PHSSC

That Report COM 23-2025, dated July 8, 2025, respecting Approval of Community Services Program Audits, BE RECEIVED and the following recommendations BE APPROVED: 1. That the 2023 draft audited Long-Term Care Home Annual Reports for the year ended December 31, 2023 (Appendices 1-8 to Report COM 23-2025), BE APPROVED; 2. That the draft audited annual reconciliation return for the Community Support Services Program (Appendix 9 to Report COM 23-2025) for the year ended March 31, 2025, BE APPROVED; 3. That the draft audited schedule of revenue and expenses for the Reaching Home Program (Appendix 10 to Report COM 23-2025) for the year ended March 31, 2025, BE APPROVED; 4. That the draft audited schedule of revenue and expenses for the Unsheltered Homelessness and Encampments Initiative (UHEI) program for the year ended March 31, 2025 (Appendix 11 to Report COM 23-2025), BE APPROVED; 5. That staff BE DIRECTED to co-ordinate with the auditor to finalize the statements as presented; and 6. That this report BE FORWARDED to the Region’s Audit Committee for information.

That Report PHD 6-2025, dated July 8, 2025, respecting Approval of Public Health and Emergency Services Program Audits, BE RECEIVED and the following recommendations BE APPROVED: 1. That the draft audited schedule of revenue and expenses and the annual reconciliation return for the Public Health General Programs for the year ended December 31, 2024 (Appendix 1 and 2 to Report PHD 6-2025), BE APPROVED; Public Health and Social Services Committee Open Session Minutes PHSSC 7-2025 July 8, 2025 Page 5 2. That the draft audited schedule of revenue and expenses and the annual reconciliation return for the Community Mental Health Program for the year ended March 31, 2025 (Appendix 3 and 4 to Report PHD 6-2025), BE APPROVED; 3. That the draft audited schedule of revenue and expenses for the following programs for the fiscal year ended March 31, 2025, BE APPROVED:  Ambulance Communication Services (Appendix 5 to Report PHD 6-2025)  Infant and Child Development Services (ICDS) (Appendix 6 to Report PHD 6-2025)  Healthy Babies, Healthy Children (HBHC) (Appendix 7 to Report PHD 6-2025); 4. That staff BE DIRECTED to co-ordinate with the auditor to finalize the statements as presented; and 5. That Report PHD 6-2025 BE FORWARDED to the Region’s Audit Committee for information.

That the following items BE RECEIVED for information: COM-C 16-2025 2025-2026 Homelessness Winter Plan PHD-C 8-2025 Warning System Use in Niagara Emergency Medical Services

That Memorandum COM-C 17-2025, dated July 8, 2025, respecting Emergency Shelter Service Restrictions, BE RECEIVED for information.

1. That staff REPORT BACK on programming, services, and/or partnerships that need to be immediately implemented by Regional staff to ensure that individuals who are restricted from shelter are housed in some fashion, rather than sent to the street; 2. That the report INCLUDE financial considerations, analysis, and alternatives reviewed to ensure that individuals who are restricted from shelter are immediately housed in some fashion; and 3. That the report BE PRESENTED at the September 9, 2025, Public Health and Social Services Committee meeting.

WHEREAS communities across Ontario, including the Niagara Region, continue to experience a significant rise in individuals suffering from severe mental health issues and substance use disorders; WHEREAS existing local supports and facilities are under-resourced and are often unable to provide the intensive, wraparound, long-term care needed for individuals with complex or chronic needs; WHEREAS police services, emergency departments, local shelters, downtown businesses and the broader community are increasingly bearing the burden of responding to crises related to untreated or under- treated mental illness and addictions; WHEREAS there is a clear and urgent need for a dedicated, professionally staffed facility within the region that can deliver an intensive care for both—comprising medical detox, and long-term residential treatment, psychiatric support, and reintegration services; NOW THEREFORE BE IT RESOLVED: 1. That the Council of the Niagara Region, formally ADVOCATE for the establishment of an intensive mental health and addiction treatment supportive housing program that includes 24-7 support as well as medication support for clients with complex needs; 2. That Council CALLS upon the provincial and federal governments to invest in the planning, funding, and staffing of such facilities to meet the growing needs of vulnerable populations in our community; 3. That staff BE DIRECTED to prepare a report identifying potential partnership opportunities with the Ministry of Heal

That Confidential Report COM 24-2025, dated July 8, 2025, respecting A Matter of Labour Relations/Employee Negotiations and Personal Matters about Identifiable Individuals Pursuant to Sections 239(2)(b)(d) of the Municipal Act, 2001: Homelessness Services Negotiated Request for Proposal Award Results – 2025-RFP-38-Housing Focused Emergency Shelters, BE RECEIVED and the recommendations contained therein, BE APPROVED.