Trial reportBMC health services research2018
The effects of housing stability on service use among homeless adults with mental illness in a randomized controlled trial of housing first.
Trial report in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03622151 (Homeless Population and Mental Health), which is not on this map. Cited by 24 papers.
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.
Homeless Population and Mental Health: Impact of Primer la Llar Program
Who cites it
24 citing papers in PubMed.
- Predictors of psychiatric readmission within 12 months following discharge from inpatient units in Alberta, Canada.Global mental health (Cambridge, England) · 2026Article
- Michigan housing initiatives involving health systems: A narrative review.Wellbeing, space and society · 2025Article
- Investigating the Role of Situational Disruptors in Engagement with Digital Mental Health Tools.CSCW : proceedings of the Conference on Computer-Supported Cooperative Work. Conference on Computer-Supported Cooperative Work · 2025Article
- Factors Associated with Housing Stability Among Individuals with Co-Occurring Serious Mental Illness and Substance Use Disorders Receiving Assertive Community Treatment Services.Community mental health journal · 2025Article
- Availability of Mobile Crisis Services in Mental Health Facilities.JAMA network open · 2025Article
- Strategies to Reduce Frequent Emergency Department Use among Persons Experiencing Homelessness with Mental Health Conditions: a Scoping Review.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- Profiles of Permanent Supportive Housing Residents Related to Their Housing Conditions, Service Use, and Associated Sociodemographic and Clinical Characteristics.The Psychiatric quarterly · 2024Article
- Article
- Implementing evidence-based supported employment within specialty mental health probation: A hybrid type I implementation-effectiveness trial protocol.Contemporary clinical trials · 2023Article
- Managing high-risk behaviours and challenges to prevent housing loss in permanent supportive housing: a rapid review.Harm reduction journal · 2023Review
- Association of homelessness and psychiatric hospital readmission-a retrospective cohort study 2016-2020.BMC psychiatry · 2023Article
- Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta-analysis and thematic synthesis.Campbell systematic reviews · 2023Review
- Mental health symptoms among homeless shelter residents during COVID-19 lockdown in Tshwane, South Africa.African journal of primary health care & family medicine · 2023Article
- Homeowner perspectives on the implementation of the Community Homes for Opportunity (CHO) program: an ethnographic group homes study in Southwestern Ontario Canada.BMC public health · 2023Article
- Tobacco use characteristics, treatment preferences, and motivation to quit among adults accessing a day shelter in Oklahoma City.Drug and alcohol dependence reports · 2022Article
- Impact of a Homeless Encampment Closure on Crime Complaints in the Bronx, New York City, 2017: Implications for Municipal Policy.Journal of evidence-based social work (2019) · 2022Article
- Severe Psychopathology and Substance Use Disorder Modify the Association Between Housing Trajectories and Food Security Among Homeless Adults.Frontiers in nutrition · 2021Article
- Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study.International journal of environmental research and public health · 2020Article
- Neighbourhood-level marginalization and avoidable mortality in Ontario, Canada: a population-based study.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- Predictors of Emergency Department Use among Individuals with Current or Previous Experience of Homelessness.International journal of environmental research and public health · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHousing First is an effective intervention to stably house and alter service use patterns in a large proportion of homeless people with mental illness. However, it is unknown whether there are differences in the patterns of service use over time among those who do or do not become stably housed and what effect, if any, Housing First has on these differing service use patterns. This study explored changes in the service use of people with mental illness who received Housing First compared to standard care, and how patterns of use differed among people who did and did not become stably housed.
methodsThe study design was a multi-site randomized controlled trial of Housing First, a supported housing intervention. 2039 participants (Housing First: n = 1131; standard care: n = 908) were included in this study. Outcome variables include nine types of self-reported service use over 24 months. Linear mixed models examined what effects the intervention and housing stability had on service use.
resultsParticipants who achieved housing stability, across the two groups, had decreased use of inpatient psychiatric hospitals and increased use of food banks. Within the Housing First group, unstably housed participants spent more time in prison over the study period. The Housing First and standard care groups both had decreased use of emergency departments and homeless shelters.
conclusionsThe temporal service use changes that occurred as homeless people with mental illness became stably housed are similar for those receiving Housing First or standard care, with the exception of time in prison. Service use patterns, particularly with regard to psychiatric hospitalizations and time in prison, may signify persons who are at-risk of recurrent homelessness. Housing support teams should be alert to the impacts of stay-based services, such as hospitalizations and incarcerations, on housing stability and offer an increased level of support to tenants during critical periods, such as discharges.
trial registrationISRCTN. ISRCTN42520374 . Registered 18 August 2009.
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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.