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Evaluation of Housing First Initiative for Chicago Homeless With Chronic Medical Illness (CHHP)

This study has been completed.
Research and Education Foundation of Michael Reese Hospital
Information provided by:
John H. Stroger Hospital Identifier:
First received: June 20, 2007
Last updated: September 9, 2008
Last verified: June 2008
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: 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

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 ]

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
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.


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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
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Please refer to this study by its identifier: NCT00490581

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
Principal Investigator: laura s sadowski, md, mph Collaborative Research Unit, Stroger Hospital of Cook County
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Laura S. Sadowski, Principal Investigator, Collaborative Research Unit Identifier: NCT00490581     History of Changes
Other Study ID Numbers: JHSH2003-107
Study First Received: June 20, 2007
Last Updated: September 9, 2008

Keywords provided by John H. Stroger Hospital:
Early housing after hospitalization processed this record on May 23, 2017