Supportive housing program for unhoused adults with complex health needs
Impact of a Social Medicine Housing Program on the Health and Healthcare Utilization of Adults Who Are Unhoused and Have Complex Health Needs
NA · University Health Network, Toronto · NCT06723093
This study tests whether a supportive housing program can help unhoused adults with complex health needs use healthcare services better and improve their overall well-being.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 100 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University Health Network, Toronto (other) |
| Locations | 2 sites (Toronto, Ontario and 1 other locations) |
| Trial ID | NCT06723093 on ClinicalTrials.gov |
What this trial studies
This study evaluates the effectiveness of a supportive housing program designed for adults who are unhoused and have complex health needs. It employs a cohort design with a propensity score-matched control group to assess the impact of the initiative on health service utilization and participant well-being. Participants are selected based on their recent health service usage, with a focus on those with the highest needs. The study utilizes a hybrid effectiveness-implementation framework to analyze both clinical outcomes and the implementation process.
Who should consider this trial
Good fit: Ideal candidates for this study are adults who are currently unhoused and have a history of frequent health service utilization, particularly those who identify as Indigenous or belong to historically marginalized groups.
Not a fit: Patients who are not currently unhoused or do not meet the health service utilization criteria may not benefit from this study.
Why it matters
Potential benefit: If successful, this program could significantly improve health outcomes and quality of life for unhoused individuals with complex health needs.
How similar studies have performed: Other studies have shown success with similar supportive housing interventions, indicating potential for positive outcomes in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * The Housing Initiative is part of standard care and is not contingent on participating in any research activities. Patients that participate in the Housing Initiative will have the option to participate in the research study. * To qualify for housing through the initiative, patients must have had 2 or more inpatient admissions or 6 or more visits to the emergency department in the past 6 months. They must also either identify as Indigenous or be currently without housing, which is defined as having spent at least one night in a shelter or having received assistance from city-funded street outreach providers in the past 90 days. Historically marginalized groups, including people with disabilities, women, gender-diverse individuals, and Indigenous people, are given priority for housing. Eligible patients are prioritized for housing offers based on their use of the University Health Network emergency departments in the past year. There are no exclusion criteria that would disqualify participants from participating in the research study if they have already enrolled in the Social Medicine Housing Initiative.
Where this trial is running
Toronto, Ontario and 1 other locations
- University Health Network — Toronto, Ontario, Canada (RECRUITING)
- 90 Dunn — Toronto, Ontario, Canada (RECRUITING)
Study contacts
- Principal investigator: Andrew Boozary, MD MPP CCFP — University Health Network, Toronto
- Study coordinator: Andrew S Boozary, MD MPP CCFP
- Email: Andrew.Boozary@uhn.ca
- Phone: 416-704- 3263
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.
Conditions: Homeless Persons, homelessness