Homeless Population and Mental Health: Impact of Primer la Llar Program

NCT03622151 | Completed

• 1 other identifier: PIC-130-15
• Study Type: interventional
• Target: 86
• Locations: 0 countries
• Sites: N/A

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).

Conditions

Mental Health Disorder

Keywords

mental health; Housing First; homeless

Outcome Measures

Primary Outcomes (3)

• Prevalence and gravity of psychotic symptoms in both groups

  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.

  Up to 21 months

• Prevalence and gravity of anxious symptoms in both groups

  HARS scale (Hamilton Anxiety Rating Scale). Total range:0-56. Higher values represent a worse outcome.

  Up to 21 months

• Prevalence and gravity of depressive symptoms in both groups

  HDRS scale (Hamilton Depression Rating Scale). Total range: 0-52. Higher values represent a worse outcome.

  Up to 21 months.

Secondary Outcomes (5)

• Changes in number of visits to the emergency room/health center/specialist doctors

  Up to 21 months

• Basic skills of daily life

  Up to 21 months

• Sociodemographic and psychopathological description of both groups

  Up to 21 months

• Number of participants with an alcohol abuse problem assessed by Audit test

  Up to 21 months

• Number of participants with a drug abuse problem assessed by questionnaire on drug abuse

  Up to 21 months

Study Arms (2)

Intervention group

EXPERIMENTAL

Primer la Llar Program (housing first model): to live in permanent and individual housing and receiving weekly visits from a multidisciplinary team.

Other: Primer la Llar program

Control group

NO INTERVENTION

Treatment as usual: attention from the resources of the homeless network in Barcelona.

Interventions

Primer la Llar program OTHER

Housing First model: permanent housing without previous requirements such as abstinence, sobriety or compliance with treatment.

Intervention group

Eligibility Criteria

• Age: 18 Years - 72 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• language barrier
• severe neurological or organic pathology
• severe dementia
• alcoholic dementia Wernicke Korsakoff

Sponsors & Collaborators

• Parc Sanitari Sant Joan de Déu: lead

Related Publications (5)

• Aubry T, Tsemberis S, Adair CE, Veldhuizen S, Streiner D, Latimer E, Sareen J, Patterson M, McGarvey K, Kopp B, Hume C, Goering P. One-year outcomes of a randomized controlled trial of housing first with ACT in five Canadian cities. Psychiatr Serv. 2015 May 1;66(5):463-9. doi: 10.1176/appi.ps.201400167. Epub 2015 Feb 2.

  PMID: 25639993 BACKGROUND

• Henwood BF, Byrne T, Scriber B. Examining mortality among formerly homeless adults enrolled in Housing First: An observational study. BMC Public Health. 2015 Dec 4;15:1209. doi: 10.1186/s12889-015-2552-1.

  PMID: 26634243 BACKGROUND

• Kerman N, Sylvestre J, Aubry T, Distasio J. The effects of housing stability on service use among homeless adults with mental illness in a randomized controlled trial of housing first. BMC Health Serv Res. 2018 Mar 20;18(1):190. doi: 10.1186/s12913-018-3028-7.

  PMID: 29558927 BACKGROUND

• Somers JM, Patterson ML, Moniruzzaman A, Currie L, Rezansoff SN, Palepu A, Fryer K. Vancouver At Home: pragmatic randomized trials investigating Housing First for homeless and mentally ill adults. Trials. 2013 Nov 1;14:365. doi: 10.1186/1745-6215-14-365.

  PMID: 24176253 BACKGROUND

• Stergiopoulos V, Hwang SW, Gozdzik A, Nisenbaum R, Latimer E, Rabouin D, Adair CE, Bourque J, Connelly J, Frankish J, Katz LY, Mason K, Misir V, O'Brien K, Sareen J, Schutz CG, Singer A, Streiner DL, Vasiliadis HM, Goering PN; At Home/Chez Soi Investigators. Effect of scattered-site housing using rent supplements and intensive case management on housing stability among homeless adults with mental illness: a randomized trial. JAMA. 2015 Mar 3;313(9):905-15. doi: 10.1001/jama.2015.1163.

  PMID: 25734732 BACKGROUND

MeSH Terms

Conditions

Mental Disorders; Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Study Officials

• Josep Maria Haro Abad

  Parc Sanitari Sant Joan de Déu

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Mental Health Nurse

Model Details: Intervention group (housing first model program) and control group (treatment as usual).

Study Record Dates

• First Submitted: July 18, 2018
• First Posted: August 9, 2018
• Study Start: January 1, 2016
• Primary Completion: January 1, 2017
• Study Completion: May 1, 2018
• Last Updated: October 2, 2018

Record last verified: 2018-09

Data Sharing

• IPD Sharing: Will not share