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Bridging Hospital and Community Care for Homeless Adults with Mental Health Needs: Outcomes of a Brief Interdisciplinary Intervention
Author(s): Vicky Stergiopoulos, Agnes Gozdzik, Rosane Nisenbaum
Publication Date: 2018
Abstract Objective: This study examines health and service use outcomes and associated factors among homeless adults participating in a brief interdisciplinary intervention following discharge from hospital. Method: Using a pre-post cohort design, 223 homeless adults with mental health needs were enrolled in the Coordinated Access to Care for the Homeless (CATCH) program, a 4- to 6-month interdisciplinary intervention offering case management, pe...
Bridging Hospital and Community Care for Homeless Adults with Mental Health Needs: Outcomes of a Brief Interdisciplinary Intervention
Author(s): Vicky Stergiopoulos, Agnes Gozdzik, Rosane Nisenbaum
Publication Date: 2018
Abstract Objective: This study examines health and service use outcomes and associated factors among homeless adults participating in a brief interdisciplinary intervention following discharge from hospital. Method: Using a pre-post cohort design, 223 homeless adults with mental health needs were enrolled in the Coordinated Access to Care for the Homeless (CATCH) program, a 4- to 6-month interdisciplinary intervention offering case mana...
Food security among individuals experiencing homelessness and mental illness in the At Home/Chez Soi Trial
Author(s): Patricia O’Campo, Stephen W Hwang, Agnes Gozdzik, Andrée Schuler, Vered Kaufman-Shriqui, Daniel Poremski, Luis Ivan Palma Lazgare, Jino Distasio, Slimane Belbraouet, Sindi Addorisio
Publication Date: 2017
Individuals experiencing homelessness are particularly vulnerable to food insecurity. The At Home/Chez Soi study provides a unique opportunity to first examine baseline levels of food security among homeless individuals with mental illness and second to evaluate the effect of a Housing First (HF) intervention on food security in this population. At Home/Chez Soi was a 2-year randomized controlled trial comparing the effectiveness of HF compared w...
Profiles of criminal justice system involvement of mentally ill homeless adults
Author(s): Laurence Roy, Anne G. Crocker, Tonia L. Nicholls, Eric Latimer, Agnes Gozdzik, Patricia O'Campo, Jennifer Rae
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...
Housing First for older homeless adults with mental illness: a subgroup analysis of the At Home/Chez Soi randomized controlled trial
Author(s): Timothy E. Chung, Agnes Gozdzik, Luis I. Palma Lazgare, Matthew J. To, Tim Aubry, James Frankish, Stephen W. Hwang, Vicky Stergiopoulos
Publication Date: 2017
Objective This study compares the effect of Housing First on older (≥50 years old) and younger (18–49 years old) homeless adults with mental illness participating in At Home/Chez Soi, a 24-month multisite randomized controlled trial of Housing First. Method At Home/Chez Soi, participants (n = 2148) were randomized to receive rent supplements with intensive case management or assertive community treatment, based on their need level for mental h...
Integrating Hospital and Community Care for Homeless People with Unmet Mental Health Needs: Program Rationale, Study Protocol and Sample Description of a Brief Multidisciplinary Case Management Intervention
Author(s): Vicky Stergiopoulos, Agnes Gozdzik, Rosane Nisenbaum, Denise Lamanna, Stephen W. Hwang, Joshua Tepper, Don Wasylenki
Publication Date: 2017
The Coordinated Access to Care for Homeless People (CATCH) program is a brief multidisciplinary case management intervention for homeless adults discharged from hospital in Toronto, Canada. Here we describe the rationale for CATCH program development, details of the mixed methods evaluation underway, and the characteristics of 225 CATCH service users. Funded in 2010 by the local health authority, CATCH aimed to improve access, continuity of care,...
The high burden of traumatic brain injury and comorbidities amongst homeless adults with mental illness
Author(s): Jane Topolovec-Vranic, Andrée Schuler, Agnes Gozdzik, Julian Somers, Paul-Emile Bourque, Charles James Frankish, Jalila Jbilou, Sarah Pakzad, Luis Ivan Palma Lazgare, Stephen W. Hwang
Publication Date: 2016
Objective To characterize the prevalence of self-reported head injury with loss of consciousness (LOC) and associated demographic, clinical and service use factors in a sample of homeless adults with mental illness. Method Participants in the At Home/Chez Soi study were interviewed at the time of study enrollment regarding their history of head injuries, mental and physical health diagnoses, and justice system and healthcare interactions. Sociode...
The effectiveness of a Housing First adaptation for ethnic minority groups: findings of a pragmatic randomized controlled trial
Author(s): Vicky Stergiopoulos, Agnes Gozdzik, Vachan Misir, Anna Skosireva, Aseefa Sarang, Jo Connelly, Adam Whisler, Kwame McKenzie
Publication Date: 2016
Abstract Background Little is known about the effectiveness of Housing First (HF) among ethnic minority groups, despite its growing popularity for homeless adults experiencing mental illness. This randomized controlled trial tests the effectiveness of a HF program using rent supplements and intensive case management, enhanced by anti-racism and anti-oppression practices for homeless adults with mental illness from diverse ethnic minority backgr...
Racial-Ethnic Differences in Health Service Use in a Large Sample of Homeless Adults With Mental Illness From Five Canadian Cities
Author(s): Vicky Stergiopoulos, Agnes Gozdzik, Rosane Nisenbaum, Helen-Maria Vasiliadis, Catharine Chambers, Kwame McKenzie, Vachan Misir
Publication Date: 2016
Objective: This study examined factors associated with health care use in an ethnically diverse Canadian sample of homeless adults with mental illness, a particularly disadvantaged group. Methods: Baseline survey data were available from five sites across Canada for 2,195 At Home/Chez Soi demonstration project participants. Negative binomial regression models examined the relationship between racial-ethnic or cultural group membership (white, N=1...
Strategies to Balance Fidelity to Housing First Principles with Local Realities: Lessons from a Large Urban Centre
Author(s): Patricia O’Campo, Suzanne Zerger, Agnes Gozdzik, Jeyagobi Jeyaratnam, Vicky Stergiopoulos
Publication Date: 2015
The importance of program implementation in achieving desired outcomes is well-documented, but there remains a need for concrete guidance on how to achieve fidelity to evidence-based models within dynamic local contexts. Housing First (HF), an evidence-based model for people experiencing homelessness and mental illness, provides an important test-case for such guidance; it targets a uniquely underserved subpopulation with complex needs, and is de...
At Home/Chez Soi Project: Toronto Site Final Report
Author(s): Vicky Stergiopoulos, Pat O'Campo, Stephen Hwang, Agnes Gozdzik, Jeyagobi Jeyaratnam, Vachan Misir, Rosane Nisenbaum, Suzanne Zerger, Maritt Kirst
Organization: Mental Health Commission of Canada
Publication Date: 2014
This report documents the final results of the At Home/Chez Soi Toronto site’s research demonstration project, which examined Housing First as a means of ending homelessness for people who are living with mental illness with a particular focus on those from ethnoracial backgrounds. The project followed 575 participants for two years and compared Housing First to available local services. Also available on the Mental Health Commission of Canada we...
Housing First: Exploring participants’ early support needs
Author(s): Vicky Stergiopoulos, Agnes Gozdzik, Patricia O’Campo, Alixandra R. Holtby, Jeyagobi Jeyaratnam, Sam Tsemberis
Publication Date: 2014
Background: Housing First has become a popular treatment model for homeless adults with mental illness, yet little is known about program participants’ early experiences or trajectories. This study used a mixed methods design to examine participant changes in selected domains 6 months after enrolment in a Canadian field trial of Housing First. Methods: The study sample included 301 participants receiving the Housing First intervention at the Toro...
Moving from rhetoric to reality: adapting Housing First for homeless individuals with mental illness from ethno-racial groups
Author(s): Vicky Stegiopoulos, Patricia O'Campo, Agnes Gozdzik, Jeyagobi Jeyaratnam, Simon Corneau, Aseefa Sarang, Stephen Hwang
Publication Date: 2012
Background The literature on interventions addressing the intersection of homelessness, mental illness and race is scant. The At Home/Chez Soi research demonstration project is a pragmatic field trial investigating a Housing First intervention for homeless individuals with mental illness in five cities across Canada. A unique focus at the Toronto site has been the development and implementation of a Housing First Ethno-Racial Intensive Case Manag...
Ending homelessness among people with mental illness: the At Home/Chez Soi randomized trial of a Housing First intervention in Toronto
Author(s): Stephen W. Hwang, Vicky Stergiopoulos, Patricia O'Campo, Agnes Gozdzik
Publication Date: 2012
The At Home/Chez Soi (AH/CS) Project is a randomized controlled trial of a Housing First intervention to meet the needs of homeless individuals with mental illness in five cities across Canada. The objectives of this paper are to examine the approach to participant recruitment and community engagement at the Toronto site of the AH/CS Project, and to describe the baseline demographics of participants in Toronto. Methods Homeless individuals (n = 5...