Homeless Care Management App

m-Health to Increase Service Utilization in Recently Incarcerated Homeless Adults

Sponsors

Lead Sponsor: University of Oklahoma

Collaborator: The University of Texas Health Science Center, Houston
National Institutes of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)

Source University of Oklahoma
Brief Summary

There is a significant revolving door of incarceration among homeless adults, a population with substantial health disparities. Homeless adults who receive the professional coordination of individualized care (i.e., case management) during the period following their release from jail experience fewer mental health and substance use problems, are more likely to obtain stable housing, and are less likely to be re-incarcerated. The proposed study will use mobile technology to address these barriers and fill gaps in the understanding of the causes of the revolving door of homeless incarceration. This research represents a step toward integrated service connection and healthcare service provision for one of the most underserved, high need, and understudied populations in the United States. Smart phone apps that increase the use of available healthcare services and identify predictors of key outcomes (e.g., homelessness, re-arrest, medication compliance) could be used to reach hard to reach populations with histories of significant and persistent health disparities (e.g., homeless adults).

Overall Status Active, not recruiting
Start Date April 27, 2018
Completion Date May 2022
Primary Completion Date May 2022
Phase Phase 3
Study Type Interventional
Primary Outcome
Measure Time Frame
Number of case management sessions completed 6-month follow-up
Secondary Outcome
Measure Time Frame
Number of homeless nights 6 months
Number of arrests 12 months
Alcohol use 6 months
Drug use 6 months
Enrollment 234
Condition
Intervention

Intervention Type: Behavioral

Intervention Name: In-Person Case Management at Homeless Recovery Program

Description: In-Person Case Management at Homeless Recovery Program

Intervention Type: Behavioral

Intervention Name: Unlimited Smartphone

Description: Smartphone with unlimited calls, texts, and data plan

Intervention Type: Behavioral

Intervention Name: Smartphone Based Case Management (SPCM) app

Description: Smartphone Based Case Management app

Arm Group Label: Smartphone Based Case Management (SPCM)

Eligibility

Criteria:

Inclusion Criteria:

- released from Dallas County Jail in the past month

- plan to reside in the Dallas area for the next year

- enrolled in The Bridge Homeless Recovery Program

- willing and able to attend the baseline visit, randomization visit, and the 1, 3, and 6-month follow-up visits

- score ≥ 4 on the REALM-SF indicating > 6th grade English literacy level

- score >24 on the Mini-Mental State Exam indicating no substantial cognitive impairment.

Exclusion Criteria

- Cannot read English

- Under the age of 18

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

Overall Official
Location
Facility:
University of Oklahoma Health Sciences Center - OTRC | Oklahoma City, Oklahoma, 73104, United States
UTHealth School of Public Health | Dallas, Texas, 75390, United States
Location Countries

United States

Verification Date

April 2020

Responsible Party

Type: Sponsor

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 3
Arm Group

Label: Usual Case Management (UCM)

Type: Active Comparator

Description: Group receives standard case management at the shelter

Label: UCM + Smartphone

Type: Experimental

Description: Group receives standard case management and an unlimited smartphone

Label: Smartphone Based Case Management (SPCM)

Type: Experimental

Description: Group receives standard case management and an unlimited smartphone with the SPCM app

Acronym Link2Care
Patient Data No
Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Treatment

Masking: None (Open Label)

Source: ClinicalTrials.gov