ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2017
The Hotel Study-Clinical and Health Service Effectiveness in a Cohort of Homeless or Marginally Housed Persons.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.
- A systematic review and meta-analysis of synthetic cathinone use and psychosis.Psychopharmacology · 2024Pooled it
- Observational
- Rapid intravenous symptom-inhibiting fentanyl induction (SIFI) to optimize rotation onto oral opioid agonist therapy among individuals who use unregulated fentanyl: protocol for an open-label, single arm clinical trial.Addiction science & clinical practice · 2025Article
- Article
- Spatial patterns of Mental Health Act apprehensions in Toronto, Canada, 2014-2022.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- Association of homelessness and psychiatric hospital readmission-a retrospective cohort study 2016-2020.BMC psychiatry · 2023Article
- Article
- Differential age-associated brain atrophy and white matter changes among homeless and precariously housed individuals compared with the general population.BMJ neurology open · 2023Article
- A scoping review of psychiatric conditions associated with chronic pain in the homeless and marginally housed population.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Factors Associated with Problematic Cannabis Use in a Sample of Medical Cannabis Dispensary Users.Psychiatry and clinical psychopharmacology · 2022Article
- Characterizing Traumatic Brain Injury and Its Association with Losing Stable Housing in a Community-based Sample.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Social determinants of health and depression in adults presenting to the emergency department: Implications for family medicine.Canadian family physician Medecin de famille canadien · 2021Article
- Associations of substance use, psychosis, and mortality among people living in precarious housing or homelessness: A longitudinal, community-based study in Vancouver, Canada.PLoS medicine · 2020Article
- Cognitive decline and mortality in a community-based sample of homeless and precariously housed adults: 9-year prospective study.BJPsych open · 2020Article
- Amygdala Nuclei Volumes Are Selectively Associated With Social Network Size in Homeless and Precariously Housed Persons.Frontiers in behavioral neuroscience · 2020Article
- A comparison of regional brain volumes and white matter connectivity in subjects with stimulant induced psychosis versus schizophrenia.Psychopharmacology · 2019Observational
- Prevalence and Risk Factors of Brain Infarcts and Associations With Cognitive Performance in Tenants of Marginal Housing.Journal of the American Heart Association · 2019Article
- Diffusion tensor imaging of neurocognitive profiles in a community cohort living in marginal housing.Brain and behavior · 2019Article
- Cognitive profiles and associated structural brain networks in a multimorbid sample of marginalized adults.PloS one · 2019Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
23 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveThe Hotel Study was initiated in Vancouver's Downtown East Side (DTES) neighborhood to investigate multimorbidity in homeless or marginally housed people. We evaluated the clinical effectiveness of existing, illness-specific treatment strategies and assessed the effectiveness of health care delivery for multimorbid illnesses.
methodFor context, we mapped the housing locations of patients presenting for 552,062 visits to the catchment hospital emergency department (2005-2013). Aggregate data on 22,519 apprehensions of mentally ill people were provided by the Vancouver Police Department (2009-2015). The primary strategy was a longitudinal cohort study of 375 people living in the DTES (2008-2015). We analysed mortality and evaluated the clinical and health service delivery effectiveness for infection with human immunodeficiency virus or hepatitis C virus, opioid dependence, and psychosis.
resultsMapping confirmed the association between poverty and greater number of emergency visits related to substance use and mental illness. The annual change in police apprehensions did not differ between the DTES and other policing districts. During 1581 person-years of cohort observation, the standardized mortality ratio was 8.43 (95% confidence interval, 6.19 to 11.50). Physician visits were common (84.3% of participants over 6 months). Clinical treatment effectiveness was highest for HIV/AIDS, intermediate for opioid dependence, and lowest for psychosis. Health service delivery mechanisms provided examples of poor access, poor treatment adherence, and little effect on multimorbid illnesses.
conclusionsClinical effectiveness was variable, and illness-specific service delivery appeared to have little effect on multimorbidity. New models of care may need to be implemented.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.