ED-Home Pilot Study

Study Overview
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Brief Summary
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This is a single-arm pilot study to test the feasibility of homelessness prevention and substance use interventions to be delivered to at-risk patients in the Bellevue Hospital emergency department (ED). ED patients (n=40) found eligible for the study will complete a baseline assessment and receive referrals to appropriate services, with a final six-month follow-up assessment.

Detailed Description
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ED patients found eligible for the study will complete a baseline survey and receive one-time, in person services at the time of the baseline/enrollment ED visit including referrals to homelessness prevention and substance use services, with a final six-month follow-up survey. Interim contacts at 7-10 days, 3 months, and 5 months will be used to assure intervention components were received and to confirm participant contact information.

Official Title
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ED-Home: A Pilot Feasibility Study of a Homelessness Prevention Intervention for Substance Using Emergency Department Patients

Conditions
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Housing Problems, Drug Use, Alcohol; Use, Problem

Intervention / Treatment
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* Behavioral: Referral to homelessness prevention services
* Behavioral: Substance use services
* Behavioral: Follow-up


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Be a patient in the Bellevue Hospital Center ED. Be ≥18 years old. Screen positive for homelessness risk using a homelessness risk screening tool (HRST). Screen positive for unhealthy alcohol or drug use. Able to provide consent. Exclusion Criteria: Medically (e.g., critically ill) or psychiatrically unstable. Unable to provide informed consent for other reason (e.g., cognitive deficit, profound intoxication). Incarcerated or in police custody. Unable to understand and speak English. Lives outside NYC and/or cannot give a NYC ZIP code. Already homeless (residing in a shelter or on the streets). Does not have a telephone where can be reached for follow-up. Has already received specialized peer navigator/addiction social worker services during current ED visit. Has already participated in the study.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Homelessness Prevention Services<br> | Behavioral: Referral to homelessness prevention services<br>* Referral to Homebase homelessness prevention services offered by community-based organizations in NYC<br>Behavioral: Substance use services<br>* Referral to substance use services (SBIRT and peer counselor/social work contact) available at Bellevue Hospital<br>Behavioral: Follow-up<br>* Follow-up to assist participants in receiving homelessness prevention services<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of Potential Participants Approached Who Were Eligible for the Study |  | Month 6 | 
| Percentage of Eligible Participants Who Agreed to Participate in the Study |  | Month 6 | 
| Number of Participants Who Received Referrals for Homelessness Prevention and/or Substance Use Services |  | Month 6 |