Permanent Supportive Housing Overdose Prevention

Running, not enrolling · Not applicable

Conditions studied: Overdose

In brief

Permanent supportive housing (PSH), the gold standard intervention for ending chronic homelessness, has expanded rapidly across the U.S. in recent years. Due to a confluence of individual and environmental risk factors, PSH tenants face heightened risk for overdose. While evidence-based practices to prevent overdose exist, they have not been broadly implemented in PSH settings. This study will address this research to practice gap by studying the implementation of evidence-based practices to prevent overdose in 20 PSH buildings in New York. In a community-partnered stepped wedge randomized controlled trial, the investigators will study a package of implementation strategies that includes an implementation toolkit, tenant and staff implementation champions, limited practice facilitation, and learning collaboratives. Outcomes will be examined using surveys and qualitative interviews with PSH tenants and staff; observation; and analysis of Medicaid claims data.

Key facts

Study ID

NCT05786222

Run by

NYU Langone Health

People needed

1350

Starts

2023-09-26

Expected to finish

2027-01-31

Last updated by the study team

2026-05-05

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Tenant surveys: To be eligible to participate in the tenant survey part of this study, an individual must:
• Be a supportive housing tenant in a participating building
• Be at least 18 years old
• Be able to read and respond to a survey in English or Spanish
• Staff surveys: To be eligible to participate in the staff survey part of this study, an individual must work for a participating PSH building (or have worked for one in the past 6 months). All PSH building staff are at least 18 years old and are able to read and respond to a survey in English. Staff surveys will begin with a question confirming eligibility.
• Qualitative interviews: To be eligible to participate in the qualitative interview part of this study, an individual must:
• Work for or live in a participating PSH building
• Serve as staff (including leaders) or tenant implementation champion
• Be at least 18 years old
• Speak and understand English
• Medicaid data analysis: Identifying information for all tenants in participating buildings (to be provided to the study team by buildings as described in a bilaterally signed information sharing agreement) will be used to conduct a match with Medicaid administrative data.

You may not qualify if…

• Children under the age of 18 years old will be excluded, including from the Medicaid data analysis.

Where it is running

• NYU Langone Health — New York, New York, United States

Full record on ClinicalTrials.gov

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