At-risk and vulNerable Individuals To Infection With COVID-19 and ProActive inTervention With intEgrated Health and Social Care (ANTICIPATE)
Emotional Distress, Quality of Life, Mental Health
About this trial
This is an interventional health services research trial for Emotional Distress focused on measuring Social Determinants of Health, COVID-19, primary health care, proactive care
Eligibility Criteria
Inclusion Criteria:
At-risk and vulnerable patients of primary care organizations who are 60+ AND have one or more of:
- chronic condition (diabetes, CHF, CAD, COPD or asthma)
- serious mental illness (schizophrenia or bipolar disorder)
- anticipated to live in poverty and/or be homeless/underhoused
Exclusion Criteria:
- patients unable to provide informed consent
Sites / Locations
- St. Michael's Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Intervention - System Navigator
Tailored list of community resources
The intervention group will be connected to a system navigator who is a trained staff member embedded within the primary health clinic team with a focus to address participant's biological, psychological and social needs. Working with the System Navigator will mean: Discussing patients' current health status and concerns Receiving support on management of chronic diseases and mental health including connection to local resources e.g. counseling, harm reduction, crisis support services Receiving information about benefits that they may be entitled to and learning about free services Receiving help from the System Navigator on forms or letters that are required to access resources
Control group will be provided a tailored list of community resources.