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Evaluation of the "Housing First Program" in Homeless Patients With Severe Mental Disorders in France

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01570712
Recruitment Status : Active, not recruiting
First Posted : April 4, 2012
Last Update Posted : September 20, 2018
Information provided by (Responsible Party):
Assistance Publique Hopitaux De Marseille

Brief Summary:
As mental health care shifted from state psychiatric hospitals to the community in France and western countries, the mental health system became inevitably involved in housing as it strove to meet the broader psychosocial needs of consumers. Simultaneously, as many consumers found themselves unable to find stable living in the community and struggling with addictions, they became a significant subgroup within a larger homeless population, which has received increasing policy attention over the past three decades. There are two distinct service models for adults who have severe mental illness and are homeless: the residential continuum model and the Housing First model.

Condition or disease Intervention/treatment Phase
Subnormal; Mental, Severe Other: HOUSING FIRST PROGRAM Other: traditional French services Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 600 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Other
Official Title: Evaluation of the "Housing First Program" in Homeless Patients With Severe Mental Disorders in France: a Multicentric Randomized Controlled Study
Study Start Date : August 2011
Actual Primary Completion Date : May 2016
Estimated Study Completion Date : June 2019

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Housing First Program Other: HOUSING FIRST PROGRAM

Realization of a psychosocial organic evaluation and a citizen;

  • Support in the development and the maintenance of the housing;
  • Support in the diverse steps (administrative, judicial, financiers, etc.);
  • Support around addictions / alcohol;
  • Supportin the family and social relations, in the environment of the person -to favor the occupational integration, by prioritizing the insertion in ordinary environment(middle)
  • to favor the access and the preservation of the patient to the psychiatric and somatic care, to the devices and the departments favoring the social insertion and the integration.

Active Comparator: traditional French services Other: traditional French services
The person will not receive from intervention of the team of site, but the person can resort(turn) without limitation to all the range of services said " about "common law " set up in the direction of the persons homeless persons, as well as to every type of care. She can too reach the housing and\or the restoring, but this by means of the existing devices

Primary Outcome Measures :
  1. healthcare utilisation [ Time Frame: 3 YEARS ]
    hospitalizations, hospital days, and emergency department visits

Information from the National Library of Medicine

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

Inclusion Criteria:

aged over 18;

  • who are absolutely homeless or precariously housed. Absolutely homeless is defined as having had no fixed place to stay for at least the past seven nights with little likelihood of finding a place in the coming month. Precariously housed is defined as being housed a in single room occupancy, rooming house, or hotel/motel as a primary residence AND in the past year having experienced two or more episodes of being absolutely homeless OR one episode of being absolutely homeless that lasted for more than four weeks in the preceding 12 months.
  • living with schizophrenia or bipolar disorder (diagnosis of DSM-IV);
  • with a sufficient understanding of written and spoken French to be able to provide informed consent and to participate to face-to-face interviews;
  • affiliated to a social protection;
  • who have lived in the city targeted for at least 6 months and willing to stand in the city during the 2 next years;
  • with a global score measured on Multnomah Community Ability Scale (MCAS) (scale <=62 (high need criteria));
  • hospitalized at least twice on the past 12 months OR held in prison on the past 24 months OR presenting substance or alcohol abuse or dependence (high need criteria).

Exclusion Criteria:

  • being considered unable to provide informed consent;
  • having dependent children;
  • pregnancy;
  • or a DSM-IV Axis I diagnosis other than schizophrenia or bipolar disorder

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 identifier (NCT number): NCT01570712

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Assistance Publique Hopitaux de Marseille
Marseille, France, 13354
Sponsors and Collaborators
Assistance Publique Hopitaux De Marseille
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Study Director: EMILIE GARRIDO PRADALIE Assistance Publique hôpitaux de Marseille
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Assistance Publique Hopitaux De Marseille Identifier: NCT01570712    
Other Study ID Numbers: 2011-A00668-33
2011-12 ( Other Identifier: AP HM )
First Posted: April 4, 2012    Key Record Dates
Last Update Posted: September 20, 2018
Last Verified: September 2018
Additional relevant MeSH terms:
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Mental Disorders
Psychotic Disorders
Schizophrenia Spectrum and Other Psychotic Disorders