Aligning Resources to Care for Homeless Veterans

Completed · Not applicable

Conditions studied: Homeless Persons, Primary Health Care

In brief

"Aligning Resources to Care for Homeless Veterans" (ARCH) will study ways to best organize and deliver primary care for homeless Veterans. The investigators will assess 4 different adaptations of the PACT primary care model in a mixed methods study that includes multi-center, randomized-controlled trials of embedded peer-mentoring within different iterations of the PACT model, focus groups of study participants assessing satisfaction, treatment engagement and self-efficacy within the different care models and a cost-utility analysis to determine the most cost-efficient approach to organizing care for this population. Findings from this study will help determine optimal care approaches for reducing emergency department visits and acute hospitalizations, increasing patient satisfaction, and improving chronic disease management. Findings from this study will also substantively add to our understanding of health seeking behavior and the care of vulnerable/high-risk Veteran populations as well as clinical systems design. This project reflects a true "field-based study" to identify optimal and feasible approaches to patient care within our current VHA system. Finally, it will help inform pressing policy issues relevant to two identified T-21 priority areas: Ending Veteran Homelessness in 5 Years and Transforming to a Patient Centered Primary Care model.

Key facts

Study ID

NCT01550757

Run by

VA Office of Research and Development

People needed

382

Starts

2012-03-01

Expected to finish

2016-09-01

Last updated by the study team

2017-10-11

Who can join

Age: 18 and older, up to 80. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• The study population will be homeless Veterans enrolled in primary care (including both new and established patients who are homeless at the time of enrollment).
• Currently homeless to include: unsheltered; staying in an emergency shelter; in transitional/Grant and Per Diem housing; or doubled-up with a family member or friend and not paying rent.

You may not qualify if…

• Currently enrolled in Mental Health Intensive Case Management (MHICM) or other VA-based case/care managed program;
• Stated plans to leave the area within 6 months of enrollment;
• Unable or unwilling to provide informed consent;
• Pregnant women will because excluded because we do not wish to detract from the amount of specialty care and services they receive and need.

Where it is running

• San Francisco VA Medical Center, San Francisco, CA — San Francisco, California, United States
• Providence VA Medical Center, Providence, RI — Providence, Rhode Island, United States

Full record on ClinicalTrials.gov

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