Evaluation of Housing First Initiative for Chicago Homeless With Chronic Medical Illness (CHHP)
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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: | 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 ]
| 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.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| 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| 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 |
More Information
No publications provided by John H. Stroger Hospital
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Laura S. Sadowski, Principal Investigator, Collaborative Research Unit |
| ClinicalTrials.gov Identifier: | NCT00490581 History of Changes |
| Other Study ID Numbers: | JHSH2003-107 |
| Study First Received: | June 20, 2007 |
| Last Updated: | September 9, 2008 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by John H. Stroger Hospital:
|
Early housing after hospitalization |
ClinicalTrials.gov processed this record on June 17, 2013