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Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience
Author(s): Kevin Pottie, Claire E. Kendall, Tim Aubry, Olivia Magwood, Anne Andermann, Ginetta Salvalaggio, David Ponka, Gary Bloch, Vanessa Brcic, Eric Agbata, Kednapa Thavorn, Terry Hannigan, Andrew Bond, Susan Crouse, Ritika Goel, Esther Shoemaker, Jean Zhuo Jing Wang, Sebastian Mott, Harneel Kaur, Christine Mathew, Syeda Shanza Hashmi, Ammar Saad, Thomas Piggott, Neil Arya, Nicole Kozloff, Michaela Beder, Dale Guenter, Wendy Muckle, Stephen Hwang, Vicky Stergiopoulos, Peter Tugwell
Publication Date: 2020
This guide presents clinical evidence to help develop interventions to improve health and social outcomes for folks vulnerably housed or experiencing homelessness. Key Points:  Clinical assessment and care of homeless and vulnerably housed populations should include tailoring approaches to a person’s gender, age, Indigenous heritage, ethnicity and history of trauma; and advocacy for comprehensive primary health care. As initial steps in the c...
The impact of Interventions for Youth Experiencing Homelessness on Housing, Mental Health, Substance Use, and Family Cohesion: A Systematic Review
Author(s): Jean Zhuo Wang, Sebastian Mott, Olivia Magwood, Christine Mathew, Andrew Mclellan, Victoire Kpade, Priya Gaba, Nicole Kozloff, Kevin Pottie, Anne Andermann
Publication Date: 2019
Youth often experience unique pathways into homelessness, such as family conflict, child abuse and neglect. Most research has focused on adult homeless populations, yet youth have specific needs that require adapted interventions. This review aims to synthesize evidence on interventions for youth and assess their impacts on health, social, and equity outcomes. This review identified a variety of interventions for youth experiencing homelessness....
Convergent Validity of the EQ-5D-3L in a Randomized-Controlled Trial of the Housing First Model
Author(s): Nicole Kozloff, Andrew D. Pinto, Vicky Stergiopoulos, Stephen W. Hwang, Patricia O’Campo, Ahmed M. Bayoumi
Publication Date: 2019
Health utility assessments are important for economic evaluations but few instruments have been validated in homeless people with mental illness. We examined the convergent validity of the EuroQol-5 Dimension 3-level questionnaire (EQ-5D-3L) as a measure of quality of life in homeless adults with mental illness.
1.6 Crisis Response with Street-Involved Youth
Author(s): Nicole Kozloff, Yvonne Bergmans, John Langley, Vicky Stergiopoulos
Publisher: Canadian Observatory on Homelessness Press
Publication Date: 2018
Youth who are under-housed or street involved can experience crises that include injury by violence, aggressive behaviours, and thoughts of suicide. These crises can be challenging and frightening not only for the youth experiencing them, but also for service providers who work with these young people. Using a strength-based approach during a crisis helps youth develop personal agency. Personal agency refers to the sense of having control over on...
An Observational Study of Suicide Death in Homeless and Precariously Housed People in Toronto
Author(s): Mark Sinyor, Nicole Kozloff, Catherine Reis, Ayal Schaffer
Publication Date: 2017
Objective Homelessness has been identified as an important risk factor for suicide death, but there is limited research characterising homeless people who die by suicide. The goal of this study is to identify personal, clinical, and suicide method-related factors that distinguish homeless and precariously housed people who die from suicide from those who are not homeless at the time of suicide. Methods Coroner records were reviewed for all suicid...
"Housing First" for Homeless Youth with Mental Illness
Author(s): Nicole Kozloff, Carol E. Adair, Luis I. Palma Lazgare, Daniel Poremski, Amy H. Cheung, Rebeca Sandu, Vicky Stergiopoulos
Publication Date: 2016
Background and Objectives: "Housing First" has been shown to improve housing stability in homeless individuals with mental illness, but had not been empirically tested in homeless youth. We aimed to evaluate the effect of "Housing First" on housing stability in homeless youth aged 18 to 24 years participating in At Home/Chez Soi, a 24-month randomized trial of "Housing First" in 5 Canadian cities. Methods: Homeless individuals with mental illness...
The Unique Needs of Homeless Youths With Mental Illness: Baseline Findings From a Housing First Trial
Author(s): Nicole Kozloff, Vicky Stergiopoulos, Carol E. Adair, Amy H. Cheung, Vachan Misir, Greg Townley, Jimmy Bourque, Michael Krausz, Paula Goering
Publication Date: 2016
Objective: Although youth homelessness presents a significant public health problem, the needs of homeless youths with mental illness, as distinct from adults, are not well understood. This study examined the unique demographic, clinical, and service use characteristics of homeless youths. Methods: At Home/Chez Soi was a large randomized controlled trial of the Housing First model in five cities in Canada. Of 2,255 participants, 7% (N=164) were y...