A Pragmatic Trial Integrating Homelessness Diversion Services Into an Emergency Department Discharge System

NCT ID: NCT05823220

Last Updated: 2025-01-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-14

Study Completion Date

2025-09-01

Brief Summary

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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.

Detailed Description

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Conditions

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Homelessness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Homeless diversion (HD) group

Group Type EXPERIMENTAL

Homeless diversion (HD)

Intervention Type BEHAVIORAL

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

Treatment-as-usual (TAU) group

Group Type ACTIVE_COMPARATOR

Treatment-as-usual (TAU)

Intervention Type BEHAVIORAL

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

Interventions

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Homeless diversion (HD)

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

Intervention Type BEHAVIORAL

Treatment-as-usual (TAU)

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

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 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

Exclusion Criteria

* having a conservator (legal guardian)
* plans to move away from Texas in 6 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Minority Health and Health Disparities (NIMHD)

NIH

Sponsor Role collaborator

The University of Texas Health Science Center, Houston

OTHER

Sponsor Role lead

Responsible Party

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Jack Tsai

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jack Tsai, PhD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center, Houston

Locations

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The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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R01MD018213

Identifier Type: NIH

Identifier Source: secondary_id

View Link

HSC-SPH-22-0762

Identifier Type: -

Identifier Source: org_study_id

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