Pay For Success: Permanent Supportive Housing for the Chronically Homeless
PFS:PSH-CH
Evaluation of Provision of Permanent Supportive Housing for Chronically Homeless Individuals Through Pay for Success
2 other identifiers
interventional
423
1 country
1
Brief Summary
Santa Clara County has partnered with Abode Services to provide 112 units of permanent supportive housing (PSH) for up to 6 years for chronically homeless individuals with multiple co-morbidities who are high cost users of services in the County. Because the target population of high cost users who are chronically homeless greatly exceeds the supply of permanent supportive housing to be made available via this mechanism, the County plans to use this opportunity to examine the effectiveness of PSH compared to treatment as usual by ethically allocating a limited resource using a lottery type system for eligible individuals who consent to participate in the Pay For Success (PFS) initiative. Specifically, while there are estimated to be over 2,500 people in Santa Clara who would be eligible for participation on any given night, the PFS program will only provide 112 PSH units at any given time. As the study duration will last six years, the investigators anticipate that approximately 150-200 people will be housed via this mechanism. Outcomes will be reported to the Institutional Review Board (IRB) on a quarterly basis and will be based on scheduled quarterly reports provided to the county. This evaluation will be a randomized controlled trial comparing the outcomes for chronically homeless individuals randomized to receive PSH to those who are randomized to receive usual care. The aims of this study are to:
- 1.measure months of stable tenancy for individuals who are placed in PSH;
- 2.examine differences in utilization of health services and the criminal justice system; and
- 3.monitor the changes in use of longitudinal care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2015
Longer than P75 for not_applicable
1 active site
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
Study Start
First participant enrolled
May 1, 2015
CompletedFirst Submitted
Initial submission to the registry
May 5, 2015
CompletedFirst Posted
Study publicly available on registry
May 12, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2021
CompletedMay 12, 2022
May 1, 2022
6.2 years
May 5, 2015
May 10, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Stable tenancy
evaluated in months
Six years
Secondary Outcomes (3)
Utilization of health services and the criminal justice system
Six years
Longitudinal health care
Six years
Shelter days
Six years
Study Arms (2)
Permanent Supportive Housing
ACTIVE COMPARATORPermanent Supportive Housing (PSH) is subsidized housing with closely linked or on-site supportive services that typically include case management, physical and mental health care, substance use treatment services and vocational support.
Usual Care
PLACEBO COMPARATORUsual Care consists of public benefits (e.g., General Assistance and CalFresh), integrated medical and behavioral health services provided by Valley Medical Center and the rest of the County Health \& Hospital System including those offered by Valley Homeless Healthcare Program, specialty mental health and substance abuse treatment services and housing programs, and approximately 2,000 year-round beds of emergency shelter and transitional housing.
Interventions
Please see arm description.
Eligibility Criteria
You may qualify if:
- Chronically homeless (HUD definition)
- Past high utilization of County health services and/or the criminal justice system
You may not qualify if:
- Currently incarcerated or in custody
- Individual has been recently housed
- Individual no longer lives in the County
- Individual is currently connected to and chooses not to leave another specialty Mental Health or other intensive case management program
- For hospitalized potential participants, treating physician(s) plan to discharge the potential participant to a skilled nursing facility or inpatient hospice
- Individual is not able to give informed consent, (see below) as determined by inability to complete teach-back
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Santa Clara Valley Medical Center
Santa Clara, California, 95118, United States
Related Publications (3)
Kushel MB, Vittinghoff E, Haas JS. Factors associated with the health care utilization of homeless persons. JAMA. 2001 Jan 10;285(2):200-6. doi: 10.1001/jama.285.2.200.
PMID: 11176814BACKGROUNDKushel MB, Perry S, Bangsberg D, Clark R, Moss AR. Emergency department use among the homeless and marginally housed: results from a community-based study. Am J Public Health. 2002 May;92(5):778-84. doi: 10.2105/ajph.92.5.778.
PMID: 11988447BACKGROUNDKushel MB, Evans JL, Perry S, Robertson MJ, Moss AR. No door to lock: victimization among homeless and marginally housed persons. Arch Intern Med. 2003 Nov 10;163(20):2492-9. doi: 10.1001/archinte.163.20.2492.
PMID: 14609786BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Maria Raven, MD, MPH, MSc
University of California, San Francisco
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 5, 2015
First Posted
May 12, 2015
Study Start
May 1, 2015
Primary Completion
June 30, 2021
Study Completion
June 30, 2021
Last Updated
May 12, 2022
Record last verified: 2022-05