Follow-Up Implementation and Fidelity Evaluation of the Mental Health Commission of Canada's At Home/Chez Soi Project: Cross-site Report

This report presents the overall findings from an implementation and fidelity evaluation of the At Home/Chez Soi initiative, a pan-Canadian Housing First demonstration project presently being implemented in Moncton, Montréal, Toronto, Winnipeg, and Vancouver. The present study examined the second phase of implementation, using a mixed methods strategy. The quantitative data were gathered by an external Quality Assurance team, which produced 10 fidelity reports for the 5 sites (excluding site-specific arms). Program fidelity ratings are based on 89 staff interviews, 11 consumer focus groups, and 102 chart reviews. In addition, 5 site qualitative implementation evaluation reports were produced, and interviews with members of the QA team were conducted. These reports are based on 36 key informant interviews, 17 staff focus groups, and 57 interviews with landlords and caretakers. The present report synthesizes the fidelity reports and qualitative reports, and presents findings related to: (1) ongoing and emerging fidelity strengths and challenges; (2) stakeholder perceptions of what accounts for fidelity strengths and challenges; (3) lessons learned about the Housing First theory of change; (4) landlord/caretaker issues; and (5) issues regarding sustainability and the future of the project. Cross-cutting themes and lessons learned are also identified.

This report also includes a Key Messages document and an Executive Summary at the beginning.

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