{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T04:57:13Z","timestamp":1783745833144,"version":"3.55.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,12,25]],"date-time":"2022-12-25T00:00:00Z","timestamp":1671926400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000155","name":"Social Sciences and Humanities Research Council of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000155","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Transcult Psychiatry"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p> Generalist health interventions that aim to reduce chronic health disparities between Indigenous and non-Indigenous populations can be culturally adapted to better meet the needs of Indigenous people in Canada; however, little is known regarding best practices in implementing these adaptations. The present study first provides a review of the research process used to adapt a previous evidence-based housing initiative for Indigenous youth in Northwestern Ontario. Second, it includes an overview of the adaptations that were made and the associated rationale for such adaptations. Third, it examines the experiences of participants and staff involved in the cultural adaptation of the Housing Outreach Program Collaborative (HOP-C), a health intervention re-designed to improve physical and mental health outcomes, wellbeing, and social support for formerly homeless Indigenous youth as they secure housing. Qualitative feedback from interviews with 15 participants and eight program staff, in addition to one focus group with an additional six frontline workers, described perceived outcomes of the program's cultural adaptations. Modifications to the overall program structure, specific roles within the program (including counseling services, peer mentorship, cultural services, and case management), and adaptations to general implementation within the health organization providing the intervention were described by participants and staff as effective and helpful adaptations. The focus of Indigenous values at an organizational level led to consistent adaptations in counseling and case management to best meet the unique needs of the youth involved. Based upon participant interviews, recommendations to future adaptations are provided. <\/jats:p>","DOI":"10.1177\/13634615221135438","type":"journal-article","created":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T06:57:35Z","timestamp":1672037855000},"page":"457-472","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Cultural adaptation considerations of a comprehensive housing outreach program for Indigenous youth exiting homelessness"],"prefix":"10.1177","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4515-0646","authenticated-orcid":false,"given":"Jessie I.","family":"Lund","sequence":"first","affiliation":[{"name":"Department of Psychology, Lakehead University, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine","family":"Toombs","sequence":"additional","affiliation":[{"name":"Department of Psychology, Lakehead University, Canada"},{"name":"Dilico Anishinabek Family Care, Fort William First Nation, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Mushquash","sequence":"additional","affiliation":[{"name":"Department of Psychology, Lakehead University, Canada"},{"name":"Dilico Anishinabek Family Care, Fort William First Nation, Canada"},{"name":"Northern Ontario School of Medicine (NOSM), Lakehead University, Canada"},{"name":"Thunder Bay Regional Health Research Institute, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Pitura","sequence":"additional","affiliation":[{"name":"Department of Psychology, Lakehead University, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlyn","family":"Toneguzzi","sequence":"additional","affiliation":[{"name":"Dilico Anishinabek Family Care, Fort William First Nation, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Bobinski","sequence":"additional","affiliation":[{"name":"Dilico Anishinabek Family Care, Fort William First Nation, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Leon","sequence":"additional","affiliation":[{"name":"Wellesley Institute, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Vitopoulos","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Frederick","sequence":"additional","affiliation":[{"name":"Department of Criminology and Justice, Ontario Tech University, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean A.","family":"Kidd","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,12,25]]},"reference":[{"key":"bibr1-13634615221135438","volume-title":"First Nations mental wellness continuum framework","author":"Assembly of First Nations. 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