title: 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.
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.
authors.affiliation: Wilfrid Laurier University, Waterloo, ON, Canada, emacnaug@telus.net.
authors.forename: Eric
authors.initials: E
authors.lastname: Macnaughton
authors.forename: Ana
authors.initials: A
authors.lastname: Stefancic
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Nelson
authors.forename: Rachel
authors.initials: R
authors.lastname: Caplan
authors.forename: Greg
authors.initials: G
authors.lastname: Townley
authors.forename: Tim
authors.initials: T
authors.lastname: Aubry
authors.forename: Scott
authors.initials: S
authors.lastname: McCullough
authors.forename: Michelle
authors.initials: M
authors.lastname: Patterson
authors.forename: Vicky
authors.initials: V
authors.lastname: Stergiopoulos
authors.forename: Catherine
authors.initials: C
authors.lastname: Vallée
authors.forename: Sam
authors.initials: S
authors.lastname: Tsemberis
authors.forename: Marie-Josée
authors.initials: MJ
authors.lastname: Fleury
authors.forename: Myra
authors.initials: M
authors.lastname: Piat
authors.forename: Paula
authors.initials: P
authors.lastname: Goering
mesh_terms: D002170:Canada; D006703:Ill-Housed Persons / Q000523:psychology; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation; D016730:Program Development; D015397:Program Evaluation; D011638:Public Housing; D012947:Social Work / Q000379:methods / Q000458:organization & administration