Titre :
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A Pilot Study of the Impact of Housing First-Supported Housing for Intensive Users of Medical Hospitalization and Sobering Services. (2013)
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Auteurs :
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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
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 103, n° 2, 2013)
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Pagination :
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316-321
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Langues:
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Anglais
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Mots-clés :
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Domicile
;
Utilisation
;
Hospitalisation
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Résumé :
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[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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