ABSTRACT

This paper shifts from the site-specific focus of the previous papers to a cross-site focus that explores similarities and contrasts between projects and describes activities being conducted conjointly. The cooperative agreement between the federal government (CMHS & CSAT) and the grantees specified that projects not only must provide unique site-specific interventions and conduct fidelity and outcome evaluations, but that providers must also establish standard processes to allow cross-site data collection and analysis. As described in earlier papers, a steering committee comprising the principal investigators from each project and the lead agency government project officer, developed the key domains, measurement instruments, data intervals, and analytic methods that will be used by each project for the crosssite evaluation. This collaborative effort provided the basis for examining program results collectively, and for revealing the diversity inherent in locality, subpopulations, philosophies, and intervention approaches. Fortunately, while there is cohesiveness to the program, the collective effort has not artificially homogenized the projects; they remain eight distinct approaches to preventing homelessness among a population with psychiatric and/or substance use disorders who are at high risk for homelessness.