Variation in the implementation of California's Full Service Partnerships for persons with serious mental illness.
Health Serv Res
; 48(6 Pt 2): 2245-67, 2013 Dec.
Article
in En
| MEDLINE
| ID: mdl-24138021
ABSTRACT
OBJECTIVE:
This study examined variation in the implementation of California's Full Service Partnerships (FSPs), which are supported housing programs that do "whatever it takes" to improve outcomes among persons with serious mental illness who are homeless or at risk of homelessness. DATA SOURCES/SETTING:
Ninety-three FSPs in California. STUDYDESIGN:
A mixed methods approach was selected to develop a better understanding of the complexity of the FSP programs. The design structure was a combined explanatory and exploratory sequential design (qualâQUANâqual) 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- versus low-fidelity programs. PRINCIPALFINDINGS:
We found substantial variation in implementation among FSPs. Fidelity was particularly low along domains related with housing and service philosophy, indicating that many FSPs implemented a rich array of services but applied housing readiness requirements and did not adhere to consumer choice in housing.CONCLUSIONS:
There remains room for improvement in the recovery-orientation of FSPs. Fortunately, we have identified several processes by which program managers and counties can increase the fidelity of their programs.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Social Work, Psychiatric
/
Housing
/
Mental Disorders
/
Mental Health Services
Type of study:
Clinical_trials
/
Diagnostic_studies
/
Evaluation_studies
/
Prognostic_studies
/
Qualitative_research
Aspects:
Determinantes_sociais_saude
/
Implementation_research
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Health Serv Res
Year:
2013
Document type:
Article
Affiliation country:
Canadá