Homeless Population and Mental Health: Impact of Primer la Llar Program

Parc Sanitari Sant Joan de Déu

Status: Completed

Conditions: Mental Health Disorder

Treatments: Other: Primer la Llar program

Study type: Interventional

Funder types: Other

Identifiers

NCT03622151

PIC-130-15

Details and patient eligibility

About

The main goal is to evaluate the impact of the Primer La Llar housing program for the homeless population on the mental health of the participants.

The hypothesis is that the housing program, which follows Housing first model, for the homeless population has a positive impact on the mental health of the participants, compared to the group that does not receive the intervention -treatment as usual group (meaning the "positive impact" a lower score on the symptomatology scales and lower toxic intake in the group receiving the intervention).

Full description

The specific objectives are:

Identify the socio-demographic and clinical characteristics of the participants.

Compare the severity of psychiatric symptoms and improvement among the participants in the intervention group and the control group (depressive, anxious, psychotic or manic symptomatology, depending on the case).

Compare the consumption of alcohol and drugs among the participants of both groups.

Compare the basic daily life skills among the participants in both groups, as well as the improvement of them in the experimental group.

Compare the use of services and between the participants of the intervention group and the control group.

Intervention group receives entry to the program (which means individual and permanent housing without previous requirements such as abstinence, compliance with treatment or sobriety.

Control group receives treatment as usual, as they are users of homeless population network of Barcelona.

Enrollment: 86 patients

Sex: All

Ages: 18 to 72 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Single people, adults (exceptionally sentimental couples, friends with positive support relationship for both).
• Long life on the street (minimum 1 year staying overnight on the street) and / or accommodation centers without linking, using them in a timely manner in the last year.
• Social needs concurrent to the lack of housing: mental illness and / or drug abuse.
• Functional autonomy for daily life.
• Have regular economic income or possibility of obtaining them.
• Sign informed consent form.

Exclusion criteria

• language barrier
• severe neurological or organic pathology
• severe dementia
• alcoholic dementia Wernicke Korsakoff

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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86 participants in 2 patient groups

Intervention group

Experimental group

Description:

Primer la Llar Program (housing first model): to live in permanent and individual housing and receiving weekly visits from a multidisciplinary team.

Treatment:

Other: Primer la Llar program

Control group

No Intervention group

Description:

Treatment as usual: attention from the resources of the homeless network in Barcelona.