Actively Recruiting
Impact of a Social Medicine Housing Program on the Health and Healthcare Utilization of Adults Who Are Unhoused and Have Complex Health Needs
Led by University Health Network, Toronto · Updated on 2024-12-09
100
Participants Needed
2
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating a supportive housing program designed for adults who are unhoused and have complex health needs. This study uses a cohort design with a matched control group to assess the program's impact on emergency department visits and hospital stays. The study also explores participant well-being, program implementation, fidelity, and cost-effectiveness, using a hybrid type 1 effectiveness-implementation framework that combines quantitative and qualitative methods. The intervention, called the Social Medicine Housing Initiative, provides permanent supportive housing without prerequisites such as substance use cessation or treatment adherence. Housing is offered through a rent-geared-to-income model, with participants paying up to 30% of their income. Alongside housing, customized social and medical support tailored to individual needs is provided in collaboration with housing providers, the Social Medicine team, and community agencies. A matched control group is created by selecting individuals similar in health service use from administrative hospital records. Participants who join the housing program and consent to the study will engage in surveys and interviews assessing their well-being and experiences. Data on health service use, including emergency visits and hospital days, will be collected from administrative databases over 30 months. This comprehensive approach combines participant feedback and health data to evaluate the program’s effects, with no exclusion criteria for study participation once enrolled in the housing initiative.
CONDITIONS
Brief Title
Evaluation of a Supportive Housing Program for Adults Who Are Unhoused and Have Complex Health Needs
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Participants must be 18 years or older.
- Must have had 2 or more inpatient admissions or 6 or more emergency department visits in the past 6 months.
- Must be currently without housing, defined as spending at least one night in a shelter or receiving assistance from city-funded street outreach providers in the past 90 days, or identify as Indigenous.
- Historically marginalized groups, including people with disabilities, women, gender-diverse individuals, and Indigenous people are prioritized.
- Must accept to participate in the Social Medicine Housing Initiative and provide consent for the study.
You will not qualify if you...
- Individuals unable or unwilling to provide consent for the study.
- Those not enrolled in the Social Medicine Housing Initiative are excluded from the research study.
AI-Screening
AI-Powered Screening
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Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 30 months
Participants receive permanent supportive housing and customized social and medical support tailored to their specific needs and preferences through the Social Medicine Housing Initiative.
Ongoing contact and support visits as part of housing and care services
Duration - Up to 30 months
Participants are monitored through health administrative data to evaluate health care utilization and health outcomes over time.
Data collected from health records without additional participant visits
Trial Site Locations
Total: 2 locations
1
University Health Network
Toronto, Ontario, Canada, M5G 2C4
Actively Recruiting
2
90 Dunn
Toronto, Ontario, Canada, M6K 2R6
Actively Recruiting
Research Team
A
Andrew S Boozary, MD MPP CCFP
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
Frequently Asked Questions
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