Back to results

Evaluation of the "Housing First Program" in Homeless Patients With Severe Mental Disorders in France

Primary Purpose

Subnormal; Mental, Severe

Status

Unknown status

Phase

Not Applicable

Locations

France

Study Type

Interventional

Intervention

HOUSING FIRST PROGRAM

traditional French services

About this trial

This is an interventional other trial for Subnormal; Mental, Severe

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

aged over 18;

who are absolutely homeless or precariously housed. Absolutely homeless is defined as having had no fixed place to stay for at least the past seven nights with little likelihood of finding a place in the coming month. Precariously housed is defined as being housed a in single room occupancy, rooming house, or hotel/motel as a primary residence AND in the past year having experienced two or more episodes of being absolutely homeless OR one episode of being absolutely homeless that lasted for more than four weeks in the preceding 12 months.
living with schizophrenia or bipolar disorder (diagnosis of DSM-IV);
with a sufficient understanding of written and spoken French to be able to provide informed consent and to participate to face-to-face interviews;
affiliated to a social protection;
who have lived in the city targeted for at least 6 months and willing to stand in the city during the 2 next years;
with a global score measured on Multnomah Community Ability Scale (MCAS) (scale <=62 (high need criteria));
hospitalized at least twice on the past 12 months OR held in prison on the past 24 months OR presenting substance or alcohol abuse or dependence (high need criteria).

Exclusion Criteria:

being considered unable to provide informed consent;
having dependent children;
pregnancy;
or a DSM-IV Axis I diagnosis other than schizophrenia or bipolar disorder

Sites / Locations

Assistance Publique Hopitaux de Marseille

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Housing First Program

traditional French services

Arm Description

Outcomes

Primary Outcome Measures

healthcare utilisation

hospitalizations, hospital days, and emergency department visits

Secondary Outcome Measures

Full Information

NCT ID

NCT01570712

First Posted

April 2, 2012

Last Updated

September 19, 2018

Sponsor

Assistance Publique Hopitaux De Marseille

1. Study Identification

Unique Protocol Identification Number

NCT01570712

Brief Title

Evaluation of the "Housing First Program" in Homeless Patients With Severe Mental Disorders in France

Official Title

Evaluation of the "Housing First Program" in Homeless Patients With Severe Mental Disorders in France: a Multicentric Randomized Controlled Study

Study Type

Interventional

2. Study Status

Record Verification Date

September 2018

Overall Recruitment Status

Unknown status

Study Start Date

August 2011 (undefined)

Primary Completion Date

May 2016 (Actual)

Study Completion Date

June 2019 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Sponsor

Name of the Sponsor

Assistance Publique Hopitaux De Marseille

4. Oversight

Data Monitoring Committee

5. Study Description

Brief Summary

As mental health care shifted from state psychiatric hospitals to the community in France and western countries, the mental health system became inevitably involved in housing as it strove to meet the broader psychosocial needs of consumers. Simultaneously, as many consumers found themselves unable to find stable living in the community and struggling with addictions, they became a significant subgroup within a larger homeless population, which has received increasing policy attention over the past three decades. There are two distinct service models for adults who have severe mental illness and are homeless: the residential continuum model and the Housing First model.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Subnormal; Mental, Severe

7. Study Design

Primary Purpose

Other

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

None (Open Label)

Allocation

Randomized

Enrollment

600 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title

Housing First Program

Arm Type

Experimental

Arm Title

traditional French services

Arm Type

Active Comparator

Intervention Type

Other

Intervention Name(s)

HOUSING FIRST PROGRAM

Intervention Description

Realization of a psychosocial organic evaluation and a citizen; Support in the development and the maintenance of the housing; Support in the diverse steps (administrative, judicial, financiers, etc.); Support around addictions / alcohol; Supportin the family and social relations, in the environment of the person -to favor the occupational integration, by prioritizing the insertion in ordinary environment(middle) to favor the access and the preservation of the patient to the psychiatric and somatic care, to the devices and the departments favoring the social insertion and the integration.

Intervention Type

Other

Intervention Name(s)

traditional French services

Intervention Description

The person will not receive from intervention of the team of site, but the person can resort(turn) without limitation to all the range of services said " about "common law " set up in the direction of the persons homeless persons, as well as to every type of care. She can too reach the housing and\or the restoring, but this by means of the existing devices

Primary Outcome Measure Information:

Title

healthcare utilisation

Description

hospitalizations, hospital days, and emergency department visits

Time Frame

3 YEARS

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: aged over 18; who are absolutely homeless or precariously housed. Absolutely homeless is defined as having had no fixed place to stay for at least the past seven nights with little likelihood of finding a place in the coming month. Precariously housed is defined as being housed a in single room occupancy, rooming house, or hotel/motel as a primary residence AND in the past year having experienced two or more episodes of being absolutely homeless OR one episode of being absolutely homeless that lasted for more than four weeks in the preceding 12 months. living with schizophrenia or bipolar disorder (diagnosis of DSM-IV); with a sufficient understanding of written and spoken French to be able to provide informed consent and to participate to face-to-face interviews; affiliated to a social protection; who have lived in the city targeted for at least 6 months and willing to stand in the city during the 2 next years; with a global score measured on Multnomah Community Ability Scale (MCAS) (scale <=62 (high need criteria)); hospitalized at least twice on the past 12 months OR held in prison on the past 24 months OR presenting substance or alcohol abuse or dependence (high need criteria). Exclusion Criteria: being considered unable to provide informed consent; having dependent children; pregnancy; or a DSM-IV Axis I diagnosis other than schizophrenia or bipolar disorder

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

EMILIE GARRIDO PRADALIE

Organizational Affiliation

Assistance Publique hôpitaux de Marseille

Official's Role

Study Director

Facility Information:

Facility Name

Assistance Publique Hopitaux de Marseille

City

Marseille

ZIP/Postal Code

13354

Country

France

12. IPD Sharing Statement

Citations:

PubMed Identifier

35125129

Citation

Loubiere S, Lemoine C, Boucekine M, Boyer L, Girard V, Tinland A, Auquier P; French Housing First Study Group. Housing First for homeless people with severe mental illness: extended 4-year follow-up and analysis of recovery and housing stability from the randomized Un Chez Soi d'Abord trial. Epidemiol Psychiatr Sci. 2022 Feb 7;31:e14. doi: 10.1017/S2045796022000026.

Results Reference

derived

PubMed Identifier

34215235

Citation

Tinland A, Loubiere S, Cantiello M, Boucekine M, Girard V, Taylor O, Auquier P. Mortality in homeless people enrolled in the French housing first randomized controlled trial: a secondary outcome analysis of predictors and causes of death. BMC Public Health. 2021 Jul 2;21(1):1294. doi: 10.1186/s12889-021-11310-w.

Results Reference

derived

PubMed Identifier

32679400

Citation

Loubiere S, Tinland A, Taylor O, Loundou A, Girard V, Boyer L, Auquier P. Determinants of healthcare use by homeless people with schizophrenia or bipolar disorder: results from the French Housing First Study. Public Health. 2020 Aug;185:224-231. doi: 10.1016/j.puhe.2020.05.019. Epub 2020 Jul 14.

Results Reference

derived

PubMed Identifier

30423419

Citation

Fond G, Boyer L, Boucekine M, Girard V, Loubiere S, Lenoir C, Auquier P, Tinland A; French Housing First Study Group. Illness and drug modifiable factors associated with violent behavior in homeless people with severe mental illness: results from the French Housing First (FHF) program. Prog Neuropsychopharmacol Biol Psychiatry. 2019 Mar 2;90:92-96. doi: 10.1016/j.pnpbp.2018.11.006. Epub 2018 Nov 10.

Results Reference

derived

PubMed Identifier

29673362

Citation

Rhenter P, Tinland A, Grard J, Laval C, Mantovani J, Moreau D, Vidaud B, Greacen T, Auquier P, Girard V. Problems maintaining collaborative approaches with excluded populations in a randomised control trial: lessons learned implementing Housing First in France. Health Res Policy Syst. 2018 Apr 19;16(1):34. doi: 10.1186/s12961-018-0305-1.

Results Reference

derived

PubMed Identifier

28656452

Citation

Tinland A, Zemmour K, Auquier P, Boucekine M, Girard V, Loubiere S, Fond G, Boyer L; French Housing First Study Group. Homeless women with schizophrenia reported lower adherence to their medication than men: results from the French Housing First experience. Soc Psychiatry Psychiatr Epidemiol. 2017 Sep;52(9):1113-1122. doi: 10.1007/s00127-017-1411-z. Epub 2017 Jun 27.

Results Reference

derived

PubMed Identifier

24063556

Citation

Tinland A, Fortanier C, Girard V, Laval C, Videau B, Rhenter P, Greacen T, Falissard B, Apostolidis T, Lancon C, Boyer L, Auquier P. Evaluation of the Housing First program in patients with severe mental disorders in France: study protocol for a randomized controlled trial. Trials. 2013 Sep 24;14:309. doi: 10.1186/1745-6215-14-309.

Results Reference

derived

Learn more about this trial

Evaluation of the "Housing First Program" in Homeless Patients With Severe Mental Disorders in France

We'll reach out to this number within 24 hrs