N/A
N=181
Addiction Housing Case Management for Homeless Veterans
Homelessness · Substance Abuse Disorders · Mental Disorders
Bottom Line
View on ClinicalTrials.gov: NCT01346514 ↗Enrolled (actual)
181
Serious AEs
38.7%
Results posted
Feb 2017
Primary outcome: Primary: Percent Days Housed in AHCM vs. HSG, Baseline to 12 Months. — 14.7; 12.0; 25.0; 14.1 percent days housed
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Intensive Addiction/Housing Case Management (Behavioral); Housing Support Group (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Nov 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percent Days Housed in AHCM vs. HSG, Baseline to 12 Months. |
14.7; 12.0; 25.0; 14.1; 48.9; 44.4 | — |
| SECONDARY Costs and Cost-effectiveness of AHCM vs. HSG, Baseline to 12 Months |
— | — |
| SECONDARY Change in Functional Status in AHCM vs. HSG From Baseline to 12 Months |
-0.05; 0.04; -0.05; 0.00; -0.04; -0.04 | — |
| SECONDARY Change in Alcohol and Drug Outcomes in AHCM vs. HSG From Baseline to 12 Months |
-0.06; -0.20; -0.04; -0.05 | — |
| SECONDARY Change in Percent of Participants Abstinent From Baseline to 12 Month Follow-up |
27.0; 30.5 | — |
| SECONDARY Change in Mental Health Status in AHCM vs. HSG From Baseline to 12 Months |
-0.11; -0.13; 1.08; 3.09 | — |
| SECONDARY Treatment Process Measures (Number of Treatment Sessions, Type of Housing Placement, and Change in Life Skills) |
— | — |
Summary
The study examined intensive case management for homeless Veterans in addiction treatment by integrating addiction/housing case managers (AHCM), operating from a Life Skills Training perspective, into an addiction specialty program. The primary aim was to determine whether the AHCM intervention increases number of days housed during the year following treatment entry. Secondary aims were to compare costs and cost-effectiveness of AHCM vs. time and attention control, determine if AHCM improves addiction outcomes and functional status, and examine treatment process variables associated with improved outcomes.
Eligibility Criteria
Inclusion Criteria
- Veterans newly presenting or returning to specialty treatment for substance dependence at VA Puget Sound Seattle Division who, after an initial evaluation, are scheduled for a treatment appointment in the Addiction Treatment Center
- Currently homeless (unsheltered, staying in temporary emergency shelter, or doubled up with friends/family)
Exclusion Criteria
- Not planning to stay in the Puget Sound area during the next 12 months
- Unable to provide informed consent
Data sourced from ClinicalTrials.gov (NCT01346514). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.