Implementing Housing First Across Sites and Over Time: Later Fidelity and Implementation Evaluation of a Pan-Canadian Multi-site Housing First Program for Homeless People with Mental Illness

被引：47

作者：

Macnaughton, Eric ^{[1
]}

Stefancic, Ana ^{[2
]}

Nelson, Geoffrey ^{[1
]}

Caplan, Rachel ^{[1
]}

Townley, Greg ^{[3
]}

Aubry, Tim ^{[4
]}

McCullough, Scott ^{[5
]}

Patterson, Michelle ^{[6
]}

Stergiopoulos, Vicky ^{[7
]}

Vallee, Catherine ^{[8
]}

Tsemberis, Sam ^{[9
,10
]}

Fleury, Marie-Josee ^{[11
,12
]}

Piat, Myra ^{[11
,12
]}

Goering, Paula ^{[13
,14
]}

机构：

[1] Wilfrid Laurier Univ, Waterloo, ON N2L 3C5, Canada

[2] Columbia Univ, New York, NY USA

[3] Portland State Univ, Portland, OR 97207 USA

[4] Univ Ottawa, Ottawa, ON, Canada

[5] Univ Winnipeg, Winnipeg, MB R3B 2E9, Canada

[6] Simon Fraser Univ, Burnaby, BC V5A 1S6, Canada

[7] Univ Toronto, Ctr Inner City Hlth, Toronto, ON, Canada

[8] Univ Laval, CSSS Vieille Capitale, Quebec City, PQ, Canada

[9] Pathways Housing, New York, NY USA

[10] Columbia Univ, Dept Psychiat, Med Ctr, New York, NY USA

[11] McGill Univ, Montreal, PQ, Canada

[12] Douglas Hosp, Verdun, PQ, Canada

[13] Ctr Addict & Mental Hlth, Toronto, ON, Canada

[14] Univ Toronto, Toronto, ON, Canada

来源：

AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY | 2015年 / 55卷 / 3-4期

关键词：

Housing first; Implementation; Mixed methods; Evaluation; Fidelity; SUBSTANCE-ABUSE; MIXED METHODS; COMMUNITY; INTERVENTION; INNOVATIONS; INTEGRATION; ENGAGEMENT; SERVICES; RECOVERY; PROJECT;

D O I：

10.1007/s10464-015-9709-z

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

This article examines later fidelity and implementation of a five-site pan-Canadian Housing First research demonstration project. The average fidelity score across five Housing First domains and 10 programs was high in the first year of operation (3.47/4) and higher in the third year of operation (3.62/4). Qualitative interviews (36 key informant interviews and 17 focus groups) revealed that staff expertise, partnerships with other services, and leadership facilitated implementation, while staff turnover, rehousing participants, participant isolation, and limited vocational/educational supports impeded implementation. The findings shed light on important implementation "drivers" at the staff, program, and community levels.

引用

页码：279 / 291

页数：13

共 52 条

[11] Association of Housing First Implementation and Key Outcomes Among Homeless Persons With Problematic Substance Use [J].