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A Pragmatic Trial Integrating Homelessness Diversion Services Into an Emergency Department Discharge System

A Pragmatic Randomized Trial Integrating Homelessness Diversion Services Into an Emergency Department Discharge System

Status
Enrolling by invitation
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05823220
Enrollment
1000
Registered
2023-04-21
Start date
2023-09-14
Completion date
2025-09-01
Last updated
2025-01-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Homelessness

Brief summary

The purpose of this study is to determine whether a homelessness diversion program integrated into a hospital emergency department (ED) will lower ED use, to identify characteristics of individuals most likely to benefit from homelessness diversion and to discover opportunities to tailor Homelessness Diversion (HD) services to better meet the needs of diverse communities.

Interventions

BEHAVIORALHomeless diversion (HD)

Participants will receive services from specialty-trained community health workers and will be invited to complete monthly assessments via text and phone to assess their health and housing for 6 months and to share feedback on their experience with the intervention after completion by a text message to a link for the survey

Participants will receive a list of community resources they can contact to receive services and will be invited to complete monthly assessments via text and phone to assess their health and housing for 6 months and to share feedback on their experience with the intervention after completion by a text message to a link for the survey

Sponsors

National Institute on Minority Health and Health Disparities (NIMHD)
CollaboratorNIH
The University of Texas Health Science Center, Houston
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* English or Spanish speaking * discharged from a Harris Health Hospital ED (Ben Taub or LBJ) * at imminent risk of homelessness * patients with Medicaid, Medicare or who are uninsured

Exclusion criteria

* having a conservator (legal guardian) * plans to move away from Texas in 6 months

Design outcomes

Primary

MeasureTime frame
Number of ED visitsend of study (6 months after start of study)

Secondary

MeasureTime frameDescription
Number of participants who experience homelessnessend of study (6 months after start of study)
Change in health related quality of life as assessed by the Short Form-12 version 2.0 (SF12v2) health Surveybaseline, month 1, month 2, month 3, month 4, month 5 and month 6This is a 12 item questionnaire and scores range from 0 to 100, where a zero score indicates the lowest level of health and 100 indicates the highest level of health.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026