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

Homelessness Clinical Trial

Official title:

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

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT05823220
• Other study ID #: HSC-SPH-22-0762
• Secondary ID: R01MD018213
• Status: Enrolling by invitation
• Phase: N/A
• Start date: September 14, 2023
• Est. completion date: August 31, 2025

Study information

• Verified date: December 2023
• Source: The University of Texas Health Science Center, Houston
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 1000
• Est. completion date: August 31, 2025
• Est. primary completion date: March 1, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Emergencies
• Homelessness

Intervention

Behavioral:
• Homeless 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
• Treatment-as-usual (TAU)
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

Locations

Country	Name	City	State
United States	The University of Texas Health Science Center at Houston	Houston	Texas

Sponsors (2)

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

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of ED visits		end of study (6 months after start of study)
Secondary	Number of participants who experience homelessness		end of study (6 months after start of study)
Secondary	Change in health related quality of life as assessed by the Short Form-12 version 2.0 (SF12v2) health Survey	This 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.	baseline, month 1, month 2, month 3, month 4, month 5 and month 6