title: Critical Time Intervention for People Leaving Shelters in the Netherlands: Assessing Fidelity and Exploring Facilitators and Barriers.
abstract: International dissemination of evidence-based interventions calls for rigorous evaluation. As part of an evaluation of critical time intervention (CTI) for homeless people and abused women leaving Dutch shelters, this study assessed fidelity in two service delivery systems and explored factors influencing model adherence. Data collection entailed chart review (n = 70) and two focus groups with CTI workers (n = 11). The intervention obtained an overall score of three out of five (fairly implemented) for compliance fidelity and chart quality combined. Fidelity did not differ significantly between service systems, supporting its suitability for a range of populations. The eight themes that emerged from the focus groups as affecting model adherence provide guidance for future implementation efforts.
authors.affiliation: Impuls - Netherlands Center for Social Care Research, Department of Primary and Community Care, Radboud university medical center, P.O. Box 9101, 6500 HB, Nijmegen, Netherlands.
authors.forename: Renée
authors.initials: R
authors.lastname: de Vet
authors.affiliation: Impuls - Netherlands Center for Social Care Research, Department of Primary and Community Care, Radboud university medical center, P.O. Box 9101, 6500 HB, Nijmegen, Netherlands.
authors.forename: Danielle A M
authors.initials: DA
authors.lastname: Lako
authors.affiliation: Impuls - Netherlands Center for Social Care Research, Department of Primary and Community Care, Radboud university medical center, P.O. Box 9101, 6500 HB, Nijmegen, Netherlands.
authors.forename: Mariëlle D
authors.initials: MD
authors.lastname: Beijersbergen
authors.affiliation: Impuls - Netherlands Center for Social Care Research, Department of Primary and Community Care, Radboud university medical center, P.O. Box 9101, 6500 HB, Nijmegen, Netherlands.
authors.forename: Linda
authors.initials: L
authors.lastname: van den Dries
authors.affiliation: Silberman School of Social Work at Hunter College, City University of New York, New York, NY, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Conover
authors.affiliation: Department of Psychiatry, Leiden University Medical Center, Leiden, Netherlands.
authors.forename: Albert M
authors.initials: AM
authors.lastname: van Hemert
authors.affiliation: Silberman School of Social Work at Hunter College, City University of New York, New York, NY, USA.
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Herman
authors.affiliation: Impuls - Netherlands Center for Social Care Research, Department of Primary and Community Care, Radboud university medical center, P.O. Box 9101, 6500 HB, Nijmegen, Netherlands. judith.wolf@radboudumc.nl.
authors.forename: Judith R L M
authors.initials: JR
authors.lastname: Wolf
mesh_terms: D055317:Evidence-Based Practice; D005260:Female; D017144:Focus Groups; D006703:Ill-Housed Persons; D006798:Housing; D006801:Humans; D000066511:Intimate Partner Violence; D008485:Medical Audit; D017146:Models, Organizational; D009426:Netherlands; D013997:Time Factors
keywords: Critical time intervention; Homelessness; Intimate partner violence; Model fidelity