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What Happens After the Demonstration Phase?: The Sustainability of Canada's At Home/Chez Soi Housing First Programs for Homeless Persons with Mental Illness
Author(s): Geoffrey Nelson, Rachel Caplan, Timothy MacLeod, Eric Macnaughton, Rebecca Cherner, Tim Aubry, Christian Methot, Eric Latimer, Myra Piat, Ph.D., Erin Plenert, Scott McCullough, Sarah Zell, Michelle Patterson, Vicky Stergiopoulos, Paula Goering
Publication Date: 2017
Abstract This research examined the sustainability of Canada's At Home/Chez Soi Housing First (HF) programs for homeless persons with mental illness 2 years after the end of the demonstration phase of a large (more than 2000 participants enrolled), five-site, randomized controlled trial. Qualitative interviews were conducted with 142 participants (key informants, HF staff, and persons with lived experience) to understand sustainability outcomes a...
Bridging Perspectives and Balancing Priorities: New Directions for Housing Policy in Canada
Author(s): Timothy MacLeod, S. Kathleen Worton, Geoffrey Nelsona
Publication Date: 2016
In this paper, we outline three genealogies of housing policy in Canada—affordable housing, mental health housing, and housing for homeless persons—and present the focus, research, and strengths/critiques of these genealogies. The increased visibility and adoption of Housing First (HF) in Canadian policy has created tension between groups working on housing and homelessness. Critics rightly point out that HF does little to increase the availabili...
Participant Perspectives on Housing and Landlords in a Canadian Housing First Program
Author(s): Timothy MacLeod
Publisher: Wilfred Laurier University
Publication Date: 2017
Housing First (HF) is an evidence-based approach to housing and services for adults who are chronically homeless and have a psychiatric disability.Research has demonstrated that HF rapidly ends homelessness but less in known about how participants experience their housing environments and landlords. This study is a part of a larger Canadian randomized field trial of HF that included qualitative interviews with participants in five cities. The nar...
How does Housing First catalyze recovery?: Qualitative findings from a Canadian multi-site randomized controlled trial
Author(s): Eric Macnaughton, Greg Townley, Geoffrey Nelson, Rachel Caplan, Timothy MacLeod, Lauren Polvere, Corinne Isaak, Maritt Kirst, Christopher McAll, Danielle Nolin, Michelle Patterson, Myra Piat, Ph.D., Paula Goering
Publication Date: 2016
ABSTRACT Qualitative narrative interviews were conducted with 195 participants with histories of homelessness and mental illness at baseline and at an 18-month follow-up. Participants were randomly assigned at baseline to Housing First (HF; n = 119) or treatment as usual (TAU; n = 76) in five Canadian cities. Changes in consumers’ narratives over time were examined for 13 life domains (e.g., housing stability, typical day, social relationships)....
Life Changes Among Homeless Persons With Mental Illness: A Longitudinal Study of Housing First and Usual Treatment
Author(s): Geoffrey Nelson, Michelle Patterson, Maritt. Kirst, Eric Macnaughton, Corinne A. Isaak, Danielle Nolin, Christopher McAll, Vicky Stergiopoulos, Greg Townley, Timothy MacLeod
Publication Date: 2015
Objective: This study compared the life changes of homeless people with mental illness participating in Housing First or treatment as usual and examined factors related to various changes. Methods: Semistructured narrative interviews were conducted with 219 participants in five Canadian cities at baseline; 197 were interviewed again at 18 months after random assignment to Housing First (N=119) or treatment as usual (N=78). Interviews were co...
The Capabilities Approach, Transformative Measurement, and Housing First
Author(s): Timothy MacLeod
Publication Date: 2014
Transformative change to mental health systems involves transformation in how practices, policies, and research respond to the needs of individuals with psychiatric disabilities. This paper presents Amartya Sen’s capabilities approach as a promising framework for outcome measurement congruent with the aims of transformative change in mental health systems. In this paper, Sen’s capabilities approach is contrasted with therapeutic and citizenship v...