of substance use.