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La mise en œuvre d'une intervention Logement d'abord en région rurale canadienne

Publication: Canadian Journal of Community Mental Health
24 Avril 2015

Résumé

Cet article présente une évaluation formative d'un programme Logement d'abord (Housing First) offert en région rurale. Les deux objectifs consistent à décrire les personnes desservies et comment le modèle Logement d'abord fut adapté afin d'offrir des services en milieu rural. La recherche repose sur une méthodologie mixte. Le volet quantitatif, de nature descriptive, porte sur 23 participants et participantes. Le volet qualitatif s'attarde à ce qui a pu contribuer à l'implantation du modèle et les défis qui subsistent, selon 15 informateurs clés. Les leçons tirées de l'expérience et les retombées pour les politiques et les programmes de logement au Canada sont discutées.

Abstract

This paper presents a formative evaluation of a Housing First program delivered in a rural area. The two objectives are to determine who is served and how the Housing First model was adapted to provide services in rural areas. The research employs a mixed methodology. The quantitative arm describes the characteristics of 23 participants. The qualitative analyses focus on the specifics of the implementation, strengths, and challenges (15 interviewees). The results are discussed in the light of lessons learned, and implications for policy and housing programs in Canada.

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References

Barker S., Barron N., McFarland B. H., and Bigelow D. A. A community ability scale for chronically mentally ill consumers: Part I. Reliability and validity Community Mental Health Journal 1994 30 4 363 -383
Bruce, D. (2006). Homelessness in rural and small town Canada. Dans P. Milbourne et P. Cloke (dir.), International perspectives on rural homelessness (p. 63–78). New York, NY: Routledge.
Dickey B., Gonzalez O., Latimer E., Powers K., Schutt R. K., and Goldfinger S. M. Use of mental health services by formerly homeless adults residing in group and independent housing Psychiatric Services 1996 47 2 152 -158 Consulté à http://ps.psychiatryonline.org.proxy.bib.uottawa.ca/data/Journals/PSS/3444/152.pdf
Forchuk C., Montgomery P., Berman H., Ward-Griffin C., Csiernik R., Gorlick C., and Riesterer P. Gaining ground, losing ground: The paradoxes of rural homelessness Canadian Journal of Nursing Research 2010 42 1 138 -152 Consulté à http://www.ingentaconnect.com/content/mcgill/cjnr/2010/00000042/00000002/art00013
Goering, P. N. (2004). Making a difference: Ontario's Community Mental Health Evaluation Initiative. Consulté à http://ontario.cmha.ca/files/2012/07/Making_a_Difference_CMHEI_Final_Project.pdf
Goering P. N., Streiner DL., Adair C., Aubry T., Barker J., Distasio J., and Zabkiewicz P. The At Home / Chez Soi trial protocol: A pragmatic, multi-site, randomized controlled trial of a Housing First intervention for homeless individuals with mental illness in five Canadian cities BMJ Open 2011 1 2 e000323
Goering, P. N., Veldhuizen, S., Watson, A., Adair, C., Kopp, B., Latimer, E. et Ly, A. (2012). Projet Chez Soi: rapport provisoire. Calgary, AB : Commission de la santé mentale du Canada. Consulté à http://www.mentalhealthcommission.ca/Francais/system/files/private/document/ Housing_At_Home_Interim_Report_FRE.pdf
Gouvernement du Canada. (2013). Stratégie des partenariats de lutte contre l'itinérance. Consulté à http://actionplan.gc.ca/fr/initiative/strategie-des-partenariats-de-lutte-contre
Greenwood R. M., Schaefer-McDaniel N. J., Winkel G., and Tsemberis S. J. Decreasing psychiatric symptoms by increasing choice in services for adults with histories of homelessness American Journal of Community Psychology 2005 36 4 223 -238
Gulcur L., Stefancic A., Shinn M., Tsemberis S., and Fischer S. N. Housing, hospitalization and cost outcomes for homeless individuals with psychiatric disabilities participating in continuum of care and housing first programmes Journal of Community & Applied Social Psychology 2003 13 2 171 -186
Hendryx M., Dyck D., McBridge D., and Whitbeck J. A test of the reliability and validity of the Multnomah Community Ability Scale Community Mental Health Journal 2001 37 2 157 -169
Henry, M. et Sermons, M. W. (2010). Geography of homelessness. Washington, DC: National Alliance to End Homelessness, Homelessness Research Institute. Consulté à http://www.endhomelessness.org/library/entry/geography-of-homelessness
Hurlburt M. S., Wood P. A., and Hough R. L. Providing independent housing for the homeless mentally ill: A novel approach to evaluating long-term longitudinal housing patterns Journal of Community Psychology 1996 24 3 291 -310 Consulté à http://ps.psychiatryonline.org.proxy.bib.uottawa.ca/article.aspx?articleID=79439
Lecrubier Y., Sheehan D., Weiller E., Amorim P., Bonora I., Sheeman K., and Dunbar G. C. The MINI International Neuropsychiatric Interview (MINI): A short diagnostic structured interview: Reliability and validity according to the CIDI European Psychiatry 1997 12 224 -231
Manning, S. (Ed.). (2006). 2006 student census. Toronto, ON : Toronto District School Board, Organizational Development Department, Research and Information Services.
Mares, A. S. et Rosenheck, R. A. (2007). HUD/HHS/VA collaborative initiative to help end chronic homelessness national performance outcomes assessment: Preliminary client outcomes report. West Haven, CT : Northeast Program Evaluation Center.
McHugo G. J., Bebout R. R., Harris M., Cleghorn S., Herring G., Xie H., and Drake R. E. A randomized controlled trial of integrated versus parallel housing services for homeless adults with severe mental illness Schizophrenia Bulletin 2004 30 4 969 -982 Consulté à http://schizophreniabulletin.oxfordjournals.org/content/30/4/969.full.pdf
Meyer P. S. and Morrissey J. P. A comparison of Assertive Community Treatment and Intensive Case Management for patients in rural areas Psychiatric Services 2007 58 1 121 -127 Consulté à http://journals.psychiatryonline.org/data/Journals/PSS/3790/07ps121.pdf
Nelson G., Stefancic A., Rae J., Townley G., Tsemberis S., Macnaughton E., and Goering P. Early implementation evaluation of a multi-site housing first intervention for homeless people with mental illness: A mixed methods approach Evaluation and Program Planning 2014 43 16 -26
New Brunswick Department of Post-Secondary Education, Training and Labour. (2012). New Brunswick regional profiles: Southeast profile. Consulté à http://www2.gnb.ca/content/dam/gnb/Departments/petl-epft/PDF/Publications/SoutheastProfile.pdf
O'Connell M. J., Kasprow W., and Rosenheck R. Direct placement versus multistage models of supported housing in a population of veterans who are homeless Psychological Services 2009 6 3 190 -201
Pearson C., Montgomery A. E., and Locke G. Housing stability among homeless individuals with serious mental illness participating in Housing First programs Journal of Community Psychology 2009 37 3 404 -417
Rosenheck R. A., Kasprow W., Frisman L., and Liu-Mares W. Cost-effectiveness of supported housing for homeless persons with mental illness Archives of General Psychiatry 2003 60 9 940 -951
Sheehan D. V., Lecrubier Y., Harnett-Sheeman K., Janavis J., Weiller E., Bonora L. I., and Dunbar G. C. Reliability and validity of the MINI International Neuropsychiatric Interview (MINI) according to the SCID -P and its reliability European Psychiatry 1997 12 232 -241
Statistique Canada. (2006). Recensement de 2006, formulaire long. Consulté à https://www12.statcan.gc.ca/censusrecensement/index-fra.cfm
Statistique Canada. (2009). Enquête sur la santé dans les collectivités canadiennes et de l'Enquête nationale sur la santé de la population. Consulté à http://www.statcan.gc.ca
Statistique Canada. (2011). Population urbaine et rurale, par province et territoire (Canada). Consulté à http://www.statcan.gc.ca/tables-tableaux/sum-som/l02/cst01/demo62a-fra.htm
Stefancic A., Henwood B. F., Melton H., Shin S-M., Lawrence-Gomez R., and Tsemberis S. Implementing Housing First in rural areas: Pathways Vermont American Journal of Public Health 2013 103 Suppl 2 S206 -S209
Stefancic A. and Tsemberis S. Housing First for long-term shelter dwellers with psychiatric disabilities in a suburban county: A four-year study of housing access and retention Journal of Primary Prevention 2007 28 3–4 265 -279
Tabol C., Drebing C., and Rosenheck R. A. Studies of “supported” and “supportive” housing: A comprehensive review of model descriptions and measurement Evaluation and Program Planning 2010 33 446 -456
Thomas R. D. A general inductive approach for analyzing qualitative evaluation data American Journal of Evaluation 2006 27 237 -246
Tsemberis S. From streets to homes: An innovative approach to supported housing for homeless adults with psychiatric disabilities Journal of Community Psychology 1999 27 2 225 -241
Tsemberis S. and Eisenberg R. F. Pathways to housing: Supported housing for street-dwelling homeless individuals with psychiatric disabilities Psychiatric Services 2000 51 4 487 -493
Tsemberis S., Gulcur L., and Nakae M. Housing First, consumer choice, and harm reduction for homeless individuals with a dual diagnosis American Journal of Public Health 2004 94 4 651 -656
Waegemakers Schiff, J. et Turner, A. (2014). Rural Alberta homelessness. Calgary, AB : University of Calgary, Faculty of Social Work / Edmonton, AB : Alberta Centre for Child, Family & Community Research. Consulté à http://www.research4children.com/data/documents/Alberta_Rural_ Homelessness_Report_June_11_FINAL.pdf
Whitzman C. At the intersection of invisibilities: Canadian women, homelessness and health outside the “big city.” Gender, Place and Culture 2006 13 4 383 -399

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 33Number 4December 2014
Pages: 41 - 59

History

Version of record online: 24 Avril 2015

Mots-clés

  1. housing
  2. mental health
  3. Housing First
  4. rural
  5. implementation evaluation

Mots-clés

  1. logement
  2. santé mentale
  3. Logement d'abord
  4. rurale
  5. évaluation de l'implantation

Authors

Affiliations

Jonathan Jetté
Rebecca Cherner
John Ecker
Stéphanie Yamin
Jimmy Bourque
Université de Moncton

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