Homelessness, mental illness, substance dependence, comorbid medical Mental and Behavioural Disorders
Conditions
Interventions
297 people who are both homeless and mentally ill randomized to 1of 3 conditions:
1. Housing First (HF) + Assertive Community Treatment
2. Congregate Housing + Supports
Sponsors
Mental Health Commission of Canada (Canada)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Legal adult status (19 years of age or over) 2. Presence of a current mental disorder 3. Being absolutely homeless or precariously housed: 3.1. Absolute homelessness was defined as living on the streets or in a shelter for at least two weeks during the past year 3.2. Precariously housed was defined as living in a rooming house, hotel or other form of transitional housing with at least one episode of absolute homelessness in the past year
Exclusion criteria
Exclusion criteria: Added 22/07/2015: 1. Not Canadian citizen 2. Current treatment with Case Management or Assertive Community Treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measures as of 22/07/2015: Housing stability measured as the percentage of days stably housed over 24 months post randomization. Previous primary outcome measures: 1. Service use changes drawn from administrative data concerning healthcare, social services, and justice system events. 2. Costs related to these events in relation to costs of providing services. Sources of data for these measures are the government departments responsible for health, justice, and social welfare services. Data will be collected pending participant consent for access. Data will be requested for several years prior to participant enrollment in the Vancouver At Home Study, and will be refreshed following the completion of the 24-month study period in order to monitor longer-term changes in the level and type of service use associated with participants in the years following the completion of the study. | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 22/07/2015: 1. Community functioning 2. Addiction outcomes 3. Food security 4. Individual recovery 5. Community integration 6. Quality of life 7. Service use (administrative data concerning medication use, hospital and community health service use, justice system contact, social assistance) 8. Psychiatric symptoms 9. Quality of overall health Previous secondary outcome measures: Numerous questionnaires and additional cross-sectional sources of data include qualitative interviews and physical health examinations with subsets of the total study cohort. These additional measures are gathered to characterize the sample and better understand participant experiences but they are not considered outcome measures. | — |
Countries
Canada
Outcome results
None listed