Stakeholder Perspectives on Implementation Challenges and Strategies for Moving On Initiatives in Permanent Supportive Housing

Emmy Tiderington, Janis Ikeda, Antoine Lovell

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Moving On Initiatives (MOIs) assist individuals with the transition from permanent supportive housing to mainstream housing without the embedded supports. This emerging innovation has the potential to increase behavioral health system capacity and provide recipients with the opportunity to live in the least restrictive setting. However, few empirical studies have examined MOIs, and little is known about the implementation challenges providers face and strategies they use to realize these initiatives in practice. To identify these challenges and strategies, this study utilized over 2 years of observations at MOI “learning collaboratives,” as well as eight focus groups with implementation stakeholders. Analyses informed by the Consolidated Framework for Implementation Research (CFIR) identified challenges in the outer and inner service settings, as well as at the individual and innovation level. Outer setting challenges were most prominent in the data, and one non-CFIR construct, macrosystemic characteristics arose inductively. Implications for behavioral health policy and practice are discussed.

Original languageEnglish (US)
Pages (from-to)346-364
Number of pages19
JournalJournal of Behavioral Health Services and Research
Volume47
Issue number3
DOIs
StatePublished - Jul 1 2020

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Health Policy

Keywords

  • Homelessness
  • Implementation
  • Moving On Initiative
  • Qualitative
  • Supportive housing

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