Homeless Population and Mental Health: Impact of Primer la Llar Program
- Conditions
- Mental Health Disorder
- Interventions
- Other: Primer la Llar program
- Registration Number
- NCT03622151
- Lead Sponsor
- Parc Sanitari Sant Joan de Déu
- Brief Summary
The main goal is to evaluate the impact of the Primer La Llar housing program for the homeless population on the mental health of the participants.
The hypothesis is that the housing program, which follows Housing first model, for the homeless population has a positive impact on the mental health of the participants, compared to the group that does not receive the intervention -treatment as usual group (meaning the "positive impact" a lower score on the symptomatology scales and lower toxic intake in the group receiving the intervention).
- Detailed Description
The specific objectives are:
Identify the socio-demographic and clinical characteristics of the participants.
Compare the severity of psychiatric symptoms and improvement among the participants in the intervention group and the control group (depressive, anxious, psychotic or manic symptomatology, depending on the case).
Compare the consumption of alcohol and drugs among the participants of both groups.
Compare the basic daily life skills among the participants in both groups, as well as the improvement of them in the experimental group.
Compare the use of services and between the participants of the intervention group and the control group.
Intervention group receives entry to the program (which means individual and permanent housing without previous requirements such as abstinence, compliance with treatment or sobriety.
Control group receives treatment as usual, as they are users of homeless population network of Barcelona.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 86
- Single people, adults (exceptionally sentimental couples, friends with positive support relationship for both).
- Long life on the street (minimum 1 year staying overnight on the street) and / or accommodation centers without linking, using them in a timely manner in the last year.
- Social needs concurrent to the lack of housing: mental illness and / or drug abuse.
- Functional autonomy for daily life.
- Have regular economic income or possibility of obtaining them.
- Sign informed consent form.
- language barrier
- severe neurological or organic pathology
- severe dementia
- alcoholic dementia Wernicke Korsakoff
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention group Primer la Llar program Primer la Llar Program (housing first model): to live in permanent and individual housing and receiving weekly visits from a multidisciplinary team.
- Primary Outcome Measures
Name Time Method Prevalence and gravity of psychotic symptoms in both groups Up to 21 months PANSS scale (Positive And Negative Syndrome Scale). Subscales: 1. PANSS-P-Positive (7 ítems): range 7-49 (minimum and maximum scores) 2. PANSS-N-Negative (7 ítems). Range: 7-49. 3. PANSS-PG- general psychopathology (16 ítems). Range: 16-112. Higher values represent a worse outcome. Subscales are summed to compute a total score.
Prevalence and gravity of anxious symptoms in both groups Up to 21 months HARS scale (Hamilton Anxiety Rating Scale). Total range:0-56. Higher values represent a worse outcome.
Prevalence and gravity of depressive symptoms in both groups Up to 21 months. HDRS scale (Hamilton Depression Rating Scale). Total range: 0-52. Higher values represent a worse outcome.
- Secondary Outcome Measures
Name Time Method Changes in number of visits to the emergency room/health center/specialist doctors Up to 21 months To see if there are increases or decreases in use of general and specific health services; questionnaire on use of services.
Basic skills of daily life Up to 21 months BELS scale (Basic everyday living skills). Range subscales:
self-care (0-40) domestic skills (0-28) community skills (0-16) and activity and social relations (0-20). Higher value reports better outcome. Subescales are summed to compute a total score.Sociodemographic and psychopathological description of both groups Up to 21 months Number of participants from each country, average age, number of men and women, number of participants with a problem of substance abuse or mental health, etc.
Assessed by a questionnaire about clinical and socio-demographic items.Number of participants with an alcohol abuse problem assessed by Audit test Up to 21 months Changes in alcohol abuse in both groups Audit test (0-40). Higher value reports worse outcome.
Number of participants with a drug abuse problem assessed by questionnaire on drug abuse Up to 21 months Increase or decrease on drug abuse in both groups