A randomized controlled trial of the effectiveness of Housing First in a small Canadian City
| Autor: | Paula Goering, Stefanie Renee LeBlanc, Susan Crouse, Rebecca Cherner, Sarah Pakzad, Jimmy Bourque, Tim Aubry, Paul-Émile Bourque, Scott Veldhuizen, Claudette Bradshaw |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Research design
Adult Male Canada Housing First Adolescent Assertive community treatment 030209 endocrinology & metabolism Community integration Severity of Illness Index law.invention 03 medical and health sciences Young Adult 0302 clinical medicine Quality of life Randomized controlled trial law Medicine Humans 030212 general & internal medicine Cities business.industry Mental Disorders lcsh:Public aspects of medicine Housing first Public Health Environmental and Occupational Health lcsh:RA1-1270 Homelessness Middle Aged Mental health Community Mental Health Services Ill-Housed Persons Housing Quality of Life Female business Psychosocial Community Integration Demography Program Evaluation Research Article |
| Zdroj: | BMC Public Health BMC Public Health, Vol 19, Iss 1, Pp 1-14 (2019) |
| ISSN: | 1471-2458 |
| Popis: | Background The paper presents two-year findings from a study investigating the effectiveness of Housing First (HF) with assertive community treatment (ACT) in helping individuals with serious mental illness, who are homeless or precariously housed and living in a small city, to become stably housed. Methods The research design was a parallel group non-blinded RCT with participants randomly assigned after the baseline interview to receive HF with ACT (N = 100) or treatment as usual (TAU; N = 101). Participants were interviewed every 3 months over 21/24 months to investigate changes on a range of housing and psychosocial outcomes. The primary outcomes were housing stability (as defined by a joint function of number of days housed and number of moves) and improvement in community functioning. Secondary predicted outcomes were improvements in self-rated physical and mental health status, substance use problems, quality of life, community integration, and recovery. Results An intent-to-treat analysis was conducted. Compared to TAU participants, HF participants who entered housing did so more quickly (23.30 versus 88.25 days, d = 1.02, 95% CI [0.50–1.53], p |
| Databáze: | OpenAIRE |
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