{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T15:04:56Z","timestamp":1785251096968,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T00:00:00Z","timestamp":1528761600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["293443"],"award-info":[{"award-number":["293443"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal Community Psychology"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In this study, we examine changes in the homeless\u2010serving system in the context of a training and technical assistance initiative to scale up Housing First (HF) in 6 Canadian communities. Based on qualitative data from focus groups and individual interviews with key stakeholders (k\u00a0=\u00a07, n\u00a0=\u00a035) and field notes gathered over a 3\u2010year period (n\u00a0=\u00a0146), we found 2 main system changes: (a) changes in the capacity of the service delivery system at multiple levels of analysis (from individual to policy) to implement HF, and (b) changes in the coordination of parts of the service delivery system and collaboration among local stakeholders to enhance HF implementation. These changes were facilitated or constrained by the larger context of evidence, climate, policy, and funding. The findings were discussed in terms of systems change theory and implications for transformative systems change in the mental health and homelessness sectors.<\/jats:p>","DOI":"10.1002\/jcop.22095","type":"journal-article","created":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T07:31:26Z","timestamp":1528788686000},"page":"7-20","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Systems change in the context of an initiative to scale up Housing First in Canada"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6626-2172","authenticated-orcid":false,"given":"Geoffrey","family":"Nelson","sequence":"first","affiliation":[{"name":"Wilfrid Laurier University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Kathleen","family":"Worton","sequence":"additional","affiliation":[{"name":"Wilfrid Laurier University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Macnaughton","sequence":"additional","affiliation":[{"name":"Wilfrid Laurier University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Tsemberis","sequence":"additional","affiliation":[{"name":"Pathways Housing First Training Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"MacLeod","sequence":"additional","affiliation":[{"name":"Bridgeable"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Hasford","sequence":"additional","affiliation":[{"name":"Ryerson University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Goering","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health"},{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicky","family":"Stergiopoulos","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health"},{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Aubry","sequence":"additional","affiliation":[{"name":"University of Ottawa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jino","family":"Distasio","sequence":"additional","affiliation":[{"name":"University of Winnipeg"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201400587"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674371506001102"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2307\/2095101"},{"key":"e_1_2_8_6_1","first-page":"404","volume-title":"Exploring effective systems responses to homelessness","author":"Doberstein C.","year":"2016"},{"key":"e_1_2_8_7_1","first-page":"17","volume-title":"Exploring effective systems responses to homelessness","author":"Dressler J.","year":"2016"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1010378613583"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10464-007-9109-0"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10464-011-9454-x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/14954-015"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2011-000323"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780199362424.003.0013"},{"key":"e_1_2_8_14_1","unstructured":"Government of Ontario. (2017 March).Ontario supportive housing policy framework. Retrieved fromhttps:\/\/www.mah.gov.on.ca\/Page15268.aspx"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/15487768.2013.847745"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1010334831330"},{"key":"e_1_2_8_17_1","first-page":"109","article-title":"Moving evidence into policy: The story of the At Home\/Chez Soi initiative's impact on federal homelessness policy in Canada and its implications for the spread of Housing First in Europe and internationally","volume":"11","author":"Macnaughton E.","year":"2017","journal-title":"European Journal of Homelessness"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10464-015-9709-z"},{"key":"e_1_2_8_19_1","first-page":"482","volume-title":"Exploring effective systems responses to homelessness","author":"Milaney K.","year":"2016"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajcp.12119"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780199362424.003.0001"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12197"},{"key":"e_1_2_8_23_1","first-page":"202","volume-title":"Exploring effective systems responses to homelessness","author":"Nichols N.","year":"2016"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781483384511"},{"key":"e_1_2_8_25_1","volume-title":"Housing First: Ending homelessness, transforming systems, and changing lives","author":"Padgett D. K.","year":"2016"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcop.21911"},{"key":"e_1_2_8_27_1","volume-title":"Canadian Housing First toolkit: The At Home\/Chez Soi experience","author":"Polvere L.","year":"2014"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-017-0791-4"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1037\/14954-014"},{"key":"e_1_2_8_30_1","unstructured":"Seven Cities on Housing and Homelessness. (2017).2016 Alberta point\u2010in\u2010time count of homelessness: Final report. Retrieved fromhttps:\/\/www.7cities.ca\/7-cities-pit-count"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.1163"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780190265601.001.0001"},{"key":"e_1_2_8_33_1","volume-title":"Housing First: The Pathways model to end homelessness for people with mental illness and addiction","author":"Tsemberis S.","year":"2015"},{"issue":"30","key":"e_1_2_8_34_1","first-page":"1","article-title":"Beyond Housing First: Essential elements of a system\u2010planning approach to ending homelessness","volume":"7","author":"Turner A.","year":"2014","journal-title":"The School of Public Policy Research Papers (University of Calgary)"},{"key":"e_1_2_8_35_1","first-page":"496","volume-title":"Exploring effective systems responses to homelessness","author":"Turner A.","year":"2016"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10464-012-9509-7"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10464-008-9174-z"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajcp.12219"}],"container-title":["Journal of Community Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjcop.22095","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcop.22095","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jcop.22095","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcop.22095","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T22:38:32Z","timestamp":1693694312000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcop.22095"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,12]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1002\/jcop.22095"],"URL":"https:\/\/doi.org\/10.1002\/jcop.22095","archive":["Portico"],"relation":{},"ISSN":["0090-4392","1520-6629"],"issn-type":[{"value":"0090-4392","type":"print"},{"value":"1520-6629","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,12]]},"assertion":[{"value":"2018-03-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-06-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}