Evaluating the Planning and Development Phase of a Demonstration Project: At Home / Chez Soi Moncton
Publication: Canadian Journal of Community Mental Health
18 February 2015
Abstract
This research focused on the planning and development phase of the Moncton site of At Home / Chez Soi, a multisite research demonstration project funded by the Mental Health Commission of Canada, developed to test an innovative approach to working with homeless people living with severe and persistent mental illness in 5 Canadian cities. Using qualitative methods, 11 local key informants participated in semistructured interviews focusing on: (a) early planning processes; (b) principles and values guiding the planning process; (c) planning actions; and (d) stakeholder relationships. We found that contextual elements, especially those related to the small size and bilingual nature of the city and the lack of mental health services in the area, had a significant impact on the planning and development of the project in Moncton. The implications of findings for future planning of complex community interventions are noted.
Résumé
La présente étude fut menée dans le cadre du projet de démonstration pancanadien At Home / Chez Soi, financé par la Commission de la santé mentale du Canada, mis au point pour évaluer une approche novatrice pour intervenir auprès de personnes sans-abri souffrant d'un problème de santé mentale. Elle a pour objectif d'explorer la phase de planification et développement dans un des 5 sites, soit Moncton. En utilisant des méthodes qualitatives, 11 informateurs et informatrices clés ont participé à des entrevues semi-dirigées axées sur (a) les processus de planification précoce, (b) les principes et les valeurs guidant le processus de planification, (c) les actions de planification et (d) les relations entre les parties intéressées. Nous avons constaté que les éléments contextuels, en particulier ceux liés à la taille et la nature bilingue de la ville ainsi qu'une lacune importante en matière de services de santé mentale dans la région, ont eu un impact significatif sur la planification et le développement du projet à Moncton. Les conséquences des résultats pour la planification de futures interventions sont notées.
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References
Aubry T., Klodawsky F., and Coulombe D. Comparing the housing trajectories of different classes within a diverse homeless population American Journal of Community Psychology 2012 49 1-2 142 -55
Barrera M., Castro F. G., and Steiker L. K. H. A critical analysis of approaches to the development of preventive interventions for subcultural groups American Journal of Community Psychology 2011 48 3-4 439 -54
Braunholtz D. A., Edwards S. J., and Lilford R. J. Are randomized clinical trials good for us (in the short term)? Evidence for a “trial effect.” Journal of Clinical Epidemiology 2001 54 3 217 -24
City of Moncton. (2002). Declaration by the city of Moncton city council: Official bilingualism. Retrieved from http://www.moncton.ca/Assets/Government+English/Bilingual+Services/ Declaration+of+Official+Languages+English.pdf
City of Moncton. (2012). Moncton statistics. Retrieved from http://www.moncton.ca/Moncton__Our_Tide_is_Rising___/Moncton_Statistics
Department of Justice Canada. (2012, June 29). Constitution Acts, 1867 to 1982. Retrieved from http://laws-lois.justice.gc.ca/eng/Const/index.html
Dewa C. S., Durbin J., Wasylenki D., Ochocka J., Eastabrook S., Boydell K. M., and Goering P. Considering a multisite study? How to take the leap and have a soft landing Journal of Community Psychology 2002 30 2 173 -187
Edwards S. J., Lilford R. J., Braunholtz D. A., Jackson J. C., Hewison J., and Thornton J. Ethical issues in the design and conduct of randomised controlled trials Health Technology Assessment (Winchester, England) 1998 2 15 i -vi 1–132. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10194615
Edwards S. J., Lilford R. J., and Hewison J. The ethics of randomised controlled trials from the perspectives of patients, the public, and healthcare professionals BMJ (Clinical Research Ed.) 1998 317 7167 1209 -12
Fédération canadienne des municipalités. (2011). La qualité de vie dans les municipalités canadiennes. Logement abordable et itinérance: tendances et enjeux. Rapport thématique numéro 4. Retrieved from http://www.fcm.ca/Documents/reports/Trends_and_Issues_in_Affordable_ Housing_and_Homelessness_FR.pdf
Fereday J. and Muir-Cochrane E. Demonstrating rigor using thematic analysis: A hybrid approach of inductive and deductive coding and theme development International Journal of Qualitative Methods 2008 5 1 80 -92 Retrieved from https://ejournals.library.ualberta.ca/index.php/IJQM/article/view/4411
Freedman B. Equipoise and the ethics of clinical research The New England Journal of Medicine 1987 317 3 141 -5
Gaetz S. The struggle to end homelessness in Canada: How we created the crisis, and how we can end it The Open Health Services and Policy Journal 2010 3 21 -26 Retrieved from http://www.homelesshub.ca/ResourceFiles/rjhmnzr4.pdf
Gaucher, C., Albert, H., Savoie, L., & Bâ, O. (2010). Ce qui se cache derrière la précarité domiciliaire: aborder les processus d'invisibilisation de l'itinérance à Moncton. Research in progress, Équipe Masculinités et Société, Université Laval, Québec.
Greater Moncton Homelessness Steering Committee. (2013). Experiencing homelessness: The sixth report card on homelessness in Greater Moncton, 2013. Retrieved from http://monctonhomelessness.org/documents/2013-6threport-card-gmhomelessness.pdf
Greene, J. C. (1994). Qualitative program evaluation: Practice and promise. In N. Denzin & S. Lincoln (Eds.), Handbook of Qualitative Research. Thousand Oaks, CA: Sage.
Hulchanski, D., Campsie, P., Chau, S., Hwang, S., & Paradis, E. (2009). Finding home: Policy options for addressing homelessness in Canada. Toronto, ON: Cities Centre Press. Retrieved from http://www.homelesshub.ca/findinghome
Human Resources and Social Development Canada. (2007). Community plan 2007–2009: Homelessness partnering strategy—Framework—Hamilton urban Aboriginal, Ontario. Retrieved from http://www.homelesshub.ca/resource/community-plan-2007-2009-homelessness-partnering-strategy-framework-hamilton-urban
Johnson K., Hays C., Center H., and Daley C. Building capacity and sustainable prevention innovations: A sustainability planning model Evaluation and Program Planning 2004 27 2 135 -149
Katz D. L., Murimi M., Gonzalez A., Njike V., and Green L. W. From controlled trial to community adoption: The multisite translational community trial American Journal of Public Health 2011 101 8 e17 -27
King, J. A., Ross, P. A., Callow-Heusser, C., Gullickson, A. R., Lawrenz, F., & Weiss, I. R. (2011). Reflecting on multisite evaluation practice. In A. King & F. Lawrenz (Eds.), Multisite evaluation practice: Lessons and reflections from four cases. New Directions for Evaluation, No. 129. Retrieved from http://ca.wiley.com/WileyCDA/WileyTitle/productCd-1118044495.html
Laverack G. A planning framework for community empowerment goals within health promotion Health Policy and Planning 2000 15 3 255 -262
Locock L., Dopson S., Chambers D., and Gabbay J. Understanding the role of opinion leaders in improving clinical effectiveness Social Science & Medicine 2001 53 6 745 -757
Markham S. K. A longitudinal examination of how champions influence others to support their projects Journal of Product Innovation Management 1998 15 6 490 -504
Mental Health Commission of Canada. (2012). Issue: Housing and homelessness. Retrieved from http://www.mentalhealthcommission.ca/English/Pages/homelessness.aspx?routetoken=5f2200f72fcff7381523d83690c70209&terminitial=23
Nelson G. Housing for people with serious mental illness: Approaches, evidence and transformative change Journal of Sociology and Social Welfare, XXXVII 2010 4 123 -146 Retrieved from http://connection.ebscohost.com/c/articles/56545265/housing-people-serious-mental-illness-approaches-evidence-transformative-change
Nelson G., Aubry T., and Lafrance A. A review of the literature on the effectiveness of housing and support, assertive community treatment, and intensive case management interventions for persons with mental illness who have been homeless The American Journal of Orthopsychiatry 2007 77 3 350 -61
Nelson G., Macnaughton E., Goering P., Dudley M., O'Campo P., Patterson M., and Vallée C. Planning a multi-site, complex intervention for homeless people with mental illness: The relationships between the national team and local sites in Canada's At Home / Chez Soi project American Journal of Community Psychology 2013 51 3-4 347 -58
Padgett D., Gulcur L., and Tsemberis S. Housing First services for people who are homeless with cooccurring serious mental illness and substance abuse Research on Social Work Practice 2006 16 1 74 -83
Parliament of Canada. (2012). Defining and enumerating homelessness in Canada (PR B 08-30E). Current Publications: Social Affairs and Population. Retrieved from http://www.parl.gc.ca/content/lop/researchpublications/prb0830-e.htm
Pluye P., Potvin L., and Denis J.-L. Making public health programs last: Conceptualizing sustainability Evaluation and Program Planning 2004 27 2 121 -133
Raghavan R., Bright C. L., and Shadoin A. L. Toward a policy ecology of implementation of evidence-based practices in public mental health settings Implementation Science: IS 2008 3 1 26
Rossi, P., Lipsey, M., & Freeman, H. E. (2004). Program evaluation: A systematic approach. Thousand Oaks, CA: Sage.
Roy, S., Hurtubise, R., Bélanger, C., Lemetayer, F., Morin, D., & Morin, P. (2003). Itinérance en Montérégie. Comprendre le phénomène et identifier les besoins. Retrieved from http://www.rapsim.org/docs/CRI-Rapport-Monteregie-2003.pdf
Statistics Canada. (2007, February 13). Population by mother tongue, by census metropolitan area, excluding institutional residents (2011 Census) (St. John's, Halifax, Moncton, Saint John). Retrieved June 29, 2012 from http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/demo12a-eng.htm
Sylvestre J. C., Pancer S. M., Brophy K., and Cameron G. The planning and implementation of governmentsponsored community-based primary prevention: A case study Canadian Journal of Community Mental Health/ Revue Canadienne de Santé Mentale Communautaire 1994 13 2 189 -95 Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10151075
Trickett E., Beehler S., Deutsch C., Green L., Hawe P., McLeroy K., and Trimble J. Advancing the science of community-level interventions American Journal of Public Health 2011 101 8 1410 -1419 Retrieved from http://web.b.ebscohost.com/abstract?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=00900036&AN=64155917&h=GFAaL28zpih LNZpeeTA9B4j4gs9BNTCdkilUXpWyrjKy25rePc478UrOHqhbt7nbxugCIgbXsS5Vvwgm8WEqzA==&crl=c
Trickett E. J. Multilevel community-based culturally situated interventions and community impact: An ecological perspective American Journal of Community Psychology 2009 43 3-4 257 -66
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Published In
Canadian Journal of Community Mental Health
Volume 33 • Number 4 • December 2014
Pages: 7 - 22
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Version of record online: 18 February 2015
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FlowersLinsay, GaucherCharles, and BourqueJimmy. 2014. Evaluating the Planning and Development Phase of a Demonstration Project: At Home / Chez Soi Moncton. Canadian Journal of Community Mental Health.
33(4): 7-22. https://doi.org/10.7870/cjcmh-2014-027
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