{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T19:14:37Z","timestamp":1771010077967,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"6pt2","license":[{"start":{"date-parts":[[2013,10,21]],"date-time":"2013-10-21T00:00:00Z","timestamp":1382313600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study examined variation in the implementation of <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>alifornia's Full Service Partnerships (<jats:styled-content style=\"fixed-case\">FSP<\/jats:styled-content>s), which are supported housing programs that do \u201cwhatever it takes\u201d to improve outcomes among persons with serious mental illness who are homeless or at risk of homelessness.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources\/Setting<\/jats:title><jats:p>Ninety\u2010three <jats:styled-content style=\"fixed-case\">FSP<\/jats:styled-content>s in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>alifornia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A mixed methods approach was selected to develop a better understanding of the complexity of the <jats:styled-content style=\"fixed-case\">FSP<\/jats:styled-content> programs. The design structure was a combined explanatory and exploratory sequential design (qual\u2192<jats:styled-content style=\"fixed-case\">QUAN<\/jats:styled-content>\u2192qual) where a qualitative focus group was used to develop a quantitative survey that was followed by qualitative site visits. The survey was used to describe the breadth of variation based on fidelity to the Housing First model, while the site visits were used to provide a depth of information on high\u2010 versus low\u2010fidelity programs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>We found substantial variation in implementation among <jats:styled-content style=\"fixed-case\">FSP<\/jats:styled-content>s. Fidelity was particularly low along domains related with housing and service philosophy, indicating that many <jats:styled-content style=\"fixed-case\">FSP<\/jats:styled-content>s implemented a rich array of services but applied housing readiness requirements and did not adhere to consumer choice in housing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There remains room for improvement in the recovery\u2010orientation of <jats:styled-content style=\"fixed-case\">FSP<\/jats:styled-content>s. Fortunately, we have identified several processes by which program managers and counties can increase the fidelity of their programs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.12119","type":"journal-article","created":{"date-parts":[[2013,10,21]],"date-time":"2013-10-21T06:40:50Z","timestamp":1382337650000},"page":"2245-2267","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Variation in the Implementation of California's Full Service Partnerships for Persons with Serious Mental Illness"],"prefix":"10.1111","volume":"48","author":[{"given":"Todd P.","family":"Gilmer","sequence":"first","affiliation":[{"name":"Department of Family and Preventive Medicine University of California, San Diego La Jolla CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marian L.","family":"Katz","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Health Services Research David Geffen School of Medicine University of California, Los Angeles Los Angeles CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Stefancic","sequence":"additional","affiliation":[{"name":"Department of Sociomedical Sciences Mailman School of Public Health Columbia University Pathways to Housing, Inc. 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