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Publication Date: 2020
Frequent emergency department (ED) users experiencing homelessness are associated with high costs for healthcare systems yet interventions for this group have been minimally investigated. This study used 24-month data from a multisite randomized controlled trial of Housing First (HF) to examine how effective the intervention is in helping frequent ED users with a mental illness to achieve housing stability, improve behavioural health and function...
Publication Date: 2020
The smart city is a concept of utilizing digital technologies to improve and enhance the lives of a city’s inhabitants. This concept has been the subject of increasing interest over the past few years. However, most studies address improving aspects of a city’s infrastructure, such as information security, privacy, communication networks, government, and transportation. Noticeably absent from the subject matter of these studies are social problem...
Organization: Ministere de la Sante et des Services sociaux
Publication Date: 2019
Dans le Plan d’action interministériel en itinérance 2015-2020 — Mobilisés et engagés pour prévenir et réduire l’itinérance, le ministère de la Santé et des Services sociaux (MSSS) s’est engagé à réaliser un deuxième portrait de l’itinérance au Québec visant à accroître sa compréhension du phénomène de l’itinérance en se basant sur différents types d’indicateurs et de méthodologies. Le dénombrement réalisé au printemps 2018 représente l’un de ces...
Organization: Ministere de la Sante et des Services sociaux; Mouvement pour mettre fin à l'itinérance à Montréal
Publication Date: 2019
Le dénombrement de 2015 avait été mandaté et financé par la Ville de Montréal. Le dénombrement de 2018 s’est inscrit dans un contexte beaucoup plus large. Tout d’abord, il faisait partie d’un dénombrement réalisé simultanément dans 11 régions du Québec, sous la coordination du ministère de la Santé et des Services sociaux (MSSS). Ensuite, ce premier dénombrement à l’échelle de la province s’inscrivait lui-même dans le deuxième portrait de l’itiné...
Publication Date: 2016
Objectives:
This study aims to examine the rates of self-reported contacts with the criminal justice system among homeless adults with mental illness, to identify the characteristics of participants who have had contacts with the criminal justice system, to report the dimensional structure of criminal justice system involvement in this sample, and to identify typologies of justice-involved participants.
Methods:
Self-report data on criminal justi...
Organization: American Public Health Association
Publication Date: 2013
Objective:
The At Home/Chez Soi randomized controlled trial examines the effectiveness of a less resource-intensive Housing First intervention using Intensive Case Management (HF-ICM) for homeless individuals with mental illness and moderate levels of unmet mental health needs.
Method:
Homeless individuals with mental illness (N=1198) in four Canadian cities (Vancouver, Winnipeg, Toronto and Montreal) were randomized to HF-ICM or treatment-as...
Publication Date: 2017
Background and objective
Participants experiencing homelessness and mental illness who received housing and support through the At Home/Chez Soi trial showed modest gains in quality of life (QOL) compared to treatment as usual participants. Participants’ QOL ratings over time may have been affected by either response shift triggered by new life circumstances or by random variation in the meaning of QOL ratings. This study seeks to identify both...
Publication Date: 2017
Abstract
This research examined the sustainability of Canada's At Home/Chez Soi Housing First (HF) programs for homeless persons with mental illness 2 years after the end of the demonstration phase of a large (more than 2000 participants enrolled), five-site, randomized controlled trial. Qualitative interviews were conducted with 142 participants (key informants, HF staff, and persons with lived experience) to understand sustainability outcomes a...
Publication Date: 2016
On March 24, 2015, 537 volunteers and 18 street workers took to Montreal’s streets, subway stations and part of its underground city, looking for homeless people and asking them to respond to a short survey. They also went into shelters. On March 25 and 26, 125 volunteers visited day centres and soup kitchens with the same purpose. From April to June a research team contacted shelters, transitional housing providers, hospitals, provincial detenti...
Publication Date: 2016
Housing First is emerging as an evidence-based practice for housing and supporting people who are homeless and have a mental illness. The objective of this study was to determine whether Housing First increases the odds of obtaining competitive employment in this population and affects income, including income from informal and illegal sources.
A total of 2,148 people with a mental illness were recruited from five Canadian cities while they were...
Publication Date: 2015
OBJECTIVE:
Housing First (HF) programs for people who are chronically or episodically homeless, combining rapid access to permanent housing with community-based, integrated treatment, rehabilitation and support services, are rapidly expanding in North America and Europe. Overall costs of services use by homeless people can be considerable, suggesting the potential for significant cost offsets with HF programs. Our purpose was to provide an update...
Publication Date: 2015
Objectives
Research suggests that homeless people with mental illness may have difficulty obtaining employment and disability benefits. Our study provides a comprehensive description of sources of income and employment rates in a large Canadian sample.
Methods
Participants (n = 2085) from the 5 sites of the At Home/Chez Soi study were asked about their income, employment, and desire for work during the pre-baseline period. The proportion of parti...
One-Year Outcomes of a Randomized Controlled Trial of Housing First With ACT in Five Canadian Cities
Publication Date: 2015
Objective:
Housing First is a groundbreaking approach to ending chronic homelessness among people with mental illness. This article presents one-year findings from a multisite randomized controlled trial (RCT) comparing Housing First with treatment as usual.
Methods:
The study was a nonblind, parallel-group RCT conducted in five Canadian cities. A sample of 950 high-need participants with severe mental illness, who were either absolutely hom...
Publication Date: 2014
Background: The rate of unemployment among homeless people is estimated to exceed 80%. A high prevalence of mental illness partially explains this figure, but few studies about the relationship between employment and homelessness have focused on homeless people with mental illness.
Aim: The present study explores the self-reported barriers to employment in a sample of individuals with mental illness when they were homeless.
Methods: A sample of...
Organization: Mental Health Commission of Canada
Publication Date: 2014
This report documents the final results of the At Home/Chez Soi research demonstration project, which examined Housing First as a means of ending homelessness for people living with mental illness in Canada. The project followed more than 2,000 participants for two years, and was the world’s largest trial of Housing First, with demonstration sites in Vancouver, Winnipeg, Toronto, Montréal, and Moncton.
This report is also available on the Mental...
Organization: Mental Health Commission of Canada
Publication Date: 2012
Over 900 individuals from our shelters and on our streets who have not been well served by our current approach are now housed in adequate, affordable and suitable settings. Eighty six percent of participants remain in their first or second unit (as of August 2012). At 12 months those in the Housing First intervention had spent an average of 73% of their time in stable housing. In contrast, those in treatment as usual (TAU) spend only 30% of thei...
Publication Date: 2011
This paper summarizes the findings for North America of the World Psychiatric Association (WPA) Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. (Authors)