{"rowid": 5, "title": "[\"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\"]", "DOI": "10.1136/bmjopen-2015-010581", "URL": "http://dx.doi.org/10.1136/bmjopen-2015-010581", "created": "2016-09-13T01:49:12Z", "subject": "[\"General Medicine\"]", "references-count": "0", "is-referenced-by-count": "19", "ISSN": "[\"2044-6055\", \"2044-6055\"]", "container-title": "BMJ Open", "abstract": "<jats:sec><jats:title>Objectives</jats:title><jats:p>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.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Participants identified as high needs were randomised to receive either the intervention which provided them with housing and supports by an assertive community treatment team (HF+ACT) or treatment as usual (TAU). Participants (N=197) had in-person interviews every 3\u2005months for 2\u2005years.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The HF+ACT group spent more time stably housed compared to the TAU group with the mean difference between the groups of 45.8% (95% CI 37.1% to 54.4%, p&lt;0.0001). Accounting for baseline differences, HF+ACT group showed significant improvements over TAU group for community functioning, selected quality-of-life subscales and arrests at some time points during follow-up. No differences between HF+ACT and TAU groups over the follow-up were observed for health service usage, community integration and substance use.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>HF for individuals with high levels of need increased housing stability and selected health and justice outcomes over 2\u2005years in a city with many social and health services.</jats:p></jats:sec><jats:sec><jats:title>Trial registration number</jats:title><jats:p>ISRCTN42520374.</jats:p></jats:sec>", "author_number": "10", "orcids": "[]", "names": "[\"Patricia O'Campo\", \"Vicky Stergiopoulos\", \"Pam Nir\", \"Matthew Levy\", \"Vachan Misir\", \"Antony Chum\", \"Bouchra Arbach\", \"Rosane Nisenbaum\", \"Matthew J To\", \"Stephen W Hwang\"]", "award_numbers": "[\"\"]", "funder_names": "[\"\"]", "funder_dois": "[\"\"]"}