N/A
Completed N=382
Aligning Resources to Care for Homeless Veterans
Homeless Persons · Primary Health Care
Source: ClinicalTrials.gov NCT01550757 ↗
Enrolled (actual)
382
Serious AEs
0.0%
Results posted
Oct 2017
Primary outcomePrimary: A Primary Outcome for This Study is the Number of Non-acute Emergency Department Visits. — 1.1; 0.8; 0.7; 1.0 number of visits
Summary
"Aligning Resources to Care for Homeless Veterans" (ARCH) will study ways to best organize and deliver primary care for homeless Veterans. The investigators will assess 4 different adaptations of the PACT primary care model in a mixed methods study that includes multi-center, randomized-controlled trials of embedded peer-mentoring within different iterations of the PACT model, focus groups of study participants assessing satisfaction, treatment engagement and self-efficacy within the different care models and a cost-utility analysis to determine the most cost-efficient approach to organizing care for this population. Findings from this study will help determine optimal care approaches for reducing emergency department visits and acute hospitalizations, increasing patient satisfaction, and improving chronic disease management. Findings from this study will also substantively add to our understanding of health seeking behavior and the care of vulnerable/high-risk Veteran populations as well as clinical systems design. This project reflects a true "field-based study" to identify optimal and feasible approaches to patient care within our current VHA system. Finally, it will help inform pressing policy issues relevant to two identified T-21 priority areas: Ending Veteran Homelessness in 5 Years and Transforming to a Patient Centered Primary Care model.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY A Primary Outcome for This Study is the Number of Non-acute Emergency Department Visits. |
1.1; 0.8; 0.7; 1.0 | — |
Eligibility Criteria
Inclusion Criteria
- The study population will be homeless Veterans enrolled in primary care (including both new and established patients who are homeless at the time of enrollment).
- Currently homeless to include: unsheltered; staying in an emergency shelter; in transitional/Grant and Per Diem housing; or doubled-up with a family member or friend and not paying rent.
Exclusion Criteria
- Currently enrolled in Mental Health Intensive Case Management (MHICM) or other VA-based case/care managed program;
- Stated plans to leave the area within 6 months of enrollment;
- Unable or unwilling to provide informed consent;
- Pregnant women will because excluded because we do not wish to detract from the amount of specialty care and services they receive and need.
Data sourced from ClinicalTrials.gov (NCT01550757). 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. Informational only — not medical advice.