Lessons learned from the implementation of an intersectoral cross-training approach to improve justice outcomes for homeless adults with mental illness

Laurence Roy , Ashley J. Lemieux , Jean-Philippe Gagnon , Anne G. Crocker
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Abstract

Purpose

This paper describes lessons learned from the implementation and evaluation of a cross-training event that was held in response to continuing education needs expressed by stakeholders of health, social, justice and public safety sectors regarding individuals who experience multiple exclusion homelessness.

Method

The intersectoral training was documented through the administration of online questionnaires on cross-sector practices, clinical vignettes, an appreciation questionnaire in addition to the use of a Lessons Learned framework through the planning, implementation and evaluation phases.

Discussion

The results indicate no significant differences before and after the training on the participants' knowledge of one's and others' roles and responsibilities, available resources and helpful practices, but a significant improvement in the perceived benefits of cross-sector practice in terms of knowledge and understanding of other contexts of practice and other actors' interventions.

Conclusions

The Lessons Learned framework was useful to identify factors supporting the implementation of cross-sector training. Structural and systemic factors, such as silos between research and practice, and tensions between social justice and public safety roles, emerged as barriers to cross-sector learning.

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从实施跨部门交叉培训方法中吸取的经验教训,以改善对患有精神疾病的无家可归成年人的司法结果
目的:本文描述了从执行和评价一个交叉培训活动中吸取的经验教训,该活动是为了响应卫生、社会、司法和公共安全部门的利益攸关方对遭受多重排斥的无家可归者所表达的继续教育需求而举行的。方法除了在规划、实施和评估阶段使用经验教训框架外,还通过管理关于跨部门实践的在线问卷、临床小故事、赞赏问卷来记录跨部门培训。讨论结果表明,在培训前后,参与者对自己和他人的角色和责任、可用资源和有益实践的认识没有显著差异,但在对其他实践背景和其他行为者干预的认识和理解方面,跨部门实践的感知收益显著提高。结论“经验教训”框架有助于确定支持实施跨部门培训的因素。结构性和系统性因素,如研究与实践之间的孤岛,社会正义与公共安全角色之间的紧张关系,成为跨部门学习的障碍。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
80
期刊介绍: Journal of Interprofessional Education & Practice, a quarterly online-only journal, provides innovative ideas for interprofessional educators and practitioners through peer-reviewed articles and reports. Each issue examines current issues and trends in interprofessional healthcare topics, offering progressive solutions to the challenges facing the profession. The Journal of Interprofessional Education & Practice (JIEP) is affiliated with University of Nebraska Medical Center and the official journal of National Academies of Practice (NAP) and supports its mission to serve the public and the health profession by advancing education, policy, practice & research.
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