Alcohol; Use, Problem, Drug Use, Housing Problems
Conditions
Brief summary
This is a single-arm pilot study to test the feasibility of homelessness prevention and substance use interventions to be delivered to at-risk patients in the Bellevue Hospital emergency department (ED). ED patients (n=40) found eligible for the study will complete a baseline assessment and receive referrals to appropriate services, with a final six-month follow-up assessment.
Detailed description
ED patients found eligible for the study will complete a baseline survey and receive one-time, in person services at the time of the baseline/enrollment ED visit including referrals to homelessness prevention and substance use services, with a final six-month follow-up survey. Interim contacts at 7-10 days, 3 months, and 5 months will be used to assure intervention components were received and to confirm participant contact information.
Interventions
BEHAVIORALReferral to homelessness prevention services
Referral to Homebase homelessness prevention services offered by community-based organizations in NYC
BEHAVIORALSubstance use services
Referral to substance use services (SBIRT and peer counselor/social work contact) available at Bellevue Hospital
BEHAVIORALFollow-up
Follow-up to assist participants in receiving homelessness prevention services
Sponsors
National Institute on Drug Abuse (NIDA)
NYU Langone Health
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No
Inclusion criteria
* Be a patient in the Bellevue Hospital Center ED. * Be ≥18 years old. * Screen positive for homelessness risk using a homelessness risk screening tool (HRST). * Screen positive for unhealthy alcohol or drug use. * Able to provide consent.
Exclusion criteria
* Medically (e.g., critically ill) or psychiatrically unstable. * Unable to provide informed consent for other reason (e.g., cognitive deficit, profound intoxication). * Incarcerated or in police custody. * Unable to understand and speak English. * Lives outside NYC and/or cannot give a NYC ZIP code. * Already homeless (residing in a shelter or on the streets). * Does not have a telephone where can be reached for follow-up. * Has already received specialized peer navigator/addiction social worker services during current ED visit. * Has already participated in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of Potential Participants Approached Who Were Eligible for the Study | Month 6 |
| Percentage of Eligible Participants Who Agreed to Participate in the Study | Month 6 |
| Number of Participants Who Received Referrals for Homelessness Prevention and/or Substance Use Services | Month 6 |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Homelessness Prevention Services Referral to homelessness prevention services: Referral to Homebase homelessness prevention services offered by community-based organizations in NYC
Substance use services: Referral to substance use services (SBIRT and peer counselor/social work contact) available at Bellevue Hospital
Follow-up: Follow-up to assist participants in receiving homelessness prevention services | 39 |
| Total | 39 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Withdrawal by Subject | 1 |
Baseline characteristics
| Characteristic | Homelessness Prevention Services |
|---|---|
| Age, Continuous | 44 years |
| Ethnicity (NIH/OMB) Hispanic or Latino | 18 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 21 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 1 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 19 Participants |
| Race (NIH/OMB) More than one race | 1 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 12 Participants |
| Race (NIH/OMB) White | 6 Participants |
| Region of Enrollment United States | 39 participants |
| Sex: Female, Male Female | 9 Participants |
| Sex: Female, Male Male | 30 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 40 |
| other Total, other adverse events | 0 / 40 |
| serious Total, serious adverse events | 0 / 40 |
Outcome results
Primary
Number of Participants Who Received Referrals for Homelessness Prevention and/or Substance Use Services
Time frame: Month 6
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Homelessness Prevention Services | Number of Participants Who Received Referrals for Homelessness Prevention and/or Substance Use Services | 39 Participants |
Primary
Percentage of Eligible Participants Who Agreed to Participate in the Study
Time frame: Month 6
Population: This feasibility endpoint is related to the percentage of eligible people who agreed to participate in the study -- since the number of eligible people is greater than those who were enrolled, the total number of participants analyzed is greater than what is listed in the participant flow.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Homelessness Prevention Services | Percentage of Eligible Participants Who Agreed to Participate in the Study | 78.43 Percentage of Participants |
Primary
Percentage of Potential Participants Approached Who Were Eligible for the Study
Time frame: Month 6
Population: This feasibility endpoint is related to the percentage of potential participants approached who were eligible to participate in the study -- since the number of eligible people is greater than those who were enrolled, the total number of participants analyzed is greater than what is listed in the participant flow.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Homelessness Prevention Services | Percentage of Potential Participants Approached Who Were Eligible for the Study | 2.34 Percentage of Participants |