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

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ClinicalTrials.gov Identifier: NCT00490581
Recruitment Status : Completed
First Posted : June 22, 2007
Last Update Posted : September 10, 2008
Sponsor:
Collaborator:
Research and Education Foundation of Michael Reese Hospital
Information provided by:
John H. Stroger Hospital

Study Description
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Brief Summary:
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 or disease Intervention/treatment Phase
Unstable Housing Other: case management and supportive housing Not Applicable

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 407 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Evaluation of the Housing First Initiative of Chicago Housing for Health Partnership
Study Start Date : September 2003
Actual Primary Completion Date : December 2007
Actual Study Completion Date : June 2008

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
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.


Outcome Measures
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Primary Outcome Measures :
  1. Hospitalized days - length of stay Emergency Room visits [ Time Frame: 18 months ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
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
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00490581


Locations
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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
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Principal Investigator: laura s sadowski, md, mph Collaborative Research Unit, Stroger Hospital of Cook County
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Laura S. Sadowski, Principal Investigator, Collaborative Research Unit
ClinicalTrials.gov Identifier: NCT00490581    
Other Study ID Numbers: JHSH2003-107
First Posted: June 22, 2007    Key Record Dates
Last Update Posted: September 10, 2008
Last Verified: June 2008
Keywords provided by John H. Stroger Hospital:
Early housing after hospitalization