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).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
403
In-Person Case Management at Homeless Recovery Program
Smartphone with unlimited calls, texts, and data plan
Smartphone Based Case Management app
University of Oklahoma Health Sciences Center - OTRC
Oklahoma City, Oklahoma, United States
UTHealth School of Public Health
Dallas, Texas, United States
Number of Case Management Sessions Completed
Total number of sessions completed between the randomization visit and 6-month follow-up
Time frame: 6-month follow-up
Number of Homeless Nights
Total number of self-reported homeless nights over the 6 month study period (via Timeline Follow Back Procedures). Participants with any missing are excluded.
Time frame: 6 months
Number of Re-arrests
Total number of times each participant is booked into Dallas County Jail (using jail arrest records)
Time frame: 12 months
Alcohol Use
Number of days of alcohol use (via Timeline Follow Back procedures). Any participant that missed any of the follow-ups are missing.
Time frame: 6 months
Drug Use
Number of days of drug use (via Timeline Follow Back procedures). Any participant that missed any of the 3 follow-ups are missing.
Time frame: 6 months
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