What Happens After the Demonstration Phase? The Sustainability of Canada's At Home/Chez Soi Housing First Programs for Homeless Persons with Mental Illness.
This research examined the sustainability of Canada's At Home/Chez Soi Housing First ( HF) programs for homeless persons with mental illness 2 years after the end of the demonstration phase of a large (more than 2000 participants enrolled), five-site, randomized controlled trial. Qualitative intervi...
| Publicado en: | American Journal of Community Psychology Vol. 59; no. 1/2; pp. 144 - 158 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | Artículo |
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Wiley-Blackwell
Mar2017
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=122100030&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 122100030 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00910562 CMP jtl: American Journal of Community Psychology issn: 00910562 maglogo: N pubinfo: dt: Mar2017 vid: 59 iid: 1/2 pid: 480 pub: Wiley-Blackwell artinfo: ui: 122100030 10.1002/ajcp.12119 ppf: 144 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P size: 126KB tig: atl: What Happens After the Demonstration Phase? The Sustainability of Canada's At Home/Chez Soi Housing First Programs for Homeless Persons with Mental Illness. aug: au: Nelson, Geoffrey Caplan, Rachel MacLeod, Timothy Macnaughton, Eric Cherner, Rebecca Aubry, Tim Méthot, Christian Latimer, Eric Piat, Myra Plenert, Erin McCullough, Scott Zell, Sarah Patterson, Michelle Stergiopoulos, Vicky Goering, Paula affil: Wilfrid Laurier University, Waterloo ON, Canada University of Ottawa, Ottawa ON, Canada McGill University, Douglas Mental Health University Institute, Montreal QC, Canada St. Michael's Hospital, Toronto ON, Canada University of Winnipeg, Winnipeg MB, Canada Simon Fraser University, Burnaby BC, Canada Centre for Addiction and Mental Health, University of Toronto, Toronto ON, Canada su: Services for homeless people Randomized controlled trials Urban planning Housing development Social conditions in Canada Twenty-first century sug: subj: Services for homeless people Randomized controlled trials Urban planning Administration of Urban Planning and Community and Rural Development Land Subdivision Housing development Social conditions in Canada Twenty-first century keyword: Homelessness Housing First Implementation science Mental illness Sustainability Homelessness Housing First Implementation science Mental illness Sustainability ab: This research examined the sustainability of Canada's At Home/Chez Soi Housing First ( HF) programs for homeless persons with mental illness 2 years after the end of the demonstration phase of a large (more than 2000 participants enrolled), five-site, randomized controlled trial. Qualitative interviews were conducted with 142 participants (key informants, HF staff, and persons with lived experience) to understand sustainability outcomes and factors that influenced those outcomes. Also, a self-report HF fidelity measure was completed for nine HF programs that continued after the demonstration project. A cross-site analysis was performed, using the five sites as case studies. The findings revealed that nine of the 12 HF programs (75%) were sustained, and that seven of the nine programs reported a high level of fidelity (achieving an overall score of 3.5 or higher on a 4-point scale). The sites varied in terms of the level of systems integration and expansion of HF that were achieved. Factors that promoted or impeded sustainability were observed at multiple ecological levels: broad contextual (i.e., dissemination of research evidence, the policy context), community (i.e., partnerships, the presence of HF champions), organizational (i.e., leadership, ongoing training, and technical assistance), and individual (i.e., staff turnover, changes, and capacity). The findings are discussed in terms of the implementation science literature and their implications for how evidence-based programs like HF can be sustained. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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