The role of advocacy coalitions in a project implementation process: the example of the planning phase of the At Home/Chez Soi project dealing with homelessness in Montreal.
This study analyzed the planning process (summer 2008 to fall 2009) of a Montreal project that offers housing and community follow-up to homeless people with mental disorders, with or without substance abuse disorders. With the help of the Advocacy Coalition Framework (ACF), advocacy groups that were able to navigate a complex intervention implementation process were identified. In all, 25 people involved in the Montreal At Home/Chez Soi project were surveyed through interviews (n=18) and a discussion group (n=7). Participant observations and documentation (minutes and correspondence) were also used for the analysis. The start-up phase of the At Home/Chez may be broken down into three separate periods qualified respectively as "honeymoon;" "clash of cultures;" and "acceptance & commitment". In each of the planning phases of the At Home/Chez Soi project in Montreal, at least two advocacy coalitions were in confrontation about their specific belief systems concerning solutions to address the recurring homelessness social problem, while a third, more moderate one contributed in rallying most key actors under specified secondary aspects. The study confirms the importance of policy brokers in achieving compromises acceptable to all advocacy coalitions.
Department of Psychiatry, McGill University, Douglas Hospital Research Centre, 6875 LaSalle Blvd., Montreal, Quebec, Canada H4H 1R3. Electronic address: mariejosee.fleury@douglas.mcgill.ca.
Marie-Josée
MJ
Fleury
Douglas Hospital Research Centre, 6875 LaSalle Blvd., Montreal, Quebec, Canada H4H 1R3. Electronic address: guy.grenier@douglas.mcgill.ca.
Guy
G
Grenier
Rehabilitation Department, Faculty of Medicine Laval University, 1050, avenue de la Médecine, Quebec, Quebec, Canada GIV 0A6. Electronic address: catherine.vallee@rea.ulaval.ca.
Catherine
C
Vallée
School of Social Work, Sherbrooke University, 2500, Boulevard de l'Université, Sherbrooke, Quebec, Canada J1K 2R1. Electronic address: Roch.Hurtubise@USherbooke.ca.
Roch
R
Hurtubise
Centre Dollard-Cormier, University Institute on Dependences, 950 de Louvain, Montreal, Quebec, Canada H2M 2E8. Electronic address: paul-andre.levesque.cdc@ssss.gouv.qc.ca.
Paul-André
PA
Lévesque
D002170:Canada; D003254:Consumer Advocacy; D003299:Cooperative Behavior; D006703:Ill-Housed Persons; D006798:Housing; D006801:Humans; D007373:Interinstitutional Relations; D001523:Mental Disorders / Q000453:epidemiology* / Q000628:therapy; D015397:Program Evaluation; D036301:Qualitative Research; D019966:Substance-Related Disorders / Q000453:epidemiology
Coalitions; Homelessness; Implementation process; Mental health