This article examines the relationship between the Housing First model and contextual factors influencing its implementation. Fidelity research in this field has aimed at minimizing differences in how Housing First is applied.
Numerous studies have confirmed that high-fidelity implementations yield positive client outcomes, whereas variation might dilute the model. However, an alternative perspective has emerged, emphasizing context as an inherent aspect of Housing First implementation.
This paper explores the question at the everyday level of Housing First practice and asks: (1) what contextual factors emerge during practical implementation in different countries and cities; (2) how they challenge or support implementation of Housing First; and (3) how the approach is adapted to meet contextual challenges. The study draws on qualitative focus group interviews (N=8) with frontline workers and clients across four European countries. Theoretically, the analysis builds on Lancione et al. (2017), who conceptualize context as a dynamic element to which the Housing First model must be actively adapted while maintaining fidelity to its core principles.
The article identifies five key contextual factors shaping implementation and explores strategies developed to adapt the model in response.
