scholarly journals Critical Time Intervention for Homeless People Making the Transition to Community Living: A Randomized Controlled Trial

2017 ◽  
Vol 60 (1-2) ◽  
pp. 175-186 ◽  
Author(s):  
Renée de Vet ◽  
Mariëlle D. Beijersbergen ◽  
Irene E. Jonker ◽  
Danielle A.M. Lako ◽  
Albert M. van Hemert ◽  
...  
2018 ◽  
Vol 63 (4) ◽  
pp. 513-523 ◽  
Author(s):  
Danielle A. M. Lako ◽  
Mariëlle D. Beijersbergen ◽  
Irene E. Jonker ◽  
Renée de Vet ◽  
Daniel B. Herman ◽  
...  

2012 ◽  
Vol 20 (4) ◽  
pp. 436-439 ◽  
Author(s):  
Joy Noel Baumgartner ◽  
Tatiana Fernandes Carpinteiro da Silva ◽  
Eliecer Valencia ◽  
Ezra Susser

Global mental health movements increasingly highlight the importance of social integration for individuals living with severe mental illnesses. However, this important individual-level outcome is rarely measured in programs. As part of RedeAmericas, a pilot regional randomized controlled trial of critical time intervention - task shifting - will be conducted, which includes social integration as an outcome measure. It is a time-limited care coordination model to enhance continuity of support for people with severe mental illness during critical periods of transition. Given the challenges of measuring social integration, particularly for a multi-country study with unique cultural contexts, this paper has described the measurement approach used to create a composite measure that uses items from disability and quality of life instruments in addition to other key items.


2017 ◽  
Vol 73 (6) ◽  
pp. 806-812 ◽  
Author(s):  
Tze Pin Ng ◽  
Ling Hui Audrey Ling ◽  
Liang Feng ◽  
Ma Shwe Zin Nyunt ◽  
Lei Feng ◽  
...  

2014 ◽  
Vol 38 (2) ◽  
pp. 221-234 ◽  
Author(s):  
Susan E. Collins ◽  
Andrew J. Saxon ◽  
Mark H. Duncan ◽  
Brian F. Smart ◽  
Joseph O. Merrill ◽  
...  

2019 ◽  
Author(s):  
Camilla Nygaard Bring ◽  
Marie Kruse ◽  
Mikkel Ankarfeldt ◽  
Nina Brünés ◽  
Maja Pedersen ◽  
...  

Abstract Background: Being homeless entails higher mortality, morbidity, and prevalence of psychiatric diseases. This can lead to more frequent and expensive use of health care services. Medical respite care enables an opportunity to recuperate after a hospitalization and has shown a positive effect on readmissions, but little is known about the cost-effectiveness of medical respite care for homeless people discharged from acute hospitalization. Therefore, the aim of the present study was to investigate the cost-effectiveness of a 2-week stay in post-hospital medical respite care. Methods: A randomized controlled trial and cost-utility analysis, from a societal perspective, was conducted between April 2014 and December 2015. Homeless people aged >18 years with an acute admission were included from 10 different hospitals in the Capital Region of Denmark. The intervention group (n=53) was offered a 2-week medical respite care stay at a Red Cross facility and the control group (n=43) was discharged without any extra help (usual care), but with the opportunity to seek help in shelters and from street nurses and doctors in the municipalities. The primary outcome was the difference in health care costs 3 months following inclusion in the study. Secondary outcomes were change in health-related quality of life and health care costs 6 months following inclusion in the study. Data were collected through Danish registries, financial management systems in the municipalities and at the Red Cross, and by using the EQ-5D questionnaire. Results: After 3 and 6 months, the intervention group had €4,761 (p=0.10) and €8,515 (p=0.04) lower costs than the control group, respectively. The higher costs in the control group were mainly related to acute admissions. Both groups had minor quality-adjusted life year gains. Conclusions: This is the first randomized controlled trial to investigate the cost-effectiveness of a 2-week medical respite care stay for homeless people after hospitalization. The study showed that a medical respite care stay for homeless people is cost-effective. Furthermore, this study illustrates that it is possible to perform research with satisfying follow-up with a target group that is hard to reach. Trial registration: ClinicalTrials.gov Identifier: NCT02649595


Sign in / Sign up

Export Citation Format

Share Document