Cameron Keller, P. Goering, C. Hume, E. Macnaughton, P. O’Campo, Aseefa Sarang, M. Thomson, C. Vallée, Aimee Watson, S. Tsemberis
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引用次数: 13
摘要
At Home/Chez Soi是一项耗资1.1亿美元的大型随机试验,评估了住房优先服务对2,235名无家可归者和患有精神疾病的人的有效性,该试验于2009年秋季在加拿大五个城市实施。本文描述了住房优先模式的初步实施,重点是具体策略,包括中央协调培训/技术援助和作为每个城市变革推动者的地方现场协调员。这种复杂的干预措施的实施在不同的地点有所不同,但在项目模型的基本成分方面是非常一致的。一项平衡强有力的中央协调的技术援助方法与地方一级的定制和调整的战略对于实现高度忠实的执行是必不可少的。
Initial Implementation of Housing First in Five Canadian Cities: How Do You Make the Shoe Fit, When One Size Does Not Fit All?
At Home/Chez Soi, a large, $110-million, randomized trial evaluating the effectiveness of Housing First services for 2,235 individuals who are homeless and experiencing mental illness, was implemented in five Canadian cities, beginning in fall 2009. This paper describes initial implementation of the Housing First model, focusing on specific strategies, including centrally coordinated training/technical assistance and local site coordinators as change agents in each city. Implementation of this complex intervention varied across sites but was remarkably consistent regarding the essential ingredients of the program model. A strategy that balanced a strong centrally coordinated approach to technical assistance with customization and adaptation on the local level was essential for achieving a high fidelity implementation.