Housing and support for homeless individuals with severe psychiatric disorders
Impact of an Alternative to Incarceration by Housing and Support by Assertive Community Treatment Team (AILSI Program) for People Who Are Homeless With Severe Psychiatric Disorders and Referred to Immediate Referral Procedure, in Comparison With Usual Services: a Randomized Controlled Trial
This study is testing whether providing housing and support services to homeless people with serious mental health issues can help them avoid jail and improve their overall well-being.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 220 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Assistance Publique Hopitaux De Marseille Academic / other |
| Locations | 1 site (Marseille) |
| Trial ID | NCT06025006 on ClinicalTrials.gov |
What this trial studies
This study aims to provide an alternative to incarceration for homeless individuals suffering from severe psychiatric disorders by utilizing an Assertive Community Treatment (ACT) team. The ACT model offers immediate access to housing and support services without requiring prior treatment or abstinence. By integrating therapeutic jurisprudence principles, the program seeks to enhance social integration and improve outpatient care, thereby reducing the reliance on emergency services and hospitalizations. The study focuses on individuals referred to the Public Prosecutor's department in Marseille who meet specific eligibility criteria.
Who should consider this trial
Good fit: Ideal candidates for this study are homeless individuals aged 18 and older who have a severe psychiatric disorder and are referred to the Public Prosecutor's department in Marseille.
Not a fit: Patients who are under guardianship, have cognitive impairments limiting comprehension, or do not meet the criteria for severe psychiatric disorders will not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly improve the quality of life and mental health outcomes for homeless individuals with severe psychiatric disorders.
How similar studies have performed: Similar approaches in other countries have shown promise in improving outcomes for individuals with severe psychiatric disorders through community-based interventions, although this specific model is relatively novel in France.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * At least 18 years old * Being defered in immediate appearance to the Public Prosecutor's department of Marseille * Being homeless (ETHOS 1 to 8.3) * Presenting a diagnosis of a severe psychiatric disorder as defined by DSM-IV-TR * Having effective health coverage * Having signed an informed consent to participate in the study * Having declared to want to stay in the area at least 18 months after inclusion in the study. Exclusion Criteria: * Less than 18 years old; * Do not have any criteria for ETHOS 1 to 8.3 classification * Do not present a diagnosis of a severe psychiatric disorder as defined by DSM-IV-TR * Presenting cognitive impairment that limits comprehension, * Being under guardianship, * Do not have effective health coverage * Having refused to participate in the study
Where this trial is running
Marseille
- Service Epidémiologie et Economie de la Santé - AP-HM — Marseille, France (Recruiting)
Study contacts
- Study coordinator: Pascal AUQUIER
- Email: pascal.auquier@univ-amu.fr
- Phone: 33(0)4 91 38 47 44
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.