Increase engagement of people living on the streets with outreach services to improve housing situation and health status. Other
Conditions
Interventions
Street outreach service with a nurse health specialism intervention for people rough sleeping.
Nurses meet service users where they are rough sleeping which increases contact, they have a respected i
Sponsors
Cardiff University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Local Authority Inclusion: 1. Have sufficient numbers of people rough sleeping to potentially receive health outreach support (expect around 40 people rough sleeping to come through the service during the baseline period). 2. Have an outreach team. 3. Be within reasonable distance (defined by the Centre for Homelessness Impact (CHI)) to a CGL clinical service (to act as a clinical base to host the nurse). 4. Willingness to be involved and support data collection procedures. Routine Data Inclusion: 1. People living on the streets (defined as seen sleeping on the streets on at least 6 separate occasions over a period of up to 6-months) and included within CGL or Local Authority routine rough sleeping data collections. Interview Data Inclusion: Service Users 1. People living on the streets (defined as seen sleeping on the streets on at least 6 separate occasions over a period of up to 6-months). 2. Sufficient level of conversational English. Stakeholders and Professional Staff 1. Local Authority/Organisation with experience in designing or delivering outreach services with a health specialism to people rough sleeping. 2. Stakeholder, clinician, or professional staff. 3. Outreach team workers and nurse practitioners that have or will receive the Test and Learn with health specialism bespoke training package. 4. Outreach team workers and nurse practitioners delivering the outreach with a health specialism service in selected LAs. 5. Outreach team workers delivering usual practice in selected LAs. Local Authority Representative* ( *site withdrawals only) 1. LA site withdrawal confirmed in writing/notified via CHI. 2. LA site project lead or nominated staff representative.
Exclusion criteria
Exclusion criteria: Local Authority Exclusion: 1. Local Authority areas which already have an embedded health specialist who does shifts with the local outreach team. Routine Data Exclusion: 1. People rough sleeping who are not living on the streets and not included in LA or CGL routine data collections. Interview Data Exclusion: Service Users 1. People rough sleeping, not eligible to be included in routine data capture for the cRCT. 2. Incapable of giving informed consent. Stakeholders and Professional Staff 1. Based outside the UK. 2. Intervention staff that have not received the Test and Learn with health specialism bespoke training package (e.g. agency cover). 3. Agency cover staff. Local Authority Representative* ( *site withdrawals only) 1. LA staff/representative with no understanding or sufficient knowledge of reasons for withdrawal.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Housing situation measured using the housing outcomes listed in the centre for Homelessness Impact (CHI)-adapted version of the Residential Time-Line Follow-Back (RTLFB) inventory at baseline, 3 and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Health status measured using the EQ-5D-5L measure of health status and health service interactions at baseline, 3 and 6 months | — |
Countries
United Kingdom, Wales
Contacts
Public ContactLinda Adara
Outcome results
None listed