A Pragmatic Trial Integrating Homelessness Diversion Services Into an Emergency Department Discharge System
A Pragmatic Randomized Trial Integrating Homelessness Diversion Services Into an Emergency Department Discharge System
2 other identifiers
interventional
1,000
1 country
1
Brief Summary
The purpose of this study is to determine whether a homelessness diversion program integrated into a hospital emergency department (ED) will lower ED use, to identify characteristics of individuals most likely to benefit from homelessness diversion and to discover opportunities to tailor Homelessness Diversion (HD) services to better meet the needs of diverse communities.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2023
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 8, 2023
CompletedFirst Posted
Study publicly available on registry
April 21, 2023
CompletedStudy Start
First participant enrolled
September 14, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2025
CompletedJanuary 28, 2025
January 1, 2025
2 years
April 8, 2023
January 24, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Number of ED visits
end of study (6 months after start of study)
Secondary Outcomes (2)
Number of participants who experience homelessness
end of study (6 months after start of study)
Change in health related quality of life as assessed by the Short Form-12 version 2.0 (SF12v2) health Survey
baseline, month 1, month 2, month 3, month 4, month 5 and month 6
Study Arms (2)
Homeless diversion (HD) group
EXPERIMENTALTreatment-as-usual (TAU) group
ACTIVE COMPARATORInterventions
Participants will receive services from specialty-trained community health workers and will be invited to complete monthly assessments via text and phone to assess their health and housing for 6 months and to share feedback on their experience with the intervention after completion by a text message to a link for the survey
Participants will receive a list of community resources they can contact to receive services and will be invited to complete monthly assessments via text and phone to assess their health and housing for 6 months and to share feedback on their experience with the intervention after completion by a text message to a link for the survey
Eligibility Criteria
You may qualify if:
- English or Spanish speaking
- discharged from a Harris Health Hospital ED (Ben Taub or LBJ)
- at imminent risk of homelessness
- patients with Medicaid, Medicare or who are uninsured
You may not qualify if:
- having a conservator (legal guardian)
- plans to move away from Texas in 6 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The University of Texas Health Science Center at Houston
Houston, Texas, 77030, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Jack Tsai, PhD
The University of Texas Health Science Center, Houston
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
April 8, 2023
First Posted
April 21, 2023
Study Start
September 14, 2023
Primary Completion
September 1, 2025
Study Completion
September 1, 2025
Last Updated
January 28, 2025
Record last verified: 2025-01
Data Sharing
- IPD Sharing
- Will not share