NCT01346514

Brief Summary

The study examined intensive case management for homeless Veterans in addiction treatment by integrating addiction/housing case managers (AHCM), operating from a Life Skills Training perspective, into an addiction specialty program. The primary aim was to determine whether the AHCM intervention increases number of days housed during the year following treatment entry. Secondary aims were to compare costs and cost-effectiveness of AHCM vs. time and attention control, determine if AHCM improves addiction outcomes and functional status, and examine treatment process variables associated with improved outcomes.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
181

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2011

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 29, 2011

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 3, 2011

Completed
5 months until next milestone

Study Start

First participant enrolled

October 1, 2011

Completed
4.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2015

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2016

Completed
10 months until next milestone

Results Posted

Study results publicly available

February 28, 2017

Completed
Last Updated

February 28, 2017

Status Verified

January 1, 2017

Enrollment Period

4.1 years

First QC Date

April 29, 2011

Results QC Date

October 31, 2016

Last Update Submit

January 9, 2017

Conditions

HomelessnessSubstance Abuse DisordersMental Disorders

Keywords

Homeless PersonsHousingCase ManagementVeteransSubstance Related DisordersMental DisordersSocial Adjustment

Outcome Measures

Primary Outcomes (1)

  • Percent Days Housed in AHCM vs. HSG, Baseline to 12 Months.

    The primary aim is to determine whether the Addiction/Housing Case Management intervention increases percent days in long-term housing (permanent or long-term transitional) during the year following treatment entry relative to a Housing Support Group.

    12 months (18 to 24 month outcomes examined in secondary analyses)

Secondary Outcomes (6)

  • Costs and Cost-effectiveness of AHCM vs. HSG, Baseline to 12 Months

    Baseline to 12 months

  • Change in Functional Status in AHCM vs. HSG From Baseline to 12 Months

    Baseline to 12 months

  • Change in Alcohol and Drug Outcomes in AHCM vs. HSG From Baseline to 12 Months

    Baseline to 12 months

  • Change in Percent of Participants Abstinent From Baseline to 12 Month Follow-up

    Baseline to 12 months

  • Change in Mental Health Status in AHCM vs. HSG From Baseline to 12 Months

    Baseline to 12 months

  • +1 more secondary outcomes

Study Arms (2)

Arm 1: Addiction/Housing Case Management(AHCM)

EXPERIMENTAL

The AHCM condition provided individual case management, delivered at the VA and in the community, designed to assist homeless Veterans with SUD issues who may be unable to take advantage of housing opportunities available in the VA due to difficulty navigating multiple services and maintaining stability with respect to SUD and co-occurring mental health conditions.

Behavioral: Intensive Addiction/Housing Case Management

Arm 2: Housing Support Group(HSG)

ACTIVE COMPARATOR

The HSG condition involved a weekly drop-in housing support group.

Behavioral: Housing Support Group

Interventions

Intensive Addiction/Housing Case ManagementBEHAVIORAL

AHCM provided: 1) support in obtaining/maintaining housing through education about resources, coordination with VA and community housing program providers, assistance in establishing housing program eligibility, and problem-solving around threats to housing stability; 2) support for SUD and related issues that affect housing status through treatment engagement/re-engagement, referrals for needed services (e.g. psychiatric, medical, vocational), and addressing substance use issues proactively; 3) promotion of residential stability through Life Skills Training, which was designed to improve key skills (room and self-care, money management, and community participation).

Also known as: AHCM
Arm 1: Addiction/Housing Case Management(AHCM)
Housing Support GroupBEHAVIORAL

The HSG focused on gaining support from fellow study participants and learning from those who successfully obtained housing. Group facilitators provided education about housing resources and assistance with housing-related issues.

Also known as: HSG
Arm 2: Housing Support Group(HSG)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Veterans newly presenting or returning to specialty treatment for substance dependence at VA Puget Sound Seattle Division who, after an initial evaluation, are scheduled for a treatment appointment in the Addiction Treatment Center
  • Currently homeless (unsheltered, staying in temporary emergency shelter, or doubled up with friends/family)

You may not qualify if:

  • Not planning to stay in the Puget Sound area during the next 12 months
  • Unable to provide informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

VA Puget Sound Health Care System Seattle Division, Seattle, WA

Seattle, Washington, 98108, United States

Location

Related Publications (2)

  • Malte CA, Cox K, Saxon AJ. Providing intensive addiction/housing case management to homeless veterans enrolled in addictions treatment: A randomized controlled trial. Psychol Addict Behav. 2017 May;31(3):231-241. doi: 10.1037/adb0000273.

    PMID: 28481614DERIVED

  • Cox KB, Malte CA, Saxon AJ. Characteristics and service utilization of homeless veterans entering VA substance use treatment. Psychol Serv. 2017 May;14(2):208-213. doi: 10.1037/ser0000133.

    PMID: 28481606DERIVED

MeSH Terms

Conditions

Mental DisordersSubstance-Related DisordersSocial Adjustment

Condition Hierarchy (Ancestors)

Chemically-Induced DisordersSocial BehaviorBehavior

Limitations and Caveats

Study limitations include lower than expected recruitment, conducted at a single VA facility, research staff members were not blinded to study condition after baseline, high attrition rates.

Results Point of Contact

Title
Carol Malte
Organization
VA Puget Sound
carol.malte@va.gov
206.277.3780

Study Officials

  • Andrew J. Saxon, MD

    VA Puget Sound Health Care System Seattle Division, Seattle, WA

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 29, 2011

First Posted

May 3, 2011

Study Start

October 1, 2011

Primary Completion

November 1, 2015

Study Completion

May 1, 2016

Last Updated

February 28, 2017

Results First Posted

February 28, 2017

Record last verified: 2017-01

Locations

US(1)