Coordinating Access to Care for People Experiencing Homelessness (CATCH-FI)

Unity Health Toronto

Status: Completed

Conditions: Mental Health Disorder

Treatments: Other: Financial Incentive; Behavioral: CATCH

Study type: Interventional

Funder types: Other

Identifiers

NCT03770221

REB#: 18-196

Details and patient eligibility

About

Coordinating Access to Care for the Homeless (CATCH) initiative is a multidisciplinary brief intervention for homeless adults with mental health needs discharged from hospital in Toronto, Canada. The study aims to evaluate the effect of financial incentives in facilitating treatment engagement of homeless people with mental illness, as well as in improving health, health service use and housing outcomes, compared to usual CATCH care, over 6 months, a critical time of transition from hospital to community care.

Enrollment: 176 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• able to give informed consent
• a new client of the CATCH team, recently admitted or readmitted
• at least one contact with the CATCH team

Exclusion criteria

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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176 participants in 2 patient groups

Financial Incentive

Experimental group

Description:

Participants will receive usual brief, intensive case management to connect them to health and social services and supports in the community. Additionally, participants in this arm will receive $20 for every week they maintain contact with CATCH service providers, as required by their care plan. Contact can be by phone, text, email, or in person with CATCH service providers over 6 months of follow up, or until they are successfully transitioned to longer-term supports (for up to $80/month per participant).

Treatment:

Behavioral: CATCH

Other: Financial Incentive

Usual Care

Active Comparator group

Description:

Participants will receive usual brief, intensive case management to connect them to health and social services and supports in the community.

Treatment:

Behavioral: CATCH