Adopting Best Practices: Lessons Learned in the Collaborative Initiative to Help End Chronic Homelessness (CICH)

Adopting Best Practices: Lessons Learned in the Collaborative Initiative to Help End Chronic Homelessness (CICH)
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DOI:
10.1007/s11414-009-9173-3
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发表时间:
2010-04-10
影响因子:
1.9
通讯作者:
Tsemberis, Sam
Tsemberis, Sam
中科院分区:
医学4区
文献类型:
--
作者:
McGraw, Sarah A.;Larson, Mary Jo;Tsemberis, Sam

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建立了帮助结束慢性无家可归的合作倡议(CICH),为经历长期无家可归的个人提供住房和支持性服务。作为这一倡议的一部分,全国有11个项目获得了资金,用于应用最佳做法模式来支持其客户的住房。本文报告了CICH项目使用主动性社区治疗(ACT)和动机访谈(MI)的经验,这是CICH项目常用的临床实践模式。定性分析确定了这些项目面临的五个挑战领域:(1)不完整和不发达的工作人员团队;(2)对实践模式的不完全理解;(3)使用实践模式的要素;(4)机构间合作;以及(5)多个联邦机构的相互竞争的期望。文件说明了这五个领域中每一个领域的具体挑战,以及培训方法和培训中的差距,以及项目工作人员报告的做法模式的预期效益。
The Collaborative Initiative to Help End Chronic Homelessness (CICH) was established to provide housing and supportive services for individuals experiencing chronic homelessness. As part of this initiative, 11 projects across the country received funding to apply models of best practices to support their clients in housing. This paper reports on the experiences of the CICH projects in their use of Assertive Community Treatment (ACT) and Motivational Interviewing (MI), clinical practice models commonly used by CICH projects. A qualitative analysis identified five areas of challenge for the projects: (1) Incomplete and underdeveloped staff teams; (2) Incomplete understanding of the practice models; (3) Using the elements of the practice models; (4) Interagency teaming; and (5) Competing expectations of multiple federal agencies. The paper describes the specific challenges in each of the five areas as well as training approaches and gaps in training and the perceived benefits of the practice models as reported by project staff.