Contents

Abstract ……………………………………………………………………………………………………………………………………… 2
Introduction ………………………………………………………………………………………………………………………………… 4
Literature Review ……………………………………………………………………………………………………………………… 6
Background …………………………………………………………………………………………………………………………….. 6
Housing First …………………………………………………………………………………………………………………………. 10
The Program………………………………………………………………………………………………………………………….. 13
Fidelity Assessment………………………………………………………………………………………………………………… 17
Research Aims ……………………………………………………………………………………………………………………….. 21
Method ……………………………………………………………………………………………………………………………………. 22
Community Partners ………………………………………………………………………………………………………………. 23
Participant Recruitment and Data Collection …………………………………………………………………………….. 24
Measures………………………………………………………………………………………………………………………………. 26
Research Design …………………………………………………………………………………………………………………….. 27
Ethical Considerations…………………………………………………………………………………………………………….. 29
Data Analysis …………………………………………………………………………………………………………………………. 30
Positionality ………………………………………………………………………………………………………………………….. 32
Knowledge Translation Strategies ……………………………………………………………………………………………. 35
Results …………………………………………………………………………………………………………………………………….. 36
Items Promoting Fidelity …………………………………………………………………………………………………………. 40
Items Hindering Fidelity ………………………………………………………………………………………………………….. 43
Discussion ……………………………………………………………………………………………………………………………….. 45
Limitations ……………………………………………………………………………………………………………………………. 55
Conclusion and Recommendations……………………………………………………………………………………………. 57
References ………………………………………………………………………………………………………………………………… 59
Appendix A: TCPS-2 Certificate …………………………………………………………………………………………………. 72
Appendix B: Adapted fidelity scale for evaluation of The Program………………………………………………….. 73