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Enrolling by invitation NCT05823220

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

No phase Interventional Homelessness

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Homeless diversion (HD), Treatment-as-usual (TAU).
Who it may be relevant to
Registry conditions: Homelessness. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

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

Overview

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

  • 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
  • Behavioral 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

Primary outcome measures

  • Number of ED visits [Time frame: end of study (6 months after start of study)]
Secondary outcome measures (2)
  • Number of participants who experience homelessness [Time frame: end 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 Survey [Time frame: baseline, month 1, month 2, month 3, month 4, month 5 and month 6]

Eligibility criteria

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

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Single blind
Primary purpose
Treatment

Study locations

United States · 1 center
  • The University of Texas Health Science Center at Houston — Houston

Identifiers

NCT: NCT05823220 · HSC-SPH-22-0762 · R01MD018213

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗