Coordinating Access to Care for People Experiencing Homelessness (CATCH-FI)

NCT03770221 | Completed

• 1 other identifier: REB#: 18-196
• Study Type: interventional
• Target: 176
• Locations: 1 country
• Sites: 1

Brief Summary

Coordinating Access to Care for the Homeless (CATCH) initiative is a multidisciplinary brief intervention for homeless adults with mental health needs discharged from hospital in Toronto, Canada. The study aims to evaluate the effect of financial incentives in facilitating treatment engagement of homeless people with mental illness, as well as in improving health, health service use and housing outcomes, compared to usual CATCH care, over 6 months, a critical time of transition from hospital to community care.

Conditions

Mental Health Disorder

Outcome Measures

Primary Outcomes (1)

• Number of contacts with CATCH service providers

  The number of contacts (per month) with CATCH service providers (established by review of program records) until the transition to long-term care providers is accomplished.

  6 months

Secondary Outcomes (11)

• Number of hospitalizations

  1 year prior to enrolment, 1 year post-enrolment

• Days in hospital

  1 year prior to enrolment, 1 year post-enrolment

• Number of emergency department visits

  1 year prior to enrolment, 1 year post-enrolment

• Mental health symptom severity

  Baseline, 6 months

• Health status

  Baseline, 6 months

Study Arms (2)

Financial Incentive

EXPERIMENTAL

Participants will receive usual brief, intensive case management to connect them to health and social services and supports in the community. Additionally, participants in this arm will receive $20 for every week they maintain contact with CATCH service providers, as required by their care plan. Contact can be by phone, text, email, or in person with CATCH service providers over 6 months of follow up, or until they are successfully transitioned to longer-term supports (for up to $80/month per participant).

Behavioral: CATCH; Other: Financial Incentive

Usual Care

ACTIVE COMPARATOR

Participants will receive usual brief, intensive case management to connect them to health and social services and supports in the community.

Behavioral: CATCH

Interventions

CATCH BEHAVIORAL

Brief, intensive case management service.

Also known as: Coordinated Access to Care for the Homeless

Financial Incentive; Usual Care

Financial Incentive OTHER

Financial incentive for maintaining contact with CATCH service providers.

Financial Incentive

Eligibility Criteria

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

You may qualify if:

• able to give informed consent
• a new client of the CATCH team, recently admitted or readmitted
• at least one contact with the CATCH team

Sponsors & Collaborators

• Unity Health Toronto: lead
• Ontario Ministry of Health and Long Term Care: collaborator

Study Sites (1)

St. Michael's Hospital

Toronto, Ontario, M5B 1T8, Canada

Location

Related Publications (1)

• Reid N, Nisenbaum R, Hwang SW, Durbin A, Kozloff N, Wang R, Stergiopoulos V. The Impact of Financial Incentives on Service Engagement Among Adults Experiencing Homelessness and Mental Illness: A Pragmatic Trial Protocol. Front Psychiatry. 2021 Aug 3;12:722485. doi: 10.3389/fpsyt.2021.722485. eCollection 2021.

  PMID: 34413804 DERIVED

MeSH Terms

Conditions

Mental Disorders

Study Officials

• Vicky Stergiopoulos, MD, MHSc

  Unity Health Toronto

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 5, 2018
• First Posted: December 10, 2018
• Study Start: November 19, 2018
• Primary Completion: May 31, 2021
• Study Completion: May 31, 2021
• Last Updated: May 18, 2022

Record last verified: 2022-05

Locations

CA (1)