About this trial
Homelessness is a national crisis in the United States, particularly in the veteran population. Due to multiple chronic conditions, homeless individuals frequently become hospitalized or are treated in emergency departments. Care engagement can mitigate this risk. Interventions grounded in evidence-based practices of peer support and whole health are effective for increasing care engagement. However, implementation of such interventions with high-acuity patients often requires strategies that are intensive and costly. This trial will evaluate the relative impacts and costs of using a high-intensity (vs. low-intensity) strategy to implement a peer-led, whole health intervention for homeless-experienced veterans in permanent supportive housing.
Eligibility criteria
Qualifiers
Eligible patients will be identified from VA's Homeless Registry "Hot Spot" reports, which use real-time data on acute care service utilization to identify high-need, housing-insecure patients.
These reports identify Veterans on the VA Homeless Registry (i.e., those who had received VA housing services in the past two years) who had >1 hospital admissions and/or >2 ED visits in the past quarter of the fiscal year.
From these reports, the investigators will identify patients at each implementation site who are
(a) currently enrolled in HUD-VASH
Disqualifiers
Not flagged on the VA's Homeless Registry Hot Spot Report
Not currently enrolled in HUD-VASH
Does not have a mental health and/or substance use disorder diagnosis
Is not a patient at a participating site of the implementation trial
Trial design
Treatments tested in this trial
- Employing Peer Outreach and Whole Health in Recovery (EMPOWER)