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

American Journal of Community Psychology
Eric MacnaughtonPaula Goering

Abstract

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.

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Citations

Jan 3, 2019·Annual Review of Public Health·Patrick J FowlerSanmay Das
May 10, 2019·International Journal of Environmental Research and Public Health·Marta GaboardiHome-Eu Consortium Study Group
Dec 4, 2019·American Journal of Community Psychology·Ronni Michelle GreenwoodUNKNOWN HOME-EU Consortium Study Group
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Dec 11, 2020·Journal of Psychosocial Nursing and Mental Health Services·Inés Campo FerreiroMaria Assumpta Rigol Cuadra
Aug 23, 2021·American Journal of Preventive Medicine·Stefan G KerteszJoshua S Richman

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