Open access

Implementation Evaluation of a Housing First Program in a Small Canadian City

Publication: Canadian Journal of Community Mental Health
1 December 2014

Abstract

This paper describes the implementation of Housing First in a small Canadian city. Given that the majority of Housing First research has been conducted in large American cities, providing a Canadian context in a small city contributes significant insights for similarly sized areas. The main objectives were to determine the adaptations made to the Housing First model and the contextual realities that affected implementation. Data were collected from two sources: (a) a fidelity assessment by an external team of experts; and (b) key informant interviews and focus groups with program staff and consumers. Results demonstrate that Housing First can be successfully implemented in a small city but with certain constraints and adaptations, notably more limited consumer choice of housing, challenges related to consumer access to transportation, and adaptations to program staffing. Implications for practice are discussed.

Résumé

Le travail décrit l'implantation d'un programme de logement d'abord (Housing First) dans une petite ville canadienne. Une étude dans ce contexte contribue des nouvelles connaissances car la majorité des études sur le logement d'abord ont été complétées dans des grandes villes américaines. Les objectifs principaux de la recherche étaient de documenter les adaptations faites au modèle logement d'abord et les facteurs qui affectaient son implantation. Les données ont été collectionnées de deux sources: (a) Une évaluation de fidélité par une équipe d'experts externes au programme; et (b) des entrevues et groupes de discussion avec le personnel et les usagères et usagers affiliés au programme. Les résultats démontrent que le logement d'abord peut être implanté dans une petite ville mais avec certaines limites et adaptations, notamment des limites reliées aux choix des logements par les usagères et usagers, des défis associés avec l'accès au transport, et des adaptations reliés à la composition de l’équipe des intervenants et intervenantes. Les implications des résultats pour l'implantation des programmes de logement d'abord sont discutées.

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Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 33Number 4December 2014
Pages: 23 - 40

History

Version of record online: 1 December 2014

Key Words

  1. Housing First
  2. small city
  3. implementation evaluation
  4. fidelity assessment
  5. program design

Mots-clés

  1. Logement d'abord
  2. petite ville
  3. implantation
  4. évaluation de fidélité
  5. développement de programme

Authors

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Tim Aubry
Rebecca Cherner
Jonathan Jetté

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