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[Paper Type: Article] AND [Keyword: Housing First] (9)	6 May 2024

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Implementation Evaluation of a Housing First Program in a Small Canadian City
- John Ecker,
- Tim Aubry,
- Rebecca Cherner, and
- Jonathan Jetté
Canadian Journal of Community Mental Health • Vol. 33 • No. 4 • pp. 23 - 40
This paper describes the implementation of Housing First in a small Canadian city. Given that the majority of Housing First research has been conducted in large American cities, providing a Canadian context in a small city contributes significant insights for similarly sized areas. The main objectives were to determine the adaptations made to the Housing First model and the contextual realities that affected implementation. Data were collected from two sources: (a) a fidelity assessment by an external team of experts; and (b) key informant interviews and focus groups with program staff and consumers. Results demonstrate that Housing First can be successfully implemented in a small city but with certain constraints and adaptations, notably more limited consumer choice of housing, challenges related to consumer access to transportation, and adaptations to program staffing. Implications for practice are discussed.
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La mise en œuvre d'une intervention Logement d'abord en région rurale canadienne
- Jonathan Jetté,
- Tim Aubry,
- Rebecca Cherner,
- John Ecker,
- Stéphanie Yamin, and
- Jimmy Bourque
Canadian Journal of Community Mental Health • Vol. 33 • No. 4 • pp. 41 - 59
Cet article présente une évaluation formative d'un programme Logement d'abord (Housing First) offert en région rurale. Les deux objectifs consistent à décrire les personnes desservies et comment le modèle Logement d'abord fut adapté afin d'offrir des services en milieu rural. La recherche repose sur une méthodologie mixte. Le volet quantitatif, de nature descriptive, porte sur 23 participants et participantes. Le volet qualitatif s'attarde à ce qui a pu contribuer à l'implantation du modèle et les défis qui subsistent, selon 15 informateurs clés. Les leçons tirées de l'expérience et les retombées pour les politiques et les programmes de logement au Canada sont discutées.
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Interdépendance du logement et des services: une étude qualitative sur l'interdépendance des conditions de logement et des services pour la réinsertion sociale en santé mentale, avec une approche Logement d'abord implantée dans une petite ville canadienne
- Danielle Nolin and
- Jonathan Jetté
Canadian Journal of Community Mental Health • Vol. 33 • No. 4 • pp. 107 - 124
Dans le cadre du projet At Home / Chez Soi visant à évaluer l'efficacité de l'approche Logement d'abord, un volet a été consacré à une recherche qualitative basée sur le récit de vie en vue de mieux comprendre les impacts du projet au niveau du mode de vie et des perceptions des participants. Deux groupes de participants, expérimental (n = 10) et de comparaison (n = 10), ont été interviewés au début de l’étude ainsi qu'après 18 mois (groupe expérimental, n = 9; groupe de comparaison, n = 8). L’étude tend à montrer que ce modèle d'intervention contribue à des changements significatifs dans la perception des participants d'eux-mêmes et de leur condition de santé mentale.
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Peer Supportive Housing for Consumers of Housing First Who Experience Ongoing Housing Instability
- Stephanie Yamin,
- Tim Aubry,
- Jennifer Volk,
- Jonathan Jetté,
- Jimmy Bourque, and
- Susan Crouse
Canadian Journal of Community Mental Health • Vol. 33 • No. 4 • pp. 61 - 76
Housing First (HF) effectively houses the majority of homeless individuals suffering from mental illness; however, a small subset continues to struggle with unstable housing. This paper describes a supportive housing pilot program developed at the Moncton site of the At Home / Chez Soi demonstration project for HF participants who have experienced difficulty achieving housing stability while receiving HF services. Specifically, Peer Supportive Housing (PSH) was created for participants demonstrating ongoing unstable housing in the HF program. Results from structured interviews with five program staff and nine tenants of PSH describe the successes, challenges, and perceived outcomes of the early implementation of the program. PSH can supplement HF, and may help to meet the needs of some tenants who are unable to achieve stable housing after a trial of receiving HF services.
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The At Home / Chez Soi Project: Community Partners’ Perspectives on the Implementation of Housing First in Moncton
- Jennifer S. Volk,
- Stephanie Yamin,
- Jonathan Jetté,
- Tim Aubry, and
- Jimmy Bourque
Canadian Journal of Community Mental Health • Vol. 33 • No. 4 • pp. 77 - 90
The At Home / Chez Soi project, funded by Health Canada through the Mental Health Commission of Canada, involves evaluating the implementation and effectiveness of the Housing First (HF) approach, a complex community-based intervention that addresses homelessness in people with severe and persistent mental illness. This paper examines the perspectives of community partners on the implementation of HF in Moncton, New Brunswick. Engagement varied, but overall, HF was seen as fitting well within the network of existing community resources and filling a long-standing gap in services. Community will for sustaining HF was present, though concerns were expressed about sources for ongoing funding.
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The Experiences of Landlords and Clinical and Housing Service Staff in Supportive Independent Housing Interventions
Canadian Journal of Community Mental Health • Vol. 34 • No. 3 • pp. 1 - 13
This study documented the perspectives of landlords and clinical and housing service teams for head lease (agency holds the lease) versus rent subsidy (tenant holds the lease) in housing programs for adults with psychiatric disabilities. Sixteen landlords and 24 housing and clinical team members participated in individual or focus-group interviews. It was found that there was less contact between landlords and tenants in the head lease program, where housing teams tended to negotiate trouble spots. Also, head lease programs were marked by intensive oversight and partial (as opposed to full) separation of housing and clinical service teams.
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Bridging Perspectives and Balancing Priorities: New Directions for Housing Policy in Canada
Canadian Journal of Community Mental Health • Vol. 35 • No. 3 • pp. 55 - 68
In this paper, we outline three genealogies of housing policy in Canada—affordable housing, mental health housing, and housing for homeless persons—and present the focus, research, and strengths/critiques of these genealogies. The increased visibility and adoption of Housing First (HF) in Canadian policy has created tension between groups working on housing and homelessness. Critics rightly point out that HF does little to increase the availability and accessibility of affordable housing. We discuss the homelessness sector as a bridge between the affordable housing sector and the mental health sector and outline how collaboration might take shape in addressing homelessness and affordable housing in Canada.
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The Implementation of a Rent Assistance Program and Its Impacts on Recovery Outcomes for Individuals Experiencing Chronic Homelessness
Canadian Journal of Community Mental Health • Vol. 37 • No. 1 • pp. 49 - 63
This study explored the experiences of persons experiencing chronic homelessness with and without rent assistance. Qualitative interviews were conducted with 12 participants in order to determine if and how rent assistance impacted participants’ narratives of recovery. These narrative interviews, along with a focus group conducted with 10 support workers, explored implementation factors impacting recovery narratives. The findings suggest that access to rent assistance helps to promote recovery outcomes, conceptualized as life transitions (streets to home, home to community, and past to future), among individuals experiencing chronic homelessness. These transitions were enhanced by various participant, program, and community factors.
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A Roof for Recovery: Combining the Principles of Housing First and Early Intervention in Services for People with Psychosis
Canadian Journal of Community Mental Health • Vol. 38 • No. 2 • pp. 71 - 75
The availability of affordable, youth-friendly, recovery-oriented housing for persons with first-episode psychosis is limited. We report on the conceptualization, implementation and implications of a pilot housing project combining the principles of specialized early intervention for psychosis and those of “Housing First,” which holds much promise to address this service gap.
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Implementation Evaluation of a Housing First Program in a Small Canadian City

La mise en œuvre d'une intervention Logement d'abord en région rurale canadienne

Interdépendance du logement et des services: une étude qualitative sur l'interdépendance des conditions de logement et des services pour la réinsertion sociale en santé mentale, avec une approche Logement d'abord implantée dans une petite ville canadienne

Peer Supportive Housing for Consumers of Housing First Who Experience Ongoing Housing Instability

The At Home / Chez Soi Project: Community Partners’ Perspectives on the Implementation of Housing First in Moncton

The Experiences of Landlords and Clinical and Housing Service Staff in Supportive Independent Housing Interventions

Bridging Perspectives and Balancing Priorities: New Directions for Housing Policy in Canada

The Implementation of a Rent Assistance Program and Its Impacts on Recovery Outcomes for Individuals Experiencing Chronic Homelessness

A Roof for Recovery: Combining the Principles of Housing First and Early Intervention in Services for People with Psychosis

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