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This article presents the results of a case study on the institutionalization of the practice of community support in social housing in Quebec. This survey is part of a broader research project on the conditions for the transfer of innovative practices from the third sector to the public sector in the field of health and social services. We seek to understand what is involved in the process of institutionalizing social innovation once it has been developed by third sector actors. The health and social services sector in Quebec is a privileged sector to reflect on this issue, given that community organizations have contributed to the co-construction of services and public policies for more than forty years.