| Titre : | A Pilot Study of the Impact of Housing First-Supported Housing for Intensive Users of Medical Hospitalization and Sobering Services. (2013) |
| Auteurs : | Debra SREBNIK ; CONNOR (Tara) : USA. Plymouth Housing Group. Seattle. WA. ; Laurie SYLLA ; King County Mental Health and Chemical Abuse and Dependency Services. Seattle. WA. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 103, n° 2, 2013) |
| Pagination : | 316-321 |
| Langues: | Anglais |
| Mots-clés : | Domicile ; Utilisation ; Hospitalisation |
| Résumé : | [BDSP. Notice produite par INIST-CNRS CCR0xJDp. Diffusion soumise à autorisation]. Objectives. We examined changes in service use in a Housing First (HF) pilot program for adults who were homeless with medical illnesses and high prior acute-care use relative to a similar comparison group. Methods. We used a 1-year pre-post comparison group design. The 29 participants and 31 comparison group members were adults who were homeless with inpatient claims of at least $10000 or at least 60 sobering "sleep off" center contacts in the prior year. Results. Participants showed a significantly greater reduction in emergency department and sobering center use relative to the comparison group. At a trend level, participants had greater reductions in hospital admissions and jail bookings. Reductions in estimated costs for participants and comparison group members were $62504 and $25925 per person per year-a difference of $36579, far outweighing program costs of $18 600 per person per year. Conclusions. HF participants showed striking reductions in acute-care use relative to the comparison group, demonstrating that HF can be a successful model for people with complex medical conditions and high prior acute-care use. Despite notable methodological limitations, these findings could be used to inform a larger multisite study that would establish greater generalizability. |
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