Alleviating homelessness in Toronto

Guest blog by Rob Graham

My public policy implementation challenge is the alleviation of homelessness in Toronto. The problem is getting worse as evidenced by the increasing number of homeless, the frequency and severity of their comorbidities and the increasing demand for shelter services like housing support, mental health, addictions, other medical needs, clothing, beds for the night and battling food insecurity.

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Digging Deep into the Policy Challenge Paves the way to Overcome

Guest blog by Teshome Mengesha Marra

When I first receive my acceptance letter to this worldwide executive education program, I had no detail information on its modality and contents. I thought that the program would be provided through lecture notes, discussions, assignments, and maybe a final exam because in many of my past educational pathways these kinds of formats were very common. Even in some of my short term education and training at various institutions, I have experienced more theoretical discussion and presentation rather a look at certain specific areas of practical aspects.

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Using the PDIA Toolkit to Help a Nonprofit in Philadelphia

Guest blog written by Jamison Hicks

The PDIA toolkit has yet again proven to be both useful and effective in providing organizations with the structural means to continually monitor and evaluate programmatic and organizational success. From a usage perspective, even though the toolkit was created in the US, the majority of PDIA blog posts on implementation seemed to be focused on out-of-country nations. With this simple observation, I thought it right to take advantage of the opportunity to implement the toolkit for a nonprofit organization in the US, namely, Philadelphia, Pennsylvania. Before I get too far ahead of myself, I think it is important to briefly note how I came to learn about PDIA since I am not a conventional student of the program. While interning at World Vision, the Executive Advisor on Fragile States and my personal mentor Jonathan Papoulidis, introduced me to the toolkit. By reading the free online textbook and watching many videos, I was able to gain a sufficient grasp of the concepts and in turn convert theory to an “empiric”.

One Day At A Time (ODAAT), the nonprofit organization where I implemented the toolkit focuses on substance addiction and homelessness in North Philadelphia. This region has some of the highest rates of opioid use and homelessness in the US. The first step taken was gathering all program or team supervisors into one room to diagnose problems using the Fishbone Diagram. One lesson learned; understanding the language of the organization was a necessity. Terms and questions used were not easily understood by the organization. This resulted in having to continuously adjust the approach.

For example, when trying to figure out the overarching problem the community faced, and the causes of those problems, I found it extremely helpful to use the power of stories. To explain the main problems and their causes, I offered the example of murder. Generally, individuals do not murder others without reason. The motive behind the individual’s actions could be childhood traumatic experiences, pain, loneliness, etc. This analogy helped the organization draw comparisons between the example and the initial question asked. Their main or overarching problem was equated to the hypothetical murder, and their related causes were the equivalents to the reasons behind “said” murder. Stories increased the fluidity and effectiveness of the Fishbone Diagram.

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PDIA and Coordination Challenges within Government

Guest blog written by Nevena Bosnic, Mehdi El Boukhari, Ama Peiris, Matthew Welchert

Over the past seven weeks, our group embarked on the learning journey of problem driven iterative adaptation (PDIA) as it applies to coordination challenges facing the various levels of government as well as civil society in addressing homelessness in Tarrant County, Texas. We had the great pleasure to work with an authorizer, Maggie Jones, who serves as the Assistant Director of Tarrant County Community Development. Our team – comprised of graduate students from the Fletcher School of Law and Diplomacy at Tufts, Harvard Chan School of Public Health, Harvard Graduate School of Education, and Harvard Kennedy School of Government – provided a diversity of perspectives and richness of insights. Together, we confronted and struggled through the challenges that come with working in complex adaptive challenges as we constructed and deconstructed the problem, sought potential entry points, developed and acted on ideas for interventions, and finally, reflected and iterated with yet another round of the process. Through this blog post, we hope to share with readers: (1) our key learnings from the course, (2) insights we gained about the problem we sought to address, and (3) words of wisdom for other students and practitioners.

1. LEARNINGS FROM THE COURSE:

  • The ecosystem is large and not all actors have a clear picture of how they fit within the larger system. Thus, they do not strategize well how they as an individual organization can encourage better coordination. It can be helpful to think of a metaphor of topographical map wherein your key organization is in a valley. You may see other related organizations and actors in some nearby hills and bluffs, but you might be blind to what exists beyond those heights. PDIA requires you to venture forth beyond the hills to get a sense of the total ecosystem. 
  • There are a lot of different stakeholders who are working independently to fight homelessness. There is little to no capitalizing on each other’s strengths because each stakeholder is bound by short term objectives and constraints. Coordination inherently requires compromising a degree of control to others, but asking organizations to share or give up some of their autonomy is a difficult ask. Constructing a problem that matters helps rally and galvanize support. 
  • It is alright to not have a big idea which might theoretically have a large impact. It is often better to try multiple small, achievable actions to shift towards greater change. Complexity is daunting, but by deconstructing the problem and identifying where there is sufficient authority, acceptance, and ability to act you can begin to take action. Rather than focusing all of your efforts on a big solution, removed from potential feasibility, taking immediate, fast action where possible provides lessons and begins the process of change. 
  • Huge challenge in understanding all of the many moving parts. Interactions and causal relationships are unlikely to reveal themselves without first pushing at the problem from multiple angles. By taking many different, small, independent actions pathways and connections might become more visible. 
  • The wonderful world of positive deviants. Do not reinvent the wheel. It sounds simple enough, but if you do not explore, ask around, look for the small successes already underway, then you risk missing solutions already in action. 
  • Deconstructing the problem is an endless process. You will always go back to redefining the problem and uncovering new root causes (rather than manifestations of the problem). Iteration can be trying, even frustrating, but the process of purposeful repetition building on what has been learned is critical to uncovering new solutions, and taking meaningful next steps.
  • Un-learning’ or learning you were wrong is still learning. Through the process of iteration and adaptation, you will likely be wrong. Indeed, you should be wrong. Embrace the potential for an idea not panning out, or an action not producing the desired result. By hitting a wall, you now know there is a wall there. In dealing with complex problems, even learning the boundaries of action is an important step. But be sure to learn and adapt. Why is the wall there? Where is a backdoor? It is in asking these deeper questions that PDIA’s repetition allows us to overcome hurdles. 
  • Examining change space is something most people don’t think about outside of PDIA. This results in a lot of efforts being made, sometimes to no avail. Crawl around the design space; which means to explore and make use of other success being done elsewhere. Perhaps a best practice has been implemented with success elsewhere. How would it be applicable to my situation? But remember to reflect inwardly as well. There is likely a great deal of latent potential within your own organization which can be brought to bear. Change will require many kinds of actions, from both without and within. 
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A Reflection on PDIA in Action: Homelessness in Tarrant County

Guest blog written by Akbar Ahmadzai, Emma Davies, Renzo LavinFernando Marquez

Six weeks ago, the class counted off numbers: One, two, three, four, five. Repeat. One, two, three, four, five. Repeat. Some of us were fortunate enough to have been assigned to group 2. Others convinced classmates to switch with them. Regardless of how we got there, all of us in group 2 would be working on Homelessness in Tarrant County. Had any of us been to Texas? No. Had any of us worked on homelessness issues in the past? No. Yet, in the next six weeks, through reading numerous documents and reaching out to people knowledgeable about the issue, we too would learn about the problem of homelessness in Tarrant County. 

On our first day, our group was inclined to think that access to affordable housing was the main driver of homelessness. An obvious solution to this problem seemed to be increasing the number of available units. After our first call with our authorizer, Maggie Jones, the Assistant Director of Tarrant County Community Development, we quickly realized we were wrong in two key ways. First, the problem was much more complex than just the lack of housing and we would have to dive deeper to understand it better. Second, there were no obvious solutions to addressing homelessness and, given that homelessness is a multidimensional problem, several measures would be required to tackle sub-areas contributing to homelessness. 

We were introduced to a large network of people, agencies, and community organizations working on addressing homelessness in Tarrant County. Within the first week, we learned that “more than 2,000 individuals experience homelessness on any given night in Tarrant County” and, during the point in time count, there were 560 unsheltered homeless people despite 602 available beds throughout the system. Furthermore, there were many people at risk of losing their housing and becoming homeless in the near future. Armed with this information, we defined (constructed) the problem as follows:

Continuing to engage with people working on homelessness in Tarrant County and reading several documents related to the issue of homelessness helped us identify various subproblems and factors that contribute to homelessness in Tarrant County. The question “why” proved extremely helpful when deconstructing our problem. For instance,

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