The main goal is to evaluate the impact of the Primer La Llar housing program for the homeless population on the mental health of the participants. The hypothesis is that the housing program, which follows Housing first model, for the homeless population has a positive impact on the mental health of the participants, compared to the group that does not receive the intervention -treatment as usual group (meaning the "positive impact" a lower score on the symptomatology scales and lower toxic intake in the group receiving the intervention).
The specific objectives are: Identify the socio-demographic and clinical characteristics of the participants. Compare the severity of psychiatric symptoms and improvement among the participants in the intervention group and the control group (depressive, anxious, psychotic or manic symptomatology, depending on the case). Compare the consumption of alcohol and drugs among the participants of both groups. Compare the basic daily life skills among the participants in both groups, as well as the improvement of them in the experimental group. Compare the use of services and between the participants of the intervention group and the control group. Intervention group receives entry to the program (which means individual and permanent housing without previous requirements such as abstinence, compliance with treatment or sobriety. Control group receives treatment as usual, as they are users of homeless population network of Barcelona.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
86
Housing First model: permanent housing without previous requirements such as abstinence, sobriety or compliance with treatment.
Prevalence and gravity of psychotic symptoms in both groups
PANSS scale (Positive And Negative Syndrome Scale). Subscales: 1. PANSS-P-Positive (7 ítems): range 7-49 (minimum and maximum scores) 2. PANSS-N-Negative (7 ítems). Range: 7-49. 3. PANSS-PG- general psychopathology (16 ítems). Range: 16-112. Higher values represent a worse outcome. Subscales are summed to compute a total score.
Time frame: Up to 21 months
Prevalence and gravity of anxious symptoms in both groups
HARS scale (Hamilton Anxiety Rating Scale). Total range:0-56. Higher values represent a worse outcome.
Time frame: Up to 21 months
Prevalence and gravity of depressive symptoms in both groups
HDRS scale (Hamilton Depression Rating Scale). Total range: 0-52. Higher values represent a worse outcome.
Time frame: Up to 21 months.
Changes in number of visits to the emergency room/health center/specialist doctors
To see if there are increases or decreases in use of general and specific health services; questionnaire on use of services.
Time frame: Up to 21 months
Basic skills of daily life
BELS scale (Basic everyday living skills). Range subscales: self-care (0-40) domestic skills (0-28) community skills (0-16) and activity and social relations (0-20). Higher value reports better outcome. Subescales are summed to compute a total score.
Time frame: Up to 21 months
Sociodemographic and psychopathological description of both groups
Number of participants from each country, average age, number of men and women, number of participants with a problem of substance abuse or mental health, etc. Assessed by a questionnaire about clinical and socio-demographic items.
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Time frame: Up to 21 months
Number of participants with an alcohol abuse problem assessed by Audit test
Changes in alcohol abuse in both groups Audit test (0-40). Higher value reports worse outcome.
Time frame: Up to 21 months
Number of participants with a drug abuse problem assessed by questionnaire on drug abuse
Increase or decrease on drug abuse in both groups
Time frame: Up to 21 months