{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T15:04:57Z","timestamp":1785251097908,"version":"3.55.0"},"reference-count":45,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2017,1,30]],"date-time":"2017-01-30T00:00:00Z","timestamp":1485734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001598","name":"Mental Health Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001598","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American J of Comm Psychol"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This research examined the sustainability of Canada's At Home\/Chez Soi Housing First (<jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>) programs for homeless persons with mental illness 2\u00a0years after the end of the demonstration phase of a large (more than 2000 participants enrolled), five\u2010site, randomized controlled trial. Qualitative interviews were conducted with 142 participants (key informants, <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content> staff, and persons with lived experience) to understand sustainability outcomes and factors that influenced those outcomes. Also, a self\u2010report <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content> fidelity measure was completed for nine <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content> programs that continued after the demonstration project. A cross\u2010site analysis was performed, using the five sites as case studies. The findings revealed that nine of the 12 <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content> programs (75%) were sustained, and that seven of the nine programs reported a high level of fidelity (achieving an overall score of 3.5 or higher on a 4\u2010point scale). The sites varied in terms of the level of systems integration and expansion of <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content> that were achieved. Factors that promoted or impeded sustainability were observed at multiple ecological levels: broad contextual (i.e., dissemination of research evidence, the policy context), community (i.e., partnerships, the presence of <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content> champions), organizational (i.e., leadership, ongoing training, and technical assistance), and individual (i.e., staff turnover, changes, and capacity). The findings are discussed in terms of the implementation science literature and their implications for how evidence\u2010based programs like <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content> can be sustained.<\/jats:p>","DOI":"10.1002\/ajcp.12119","type":"journal-article","created":{"date-parts":[[2017,1,30]],"date-time":"2017-01-30T11:37:22Z","timestamp":1485776242000},"page":"144-157","source":"Crossref","is-referenced-by-count":27,"title":["What Happens After the Demonstration Phase? The Sustainability of Canada's At Home\/Chez Soi Housing First Programs for Homeless Persons with Mental Illness"],"prefix":"10.1002","volume":"59","author":[{"given":"Geoffrey","family":"Nelson","sequence":"first","affiliation":[{"name":"Wilfrid Laurier University Waterloo ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Caplan","sequence":"additional","affiliation":[{"name":"Wilfrid Laurier University Waterloo ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"MacLeod","sequence":"additional","affiliation":[{"name":"Wilfrid Laurier University Waterloo ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Macnaughton","sequence":"additional","affiliation":[{"name":"Wilfrid Laurier University Waterloo ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Cherner","sequence":"additional","affiliation":[{"name":"University of Ottawa Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Aubry","sequence":"additional","affiliation":[{"name":"University of Ottawa Ottawa ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"M\u00e9thot","sequence":"additional","affiliation":[{"name":"McGill University, Douglas Mental Health University Institute Montreal QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Latimer","sequence":"additional","affiliation":[{"name":"McGill University, Douglas Mental Health University Institute Montreal QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myra","family":"Piat","sequence":"additional","affiliation":[{"name":"McGill University, Douglas Mental Health University Institute Montreal QC 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Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Goering","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health, University of Toronto Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10464-015-9714-2"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400587"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674371506001102"},{"key":"e_1_2_10_5_1","volume-title":"Evidence\u2010based policymaking: Insights from policy\u2010minded researchers and research\u2010minded policymakers","author":"Bogenschneider 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