Evaluation of Housing First Initiative for Chicago Homeless With Chronic Medical Illness - Full Text View

Sponsor:	John H. Stroger Hospital
Collaborator:	Research and Education Foundation of Michael Reese Hospital
Information provided by:	John H. Stroger Hospital
ClinicalTrials.gov Identifier:	NCT00490581

Purpose

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.

Condition	Intervention
Unstable Housing	Other: case management and supportive housing

Study Type:	Interventional
Study Design:	Health Services Research, Randomized, Open Label, Uncontrolled, Parallel Assignment
Official Title:	Evaluation of the Housing First Initiative of Chicago Housing for Health Partnership

Further study details as provided by John H. Stroger Hospital:

Primary Outcome Measures:

Hospitalized days - length of stay Emergency Room visits [ Time Frame: 18 months ] [ Designated as safety issue: No ]

Enrollment:	407
Study Start Date:	September 2003
Study Completion Date:	June 2008
Primary Completion Date:	December 2007 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Study group: Experimental 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.
Usual Care: No Intervention These patients receive usual social services for hospital discharge planning.

Arms

Assigned Interventions

Study group: Experimental

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.

Usual Care: No Intervention

These patients receive usual social services for hospital discharge planning.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

18 years of age or older
English or spanish speaking
Presence of at least one chronic medical illness
Unstable housing

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00490581

Locations

United States, Illinois
John Stroger Hospital of Cook County
Chicago, Illinois, United States, 60612

Sponsors and Collaborators

John H. Stroger Hospital

Research and Education Foundation of Michael Reese Hospital

Investigators

Principal Investigator:

laura s sadowski, md, mph

Collaborative Research Unit, Stroger Hospital of Cook County

More Information

No publications provided by John H. Stroger Hospital

Additional publications automatically indexed to this study by National Clinical Trials Identifier (NCT ID):

Sadowski LS, Kee RA, VanderWeele TJ, Buchanan D. Effect of a housing and case management program on emergency department visits and hospitalizations among chronically ill homeless adults: a randomized trial. JAMA. 2009 May 6;301(17):1771-8.

Responsible Party:	Collaborative Research Unit ( Laura S. Sadowski, Principal Investigator )
Study ID Numbers:	JHSH2003-107
Study First Received:	June 20, 2007
Last Updated:	September 9, 2008
ClinicalTrials.gov Identifier:	NCT00490581 History of Changes
Health Authority:	United States: Institutional Review Board

Keywords provided by John H. Stroger Hospital:

Early housing after hospitalization

ClinicalTrials.gov processed this record on February 08, 2010