Coordinating Access to Care for People Experiencing Homelessness: The Role and Impact of Financial Incentives
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 176
- 试验地点
- 2
- 主要终点
- Number of contacts with CATCH service providers
研究概览
简要总结
Coordinating Access to Care for the Homeless (CATCH) initiative is a multidisciplinary brief intervention for homeless adults with mental health needs discharged from hospital in Toronto, Canada. The study aims to evaluate the effect of financial incentives in facilitating treatment engagement of homeless people with mental illness, as well as in improving health, health service use and housing outcomes, compared to usual CATCH care, over 6 months, a critical time of transition from hospital to community care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •able to give informed consent
- •a new client of the CATCH team, recently admitted or readmitted
- •at least one contact with the CATCH team
排除标准
- 未提供
研究组 & 干预措施
Financial Incentive
Participants will receive usual brief, intensive case management to connect them to health and social services and supports in the community.
Additionally, participants in this arm will receive $20 for every week they maintain contact with CATCH service providers, as required by their care plan. Contact can be by phone, text, email, or in person with CATCH service providers over 6 months of follow up, or until they are successfully transitioned to longer-term supports (for up to $80/month per participant).
干预措施: CATCH (Behavioral)
Financial Incentive
Participants will receive usual brief, intensive case management to connect them to health and social services and supports in the community.
Additionally, participants in this arm will receive $20 for every week they maintain contact with CATCH service providers, as required by their care plan. Contact can be by phone, text, email, or in person with CATCH service providers over 6 months of follow up, or until they are successfully transitioned to longer-term supports (for up to $80/month per participant).
干预措施: Financial Incentive (Other)
Usual Care
Participants will receive usual brief, intensive case management to connect them to health and social services and supports in the community.
干预措施: CATCH (Behavioral)
结局指标
主要结局
Number of contacts with CATCH service providers
时间窗: 6 months
The number of contacts (per month) with CATCH service providers (established by review of program records) until the transition to long-term care providers is accomplished.
次要结局
- Housing stability(Baseline, 6 months)
- Income support(Baseline, 6 months)
- Number of hospitalizations(1 year prior to enrolment, 1 year post-enrolment)
- Number of emergency department visits(1 year prior to enrolment, 1 year post-enrolment)
- Disease-Specific Quality of Life: Lehman Quality of Life scale(Baseline, 6 months)
- Health status(Baseline, 6 months)
- Working Alliance(6 months)
- Days in hospital(1 year prior to enrolment, 1 year post-enrolment)
- Mental health symptom severity(Baseline, 6 months)
- Substance use(Baseline, 6 months)
- Health-related quality of life: EQ-5D-5L(Baseline, 6 months)