Skip to main content

Emergency department utilization among formerly homeless adults with mental disorders after 1-year of housing first: a randomized controlled trial

Resource type
Thesis type
(Thesis) M.Sc.
Date created
Homeless individuals represent a disadvantaged and marginalized group who experience increased rates of physical illness, mental and substance use disorders. Compared to housed individuals, homeless adults use emergency departments (ED) and other acute healthcare services at a higher frequency. Housing First (HF) has been identified as an effective means of facilitating acute health service reductions among homeless populations. The present analysis is based on (n=297) participants enrolled in the Vancouver At Home Study (VAH) randomized to one of three intervention arms: HF in a congregate setting (CONG), HF in scattered site apartments (SS), or to treatment as usual (TAU), and incorporates linked data from a regional database representing six urban ED’s. Compared to TAU, significantly lower ED utilization was observed during the post-randomization period in the SS arm. Our results suggest that HF, particularly the SS model, produces significantly lower ED visits among homeless adults with a mental disorder.
Copyright statement
Copyright is held by the author.
The author granted permission for the file to be printed and for the text to be copied and pasted.
Scholarly level
Supervisor or Senior Supervisor
Thesis advisor: Somers, Julian
Member of collection
Download file Size
etd7777_ARussolillo.pdf 3.24 MB

Views & downloads - as of June 2023

Views: 0
Downloads: 0