Emergency Department Linkage to Care for Patients Experiencing Homelessness

ConditionHomelessness
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorDenver Health and Hospital Authority

About this trial

In an effort to improve access to primary care at time of discharge, patients who are homeless will be given either enhanced follow up through a street medicine team or routine follow up in clinic.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

adult (≥18 years of age) DHMC ED patient,

currently unsheltered, defined as living on the streets, in a vehicle, or in another place not fit for human habitation,

anticipating ED discharge, with

COPD or asthma exacerbation

Disqualifiers

have altered mentation (e.g., intoxication, or secondary to medical, psychiatric, or behavioral conditions) that are unable to communicate their location, contact information, or agree to follow up.

are prisoners,

previously enrolled.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Street medicine follow up

    Behavioral

    This intervention will use electronic health record builds to automatically send a referral to a street medicine clinic, who will attempt to contact the patient within 2 weeks.

Treatment groups

390 Participants
are divided into 2 treatment groups
Group A: Standard of CareNo intervention 0 interventions
Group B: Street medicineExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

ED visits

Repeat visits to the ED

Time frame
1 and 3 months

Secondary outcomes

1

Inpatient hospitalizations

Inpatient hospitalizations at this same hospital

Time frame
1 and 3 months
2

Mortality

Death

Time frame
3 months

Other outcomes

Sponsors and contacts

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