Prevention of overdose and emergency healthcare use in people experiencing homelessness with additional severe disadvantages e.g. previous overdose and criminal justice encounters Other
Conditions
Interventions
Participants are randomised using a telephone-based interactive voice response service through the Robertson Centre for Biostatistics.
PHOENIx outreach includes weekly visits to participants in thei
Sponsors
NHS Lothian ACCORD
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Homeless adult 2. Previous overdose 3. Previous trouble with the police
Exclusion criteria
Exclusion criteria: 1. Living in residential accommodation with 24-hour medical care 2. Posing a safety risk to self/others 3. Lacking the capacity to consent (although if due to intoxication, researchers may offer recruitment at a later date)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to first fatal/non-fatal drug overdose, with non-fatal drug overdose ascertained by self-report, a witness, or documented in health/social care/third sector case records at 9 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Health status and healthcare use: 1. Health-related quality of life score (EQ-5D-5L, self-report) 2. Time to first, and number of emergency department attendances (from NHS records) 3. Time to, and number of ambulance call-outs (from SAS records) 4. Time to first, and number of hospital admissions (from NHS records) 5. Extent of treatment uptake for diagnosed physical & mental health problems, and problematic drug use (from NHS and Alcohol and Drug (Recovery) Service records) 6. Quantity of street drug use (self-report) 7. Number of overdoses (self-report, report by a witness, or documented in health/social care/third sector case records) 8. Rate of primary health care contacts attended and missed (from primary care NHS records) 9. Rate of out-patient clinic attendances and missed appointments (from acute sector NHS records) 10. Number of GP, Alcohol and Drug (Recovery) Service, and mental health team registrations (from NHS and Alcohol and Drug (Recovery) Service records) 11. Number of Alcohol and Drug (Recovery) Service, and mental health team attendances (from NHS and Alcohol and Drug (Recovery) Service records) 12. Number of residential drug rehabilitation stays (from rehabilitation service records) 13. Time to, and number of deaths (due to drug misuse and due to other causes) from NHS records or National Research Scotland linkage) Scores on validated subjective measures of health from participant interviews (in person or by phone if possible): 14. Health-related quality of life (EQ-5D-5L) 15. Body Mass Index (in the normal range) 16. Blood Pressure (mmHg in normal range using NHS Scotland standards, according to clinical conditions) 17. Forced Expiratory Volume in 1 second, Forced Expiratory Volume in 6 seconds, and lung age (using COPD 6 handheld device) 18. Modified MRC breathlessness scale score (self-report, using mMRC scale) 19. PHQ4 depression and anxiety screening tool (self-report) 20. Usual number of meals per day (self-report reference: three meals p | — |
Countries
Scotland, United Kingdom
Contacts
Public ContactRichard Lowrie
Outcome results
None listed