What Happens After the Demonstration Phase? The Sustainability of Canada's At Home/Chez Soi Housing First Programs for Homeless Persons with Mental Illness
Bibliographic Data
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
Context (archaeology) · Fidelity · Geography · Health psychology · Housing First · Medical education · Mental health · Mental illness · Political science · Psychiatry · Public health · Public relations · Qualitative research · Sociology · Supportive housing · Sustainability · Community Health and Development · Ecology · Engineering · Health Policy Implementation Science · Homelessness and Social Issues · Medicine · Nursing · Psychology
Housing first, connection second
Understanding the role of networks in building capacity for systems change
Housing first for people experiencing homelessness in Brazil and worldwide
Fatores contextuais e implantação da intervenção Housing First
Selling Innovations Like Soap
Understanding Systems Change in Early Implementation of Housing First in Canadian Communities
Homeless Adults’ Recovery Experiences in Housing First and Traditional Services Programs in Seven European Countries
Navigating Complex Implementation Contexts
Examining peer networking as a capacity‐building strategy for Housing First implementation
Finding home
Systems change in the context of an initiative to scale up Housing First in Canada
The sustainability of new programs and innovations
Making public health programs last
Public health program capacity for sustainability
Effect of Scattered-Site Housing Using Rent Supplements and Intensive Case Management on Housing Stability Among Homeless Adults With Mental Illness
Planning for the sustainability of community-based health programs
Housing First for People with Severe Mental Illness Who are Homeless
A Multiple-City RCT of Housing First With Assertive Community Treatment for Homeless Canadians With Serious Mental Illness
The dynamic sustainability framework
Fostering implementation of health services research findings into practice
Agendas, alternatives, and public policies
Evidence-Based Policymaking
Predictors of Sustainability of Social Programs
Housing first
Applying Cluster Analysis to Test a Typology of Homelessness by Pattern of Shelter Utilization
Perceptions of Private Market Landlords Who Rent to Tenants of a Housing First Program
Implementing Housing First Across Sites and Over Time
Planning a Multi‐site, Complex Intervention for Homeless People with Mental Illness
Bridging the Gap Between Prevention Research and Practice
An Agenda for Research on the Sustainability of Public Health Programs
Fact
Exploring the Value of Mixed Methods Within the At Home/Chez Soi Housing First Project
Revealing the Organization of Complex Adaptive Systems through Multivariate Time Series Modeling
Using thematic analysis in psychology
Surmountable Chasms
| Unique citing works | 11 |
|---|---|
| Citations per year | 1,22 |
| Citation span | 2017 - 2026 (10) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 11 |