Condition category
Not Applicable
Date applied
07/08/2012
Date assigned
09/10/2012
Last edited
04/11/2013
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Lay summary under review 2

Trial website

Contact information

Type

Scientific

Primary contact

Dr Julian Somers

ORCID ID

Contact details

Simon Fraser University
8888 University Drive
Burnaby
V5A 1S6
Canada
+1 778 782-5049
jsomers@sfu.ca

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

Research demonstration project on homelessness and mental health– Vancouver BC

Acronym

Study hypothesis

Individuals assigned to either Housing First plus Assertive Community Treatment or those assigned to Congregate Housing plus Supports will have superior outcomes (i.e., health, quality of life, housing stability, emergency service use, justice system contacts) than individuals assigned to treatment as usual.

Ethics approval

1. Research Ethics Board at Simon Fraser University (primary site), 22 June 2009
2. University of British Columbia: 28 July 2009
3. Providence Healthcare: 30 August 2011
4. Vancouver Coastal Health Research Institute approval pending

Study design

Randomized controlled trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Other

Trial type

Quality of life

Patient information sheet

Not available in web format, please use the contact details below to request a patient information sheet

Condition

Homelessness, precarious housing, mental illness

Intervention

300 people who are both homeless and mentally ill randomized to 1of 3 conditions:
1. Housing First (HF) + Assertive Community Treatment
2. Congregate Housing + Supports
3. Treatment as usual (TAU)

Housing First (Tsemberis & Eisenberg, 2000) offers homeless people with mental illness immediate access to independent apartments with a market lease, without any requirements around sobriety or engagement in treatment. Housing First participants are provided access to an array of treatment and social services, but they retain the right to choose their level of participation.

Assertive Community Treatment consists of a multi-disciplinary health and social service team working 24 hours a day, 7
days a week with a case load ranging from 50 to 100 clients. The team responds directly to most of their clients community based care needs.

Congregate Housing with Supports differs from HF by locating individuals in the same building rather than promoting housing in “scattered sites” where individuals are neighbored by the full diversity of people living in market housing. The supports associated with Congregate Housing in the present study are comparable in intensity (i.e., budget and composition) to those of the Assertive Community Treatment team. However, in the congregate condition these supports are provided on site while the ACT team visits clients in their scattered apartments.

Intervention type

Other

Phase

Not Applicable

Drug names

Primary outcome measures

1. Service use changes drawn from administrative data concerning healthcare, social services, and justice system events.
2. Costs related to these events in relation to costs of providing services.
Sources of data for these measures are the government departments responsible for health, justice, and social welfare services. Data will be collected pending participant consent for access. Data will be requested for several years prior to participant enrollment in the Vancouver At Home Study, and will be refreshed following the completion of the 24-month study period in order to monitor longer-term changes in the level and type of service use associated with participants in the years following the completion of the study.

Secondary outcome measures

Numerous questionnaires and additional cross-sectional sources of data include qualitative interviews and physical health examinations with subsets of the total study cohort. These additional measures are gathered to characterize the sample and better understand participant experiences but they are not considered outcome measures.

Overall trial start date

15/10/2010

Overall trial end date

31/12/2013

Reason abandoned

Eligibility

Participant inclusion criteria

1. Legal adult status (19 years of age or over)
2. Presence of a current mental disorder, and
3. Being absolutely homeless or precariously housed.
3.1. Absolute homelessness was defined as living on the streets or in a shelter for at least two weeks
during the past year.
3.2. Precariously housed was defined as living in a rooming house, hotel or other form of transitional housing with at least one episode of absolute homelessness in the past year.

Participant type

Patient

Age group

Adult

Gender

Both

Target number of participants

500

Participant exclusion criteria

Does not meet inclusion criteria

Recruitment start date

15/10/2010

Recruitment end date

31/12/2013

Locations

Countries of recruitment

Canada

Trial participating centre

Simon Fraser University
Burnaby
V5A 1S6
Canada

Sponsor information

Organisation

Mental Health Commission of Canada (Canada)

Sponsor details

10301 Southport Lane
SW Suite 800
Calgary
T2W 1S7
Canada
+1 613 683-3755
info@mentalhealthcommission.ca

Sponsor type

Government

Website

http://www.mentalhealthcommission.ca

Funders

Funder type

Government

Funder name

Mental Health Commission of Canada (Canada)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

2013 results in: http://www.ncbi.nlm.nih.gov/pubmed/24023796
2013 results in: http://www.ncbi.nlm.nih.gov/pubmed/24176253

Publication citations

  1. Results

    Somers JM, Rezansoff SN, Moniruzzaman A, Palepu A, Patterson M, Housing first reduces re-offending among formerly homeless adults with mental disorders: results of a randomized controlled trial., PLoS ONE, 2013, 8, 9, e72946, doi: 10.1371/journal.pone.0072946.

  2. Results

    Somers JM, Patterson ML, Moniruzzaman A, Currie L, Rezansoff SN, Palepu A, Fryer K, Vancouver At Home: pragmatic randomized trials investigating Housing First for homeless and mentally ill adults., Trials, 2013, 14, 365, doi: 10.1186/1745-6215-14-365.

Additional files

Editorial Notes