Generating Evidence for a Support Package to Stabilize Youth Trajectories Out of Homelessness

NCT03277794 | Completed Results

• 1 other identifier: 02/06/2017
• Study Type: interventional
• Target: 65
• Locations: 1 country
• Sites: 1

Brief Summary

This project builds upon initial proof of concept work examining the optimal set of supports for youth who have recently exited homelessness - an intervention comprised of mental health and peer supports alongside transitional case management. This collaborative model will be tested as a proof-of-concept in Thunder Bay with Indigenous youth and a trial will be conducted in Toronto to optimize and determine the effectiveness of the existing model of support.

Conditions

Youth; Homelessness

Outcome Measures

Primary Outcomes (5)

• Housing

  Participants coded in a binary manner as having gained or sustained housing (binary positive) or lost (binary negative) based on assessment of the participant's trajectory from baseline to 6 months.

  Change from Baseline to 6 months

• Employment/Education

  Participants coded in a binary manner as having gained or sustained education or employment (binary positive) or lost (binary negative) based on assessment of the participant's trajectory from baseline to 6 months.

  Change from baseline to 6 months

• Mental Health

  Participants coded in a binary manner as having gained or sustained mental health status without crises (binary positive) or experienced a crises that impacted major life domains (binary negative) based on assessment of the participant's trajectory from baseline to 6 months.

  Change from baseline to 6 months

• Housing Security Scale

  The Housing Security Scale contains 12 items on a 5 point likert scale (Frederick et al., 2014). Scores range from "strongly disagree" (minimum = 1) to "strongly agree" (maximum = 5). Higher scores indicate better outcomes. Mean item range is 1-5 with pre-post difference reported.

  Change from Baseline to 6 months

• Housing Security Scale (Subjective Housing Stability Subscale)

  The Housing Security Scale contains a 4 item subscale that measures subjective housing satisfaction and perception of housing stability (Frederick et al., 2014). Scores range from "strongly disagree" (minimum = 1) to "strongly agree" (maximum = 5). Higher scores indicate better outcomes with a mean range of 1-5 with pre-post change reported.

  Change from Baseline to 6 months

Secondary Outcomes (9)

• Mental Health Continuum - Short Form

  Change from baseline to 6 month

• Cognitive and Affective Mindfulness Scale

  Change from baseline to 6 months

• Community Integration Scale

  Change from baseline to 6 months

• Community Integration Measure

  Change from baseline to 6 months

• Resilience Scale

  Change from baseline to 6 months

Study Arms (2)

Transitional Case Management Only

ACTIVE COMPARATOR

Participants in this arm will be provided with a transition-focused community support worker who will assist in areas ranging from general support and encouragement to assistance in navigating relevant systems. They will have weekly contacts with participants by phone, informal contact via text and email, and at least twice per month will visit the participant where they are residing. It is expected that all participants will engage a community support worker. The transitional case manager hired into this role will be highly experienced in case management for youth.

Behavioral: Transitional Case Management Only

Full HOP-C Service

EXPERIMENTAL

Service provision will be provided by Loft and Covenant House for the transitional case management component, the peer component will be supported through Sketch Arts, and the mental health component will be provided by a post-doctoral fellow clinical psychologist and a mindfulness therapist from the Centre for Mindfulness Studies, supervised by Dr. Sean Kidd.

Behavioral: HOP-C

Interventions

HOP-C BEHAVIORAL

Service provision will be provided by Loft and Covenant House for the transitional case management component, the peer component will be supported through Sketch Arts, and the mental health component will be provided by a post-doctoral fellow clinical psychologist and a mindfulness therapist from the Centre for Mindfulness Studies, supervised by Dr. Sean Kidd.

Full HOP-C Service

Transitional Case Management Only BEHAVIORAL

Participants in this arm will be provided with a transition-focused community support worker who will assist in areas ranging from general support and encouragement to assistance in navigating relevant systems. They will have weekly contacts with participants by phone, informal contact via text and email, and at least twice per month will visit the participant where they are residing. It is expected that all participants will engage a community support worker. The transitional case manager hired into this role will be highly experienced in case management for youth.

Transitional Case Management Only

Eligibility Criteria

• Age: 16 Years - 26 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• between the ages of 16 and 26
• have obtained secure housing in a time period up to 12 months previously

You may not qualify if:

• none

Sponsors & Collaborators

• Centre for Addiction and Mental Health: lead

Study Sites (1)

Centre for Addiction and Mental Health

Toronto, Ontario, M5T 1R8, Canada

Location

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Related Links

• Information about research at the Centre for Addiction and Mental Health, Canada's largest mental health and addictions teaching hospital.

Limitations and Caveats

Variability in youth service need resulting in variable effectiveness of treatment. In attempt to normalize the control group, it became less generalizable. RCT challenges with engagement and trust.

Results Point of Contact

• Title: Dr. Sean Kidd
• Organization: Centre for Addiction and Mental Health

sean.kidd@camh.ca

416-535-8501

Study Officials

• Sean A Kidd, Phd

  Centre for Addiction and Mental Health

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinician Scientist

Study Record Dates

• First Submitted: August 14, 2017
• First Posted: September 11, 2017
• Study Start: April 1, 2017
• Primary Completion: December 31, 2018
• Study Completion: December 31, 2018
• Last Updated: March 18, 2021
• Results First Posted: February 23, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)