About UsThe Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. The COH is the curator of the Homeless Hub.The Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. The COH is the curator of the Homeless Hub.The Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. The COH is the curator of the Homeless Hub.The Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. The COH is the curator of the Homeless Hub.The Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. The COH is the curator of the Homeless Hub.The Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. The COH is the curator of the Homeless Hub.
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Promoting continuity of care for homeless adults with unmet health needs: The role of brief interventions
Author(s): Denise Lamanna, Vicky Stergiopoulos, Janet Durbin, Patricia O'Campo, Daniel Poremski, Joshua Tepper
Publication Date: 2017
Promoting timely and continuous care for people experiencing homelessness has been a challenge in many jurisdictions, plagued by access barriers and service fragmentation. As part of a larger programme evaluation, this study used qualitative methods to examine the role of a brief interdisciplinary intervention in supporting continuity of care for this population in a large Canadian urban centre. The intervention provides time-limited case managem...
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...
How did a Housing First intervention improve health and social outcomes among homeless adults with mental illness in Toronto? Two-year outcomes from a randomised trial
Author(s): Patricia O'Campo, Vicky Stergiopoulos, Pam Nir, Matthew Levy, Vachan Misir, Antony Chum, Bouchra Arbach, Rosane Nisenbaum, Matthew J To, Agnes Gozdzik; Roxana Salehi; Patricia O’Campo; Vicky Stergiopoulos; Stephen W Hwang
Publication Date: 2016
Abstract Objectives We studied the impact of a Housing First (HF) intervention on housing, contact with the justice system, healthcare usage and health outcomes among At Home/Chez Soi randomised trial participants in Toronto, a city with an extensive service network for social and health services for individuals who are experiencing homelessness and mental illness. Methods Participants identified as high needs were randomised to receive either th...
Conceptualizing Housing Instability: Experiences with Material and Psychological Instability Among Women Living with Partner Violence
Author(s): Patricia O'Campo, Nihaya Daoud, Sarah Hamilton-Wright, James Dunn
Publication Date: 2015
Although recent research has documented that partner violence places women at risk of homelessness and material housing instability, sparse evidence yet documents the existence or importance of psychological housing instability for this group. We draw from 45 women's reports of their experiences of housing instability across three periods: while living with their abusive partner, immediately after leaving the partner, and long after leaving. Hous...
Different faces of discrimination: perceived discrimination among homeless adults with mental illness in healthcare settings
Author(s): Anna Skosireva, Patricia O'Campo, Suzanne Zerger, Catharine Chambers, Susan Gapka, Vicky Stergiopoulos
Publication Date: 2014
Background Research on discrimination in healthcare settings has primarily focused on health implications of race-based discrimination among ethno-racial minority groups. Little is known about discrimination experiences of other marginalized populations, particularly groups facing multiple disadvantages who may be subjected to other/multiple forms of discrimination. Objectives: (1) To examine the prevalence of perceived discrimination due to home...
The contribution of socioeconomic position to the excesses of violence and intimate partner violence among Aboriginal versus non-Aboriginal women in Canada
Author(s): Nihaya Daoud, Janet Smylie, Marcelo Urquia, Billie Allan, Patricia O'Campo
Publication Date: 2013
OBJECTIVE: To examine the contribution of socio-economic position (SEP) in explaining the excess of any abuse and intimate partner violence (IPV) among Aboriginal versus non-Aboriginal women in Canada. This comparison has not been studied before. METHODS: We conducted logistic regression analysis, using nationwide data from a weighted sample of 57,318 Canadian-born mothers of singletons who participated in the Canadian Maternity Experiences Surv...
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...
Author(s): Patricia O'Campo
Publication Date: 2012
Globally, health and social inequities are growing and are created, actively maintained, and aggravated by existing policies and practices. The call for evidence-based policy making to address this injustice seems a promising strategy to facilitate a reversal of existing strategies and the design of new effective programming. Acting on evidence to address inequities requires congruence between identifying the major drivers of disparities and the...
Mortality among residents of shelters, rooming houses, and hotels in Canada: 11 year follow-up study
Author(s): Stephen W. Hwang, Russell Wilkins, Michael Tjepkema, Patricia O'Campo, James R. Dunn
Publication Date: 2009
Objective To examine mortality in a representative nationwide sample of homeless and marginally housed people living in shelters, rooming houses, and hotels. Design Follow-up study. Setting Canada 1991-2001. Participants 15, 100 homeless and marginally housed people enumerated in 1991 census. Main outcome measures Age specific and age standardised mortality rates, remaining life expectancies at age 25, and probabilities of survival from age 25 t...
Increasing Accessibility for Community Participants at Academic Conferences. Progress in Community Health Partnerships: Research, Education, and Action
Author(s): Robb Travers, Michael Wilson, Colleen McKay, Patricia O'Campo, Aileen Meagher, Stephen W. Hwang, Urica Jenny Parris, Laura Cowan
Publication Date: 2008
Background: To decrease the gulf between academic and community perspectives, there has been an increased call among stakeholder groups to collaborate in solving complex urban health problems. Despite these recent shifts, however, community partners face barriers to participate in conferences, ultimately limiting exchange of ideas and uptake of research data. This paper reports on the evaluation of the strategy used to engage community partic...
Community-Based Services for Homeless Adults Experiencing Concurrent Mental Health and Substance Use Disorders: A Realist Approach to Synthesizing Evidence
Author(s): Patricia O'Campo, Maritt Kirst, Nicole Schafer-McDaniel, Michelle Firestone, Allison Scott, Kelly McShane
Publication Date: 2009
This resource provides information about community-based services within the Toronto area in regards to co-occurring disorders. "Consultations with community-based service providers in Toronto identified a lack of strong research evidence about successful community-based interventions that address the needs of homeless clients experiencing concurrent mental health and substance use disorders. We undertook a collaborative research effort between a...
Author(s): Janet A Parsons, Gita Singh, Allison N Scott, Rosane Nisenbaum, Priya Balasubramaniam, Amina Jabbar, Qamar Zaidi, Amanda Sheppard, Jason Ramsay, Patricia O'Campo, James Dunn
Publication Date: 2010
There is a growing body of evidence that where you live is important to your health. Despite numerous previous studies investigating the relationship between neighbourhood deprivation (and structure) and residents' health, the precise nature of this relationship remains unclear. Relatively few investigations have relied on direct observation of neighbourhoods, while those that have were developed primarily in US settings. Evaluation of the transf...