{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T17:41:07Z","timestamp":1781199667085,"version":"3.54.1"},"reference-count":36,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T00:00:00Z","timestamp":1721779200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Healthc Manage Forum"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>This article examines the role of health leaders in the early stages of a community response to address health and homelessness in London, Ontario. Specifically, we explore how leaders from large healthcare-providing organizations have influenced the dynamics of the entire community response. We argue that the high level of engagement from health leaders has been a key ingredient in the early successes of the new approach in London, in part because it validated the reframing of homelessness as a healthcare issue\u2014importantly, changing perceptions about who shares the responsibility to address it.<\/jats:p>","DOI":"10.1177\/08404704241266497","type":"journal-article","created":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T13:11:51Z","timestamp":1721826711000},"page":"30-34","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Developing a system response to health and homelessness: The important role of health leaders"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2546-1693","authenticated-orcid":false,"given":"Kate","family":"Graham","sequence":"first","affiliation":[{"name":"Huron University and Western University, London, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9872-4354","authenticated-orcid":false,"given":"Matthew","family":"Meyer","sequence":"additional","affiliation":[{"name":"London Health Sciences Centre, London, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,7,24]]},"reference":[{"key":"bibr1-08404704241266497","unstructured":"Dubinski K. Why Jessica Beacham\u2019s death is being called \u2018emblematic of our failures as a city. CBC News. August 2, 2022."},{"key":"bibr2-08404704241266497","unstructured":"Richmond R. \u2018Truly heartbreaking\u2019: The life and loss of Jessica Beacham. The London Free Press. August 16, 2022."},{"key":"bibr3-08404704241266497","unstructured":"Butler C. They die in plain view. Now a possible hunger strike aims to slow London\u2019s rising tally of homeless deaths. CBC News. July 25, 2022."},{"key":"bibr4-08404704241266497","unstructured":"Both M. Hunger strike calling attention to homelessness begins in London, Ont. CBC News. August 2, 2022."},{"key":"bibr5-08404704241266497","unstructured":"This article draws on perspectives shared at an event hosted at Huron University College in November 2023, Bringing together leaders to reflect on the first year of the whole of community system response."},{"key":"bibr6-08404704241266497","unstructured":"Bogdan S. Hunger strike ends after city of London and \u2018The Forgotten 519\u2019 Reach agreement to help homeless. Global News. August 5, 2022."},{"key":"bibr7-08404704241266497","unstructured":"People centred and housing centric: Health & homelessness in London, Ontario: A whole of community system response. Report released following London\u2019s Health & Homelessness Summits. February 2023."},{"key":"bibr8-08404704241266497","volume-title":"Principled Leadership in Mental Health Systems and Programs","author":"Anthony WA","year":"2008"},{"key":"bibr9-08404704241266497","unstructured":"City of London. Hubs implementation plan. Whole of Community System Response. Available online: https:\/\/london.ca\/living-london\/community-services\/homeless-prevention-housing\/whole-community-system-response-1. Accessed June 15, 2024."},{"key":"bibr10-08404704241266497","unstructured":"City of London. Snapshot of homelessness in London; 2023. Available online: https:\/\/london.ca\/sites\/default\/files\/2024-04\/CofL_Snapshot-Homelessness-London-December_2023-FINAL.pdf. Accessed June 15 2024."},{"key":"bibr11-08404704241266497","unstructured":"Forchuk C. Hospital data sheds light on patients experiencing homelessness. Canadian Institute for Health Information. April 25, 2024. Available online: https:\/\/www.cihi.ca\/en\/hospital-data-sheds-light-on-patients-experiencing-homelessness#code."},{"key":"bibr12-08404704241266497","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2008.053629"},{"key":"bibr13-08404704241266497","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-08576-x"},{"key":"bibr14-08404704241266497","volume-title":"FEMA strategic plan"},{"key":"bibr15-08404704241266497","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-059332"},{"key":"bibr16-08404704241266497","unstructured":"Based on perspectives shared at an event at Huron University College in November 2023, Reflecting on the first year of the whole of community system response."},{"key":"bibr17-08404704241266497","author":"Richmond R","year":"2023","journal-title":"The London Free Press"},{"key":"bibr18-08404704241266497","unstructured":"WCSR reflection event at Huron University College, November 2023."},{"key":"bibr19-08404704241266497","unstructured":"City of London. Whole of community: community partners. Available online: https:\/\/london.ca\/living-london\/community-services\/homeless-prevention-housing\/whole-community-system-response-4"},{"key":"bibr20-08404704241266497","volume-title":"Collaborative Governance Regimes","author":"Emerson K","year":"2015"},{"key":"bibr21-08404704241266497","unstructured":"Kania J, Kramer M. Collective impact. In: Stanford Social Innovation Review. Stanford, CA: Center for Social Innovation, Stanford Graduate School of Business. Winter 2011."},{"key":"bibr22-08404704241266497","unstructured":"Dickins K. Evaluation framework \u2013 health and homelessness whole of community response. Report to the City of London Strategic Priorities and Policy Committee. March 26 2024."},{"key":"bibr23-08404704241266497","doi-asserted-by":"publisher","DOI":"10.4159\/9780674041660"},{"key":"bibr24-08404704241266497","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511807763"},{"key":"bibr25-08404704241266497","unstructured":"IBhargava I. Summit gathers London\u2019s top sectors to find supports for the city\u2019s homeless ahead of winter. CBC News. November 10, 2022."},{"key":"bibr26-08404704241266497","doi-asserted-by":"publisher","DOI":"10.1080\/07370016.2013.750204"},{"key":"bibr27-08404704241266497","volume-title":"\u201cIt\u2019s Certainly Someone\u2019s Job\u201d: The Roles of Health Care Providers in Homelessness Prevention","author":"May K","year":"2021","edition":"29248099"},{"key":"bibr28-08404704241266497","unstructured":"Richmond R. \u2018Truly Heartbreaking\u2019: The life and loss of Jessica Beacham."},{"key":"bibr29-08404704241266497","unstructured":"People centred and housing centric: Health & Homelessness in London, Ontario: A whole of community system response."},{"key":"bibr30-08404704241266497","unstructured":"Declarations that Housing Is Healthcare Date Back at Least to the 1990s (Fullilove 2010)."},{"key":"bibr31-08404704241266497","unstructured":"Factiva Search for \u201cHealth and Homelessness\u201d in media coverage."},{"key":"bibr32-08404704241266497","unstructured":"Schleifer Taylor, J. [President & CEO, London Health Sciences Centre] and Butler, R. [President & CEO, St. Joseph\u2019s Health Care London]. London Hospital Executives: Housing the Homeless Is Health Care. Special editorial to the\n                      London Free Press\n                      . July 11, 2023."},{"key":"bibr33-08404704241266497","unstructured":"Forchuk C. Hospital data shows longer, costlier stays for patients experiencing homelessness. May 15th. Available at: https:\/\/www.lawsonresearch.ca\/news\/hospital-data-shows-longer-costlier-stays-patients-experiencing-homelessness"},{"key":"bibr34-08404704241266497","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmhs.2024.100010"},{"key":"bibr35-08404704241266497","doi-asserted-by":"publisher","DOI":"10.1007\/BF01405730"},{"key":"bibr36-08404704241266497","unstructured":"American College of Healthcare Executives. Healthcare executives responsibility to their communities. Published online 2021. https:\/\/www.ache.org\/about-ache\/our-story\/our-commitments\/policy-statements\/healthcare-executives-responsibility-to-their-communities. Accessed May 16, 2024."}],"container-title":["Healthcare Management Forum"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08404704241266497","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08404704241266497","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08404704241266497","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:11:58Z","timestamp":1777450318000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08404704241266497"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,24]]},"references-count":36,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1177\/08404704241266497"],"URL":"https:\/\/doi.org\/10.1177\/08404704241266497","relation":{},"ISSN":["0840-4704","2352-3883"],"issn-type":[{"value":"0840-4704","type":"print"},{"value":"2352-3883","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,24]]}}}