Navigating Complex Implementation Contexts: Overcoming Barriers and Achieving Outcomes in a National Initiative to Scale Out Housing First in Canada.
Abstract: The scaling out of Housing First (HF) programs was examined in six Canadian communities, in which a multi‐component HF training and technical assistance (TTA) was provided. Three research questions were addressed: (a) What were the outcomes of the TTA in terms of the development of new, su...
| Publicado en: | American Journal of Community Psychology Vol. 62; no. 1/2; pp. 135 - 150 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
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Wiley-Blackwell
Sep2018
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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=131861853&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 131861853 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: Sep2018 vid: 62 iid: 1/2 pid: 480 pub: Wiley-Blackwell artinfo: ui: 131861853 10.1002/ajcp.12268 ppf: 135 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P size: 132KB tig: atl: Navigating Complex Implementation Contexts: Overcoming Barriers and Achieving Outcomes in a National Initiative to Scale Out Housing First in Canada. aug: au: Macnaughton, Eric Nelson, Geoffrey Worton, S. Kathleen Tsemberis, Sam Stergiopoulos, Vicky Goering, Paula Aubry, Tim Hasford, Julian Distasio, Jino affil: Department of Psychology, Wilfrid Laurier University, Waterloo, ON, Canada Pathways Housing First Training Institute, Montclair, NJ, USA Centre for Addiction and Mental Health, University of Toronto, Toronto, ON, Canada School of Psychology, University of Ottawa, Ottawa, ON, Canada School of Child and Youth Care, Ryerson University, Toronto, ON, Canada Institute of Urban Studies, University of Winnipeg, Winnipeg, MB, Canada su: Canada Housing Technical assistance Implementation (Social action programs) Housing policy Community housing sug: subj: Housing Technical assistance Implementation (Social action programs) Housing policy Canada Other Community Housing Services Administration of Housing Programs Community housing services Community housing keyword: Complexity Fidelity Homelessness Housing First Implementation Implementation science Scaling out Complexity Fidelity Homelessness Housing First Implementation Implementation science Scaling out ab: Abstract: The scaling out of Housing First (HF) programs was examined in six Canadian communities, in which a multi‐component HF training and technical assistance (TTA) was provided. Three research questions were addressed: (a) What were the outcomes of the TTA in terms of the development of new, sustained, or enhanced programs, and fidelity to the HF model? (b) How did the TTA contribute to implementation and fidelity? and (c) What contextual factors facilitated or challenged implementation and fidelity? A total of 14 new HF programs were created, and nine HF programs were sustained or enhanced. Fidelity assessments for 10 HF programs revealed an average score of 3.3/4, which compares favorably with other HF programs during early implementation. The TTA influenced fidelity by addressing misconceptions about the model, encouraging team‐based practice, and facilitating case‐based dialogue on site specific implementation challenges. The findings were discussed in terms of the importance of TTA for enhancing the capacities of the HF service delivery system—practitioners, teams, and communities—while respecting complex community contexts, including differences in policy climate across sites. Policy climate surrounding accessibility of housing subsidies, and use of Assertive Community Treatment teams (vs. Intensive Case Management) were two key implementation issues. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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