2023-09-28 14:46:10 +00:00
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abstract: 'The Quadruple Aim is a health policy framework with the objective of
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concurrently improving population health, enhancing the service
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experience, reducing costs and improving the work-life of service
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providers. Permanent supportive housing (PSH) is a best practice
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approach for stably housing people experiencing homelessness who have
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diverse support needs. Despite the intervention''s strong evidence base,
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little is known about the work-life of PSH providers. This study
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explored the mental health and work challenges experienced by PSH
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providers in Canada. Using an explanatory sequential, equally weighted,
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mixed methods design, 130 PSH providers were surveyed, followed by
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semi-structured interviews with 18 providers. Quantitative findings
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showed that 23.1\% of PSH providers had high psychological distress.
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Participants who were younger, spent all or almost all of their time in
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direct contact with service users and had less social support from
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coworkers were significantly more likely to have high psychological
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distress. Three themes were identified from the qualitative analysis
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that showed how PSH providers experience psychological distress from
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work-related challenges: (a) Sisyphean Endeavours: `You Do What You
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Can'', (b) Occupationally Unsupported: `Everyone Is Stuck in Their Zone''
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and (c) Wear and Tear of `Continuous Exposure to Crisis and Chaos''. The
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themes interacted with systemic (Sisyphean Endeavours) and
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organisational issues (Occupationally Unsupported), intensifying the
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emotional burden of day-to-day work, which involved frequent crises and
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uncertainty (Wear and Tear of `Continuous Exposure to Crisis and
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Chaos''). The findings underscore how these challenges threaten
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providers'' wellness at work and have implications for the care provided
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to service users. Accordingly, the Quadruple Aim is a potentially useful
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and applicable framework for measuring the performance of PSH programs,
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which warrants further consideration in research and policy.'
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affiliation: 'Kerman, N (Corresponding Author), Ctr Addict \& Mental Hlth, 1051 Queen
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St West, Toronto, ON, Canada.
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Kerman, Nick; Stergiopoulos, Vicky; Kidd, Sean A., Ctr Addict \& Mental Hlth, 1051
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Queen St West, Toronto, ON, Canada.
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Goodwin, Jordan M., Rutgers State Univ, Sch Social Work, New Brunswick, NJ USA.
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Tiderington, Emmy, Rutgers State Univ, Sch Social Work, Newark, NJ USA.
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Ecker, John, York Univ, Canadian Observ Homelessness, Toronto, ON, Canada.
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Stergiopoulos, Vicky; Kidd, Sean A., Univ Toronto, Dept Psychiat, Toronto, ON, Canada.'
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author: Kerman, Nick and Goodwin, Jordan M. and Tiderington, Emmy and Ecker, John
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and Stergiopoulos, Vicky and Kidd, Sean A.
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author-email: nick.kerman@camh.ca
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author_list:
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- family: Kerman
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given: Nick
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- family: Goodwin
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given: Jordan M.
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- family: Tiderington
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given: Emmy
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- family: Ecker
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given: John
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- family: Stergiopoulos
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given: Vicky
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- family: Kidd
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given: Sean A.
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da: '2023-09-28'
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doi: 10.1111/hsc.14033
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earlyaccessdate: SEP 2022
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eissn: 1365-2524
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files: []
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issn: 0966-0410
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journal: HEALTH \& SOCIAL CARE IN THE COMMUNITY
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keywords: 'Housing First; permanent supportive housing; Quadruple Aim; secondary
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traumatization; service provision; social support; workplace mental
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health'
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keywords-plus: 'HIGH-INCOME COUNTRIES; HOMELESS INDIVIDUALS; SUBSTANCE USE; CARE;
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1ST;
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EPIDEMIOLOGY; DISORDER; BARRIERS; CULTURE; ILLNESS'
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language: English
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month: NOV
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number: '6'
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number-of-cited-references: '59'
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orcid-numbers: Tiderington, Emmy/0000-0001-7934-0961
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pages: E6674-E6688
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papis_id: f560d71b07b9e9c69712404211d586e6
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ref: Kerman2022quadrupleaim
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researcherid-numbers: Tiderington, Emmy/AAF-7137-2020
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times-cited: '1'
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title: 'Towards the Quadruple Aim in permanent supportive housing: A mixed methods
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study of workplace mental health among service providers'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000856075000001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '30'
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web-of-science-categories: Public, Environmental \& Occupational Health; Social Work
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year: '2022'
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