Evaluation of Housing First Initiative for Chicago Homeless With Chronic Medical Illness (CHHP)
The study hypothesizes that early housing after hospitalization with case management integrated into the health and housing systems, will results in decreased use of costly health services (i.e., hospitalizations and Emergency Room visits) with no negative affect on health. To address this hypothesis the investigators implemented a Randomized controlled trial of 407 homeless adults with chronic medical illness in Chicago. Eligible homeless adults were enrolled during a hospitalization to intervention - Early housing with case management - or usual care - usual case management and housing options. The investigators followed the sample for 18 months with assessments at baseline, 1,3,6,9,12 and 18 months are enrollment. Study measures include Quality of Life, Health service use, Alcohol and Substance Use, housing and social and demographic characteristics.
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
|Official Title:||Evaluation of the Housing First Initiative of Chicago Housing for Health Partnership|
- Hospitalized days - length of stay Emergency Room visits [ Time Frame: 18 months ] [ Designated as safety issue: No ]
|Study Start Date:||September 2003|
|Study Completion Date:||June 2008|
|Primary Completion Date:||December 2007 (Final data collection date for primary outcome measure)|
Experimental: Study group
These patients are assigned to the intervention of early supportive housing with case management integrated into the medical system. These subjects are offerred respite care/interim housing upon discharge from enrolling hospitalizations, followed by stable housing within 90 days. They have a case manager at each stage (hospital, respite/interim housing, and stable housing)
Other: case management and supportive housing
patients randomized to the study group are offerred respite care/interim housing and case management upon discharge from enrolling hospitalization. They are also offerred stable housing within 90 days of enrolling hospital discharge, with case management at all 3 stages - hospital, respite care/interim housing, and stable housing.
No Intervention: Usual Care
These patients receive usual social services for hospital discharge planning.
|United States, Illinois|
|John Stroger Hospital of Cook County|
|Chicago, Illinois, United States, 60612|
|Principal Investigator:||laura s sadowski, md, mph||Collaborative Research Unit, Stroger Hospital of Cook County|