Vanessa Schick1, Lindsey Wiginton1, Cathy Crouch1, Ali Haider1, Frances Isbell1. 1. Vanessa Schick is with the University of Texas Health Science Center at Houston, School of Public Health, Houston. Lindsey Wiginton is with the Houston Health Department, Houston. Cathy Crouch and Ali Haider are with SEARCH Homeless Services, Houston. Frances Isbell is with Healthcare for the Homeless-Houston, Houston.
Abstract
OBJECTIVES: To investigate the impact of an integrated care model on the health-related quality of life (HRQOL) of formerly chronically homeless individuals in permanent supportive housing. METHODS: From 2014 to 2017, eligible individuals in Houston, Texas (n = 323), were placed in 1 of 2 permanent supportive housing service delivery models. Both models included coordinated care teams. In the intervention group, teams had a single plan of care with the partnering clinic. The 9-item Patient Health Questionnaire and 36-item Short Form Survey were administered at baseline and every 6 months for 30 months. We assessed intervention group emergency department use at 2 years. We evaluated change by using hierarchical linear growth models. RESULTS: There was a significant and clinically meaningful increase in HRQOL in the intervention group, with the intervention group reporting improvement over the comparison group. Intervention group emergency department use decreased by 70% (no comparison group). CONCLUSIONS: Those in the intervention group with a single, coordinated plan of care reported significant and clinically meaningful increases in their HRQOL. Public Health Implications. Coordinated care models have potential to reduce societal costs and increase HRQOL, providing a financial and humanitarian justification for the continued investment in collaborative care in permanent supportive housing.
OBJECTIVES: To investigate the impact of an integrated care model on the health-related quality of life (HRQOL) of formerly chronically homeless individuals in permanent supportive housing. METHODS: From 2014 to 2017, eligible individuals in Houston, Texas (n = 323), were placed in 1 of 2 permanent supportive housing service delivery models. Both models included coordinated care teams. In the intervention group, teams had a single plan of care with the partnering clinic. The 9-item Patient Health Questionnaire and 36-item Short Form Survey were administered at baseline and every 6 months for 30 months. We assessed intervention group emergency department use at 2 years. We evaluated change by using hierarchical linear growth models. RESULTS: There was a significant and clinically meaningful increase in HRQOL in the intervention group, with the intervention group reporting improvement over the comparison group. Intervention group emergency department use decreased by 70% (no comparison group). CONCLUSIONS: Those in the intervention group with a single, coordinated plan of care reported significant and clinically meaningful increases in their HRQOL. Public Health Implications. Coordinated care models have potential to reduce societal costs and increase HRQOL, providing a financial and humanitarian justification for the continued investment in collaborative care in permanent supportive housing.
Authors: Debra J Rog; Tina Marshall; Richard H Dougherty; Preethy George; Allen S Daniels; Sushmita Shoma Ghose; Miriam E Delphin-Rittmon Journal: Psychiatr Serv Date: 2014-03-01 Impact factor: 3.084
Authors: R Rosenheck; J Morrissey; J Lam; M Calloway; M Stolar; M Johnsen; F Randolph; M Blasinsky; H Goldman Journal: Health Serv Res Date: 2001-08 Impact factor: 3.402
Authors: Margaret L Griffin; Heather E Bennett; Garrett M Fitzmaurice; Kevin P Hill; Scott E Provost; Roger D Weiss Journal: Am J Addict Date: 2015-03-24
Authors: Megan Shepherd-Banigan; Connor Drake; Jessica R Dietch; Abigail Shapiro; Amir Alishahi Tabriz; Elizabeth E Van Voorhees; Diya M Uthappa; Tsai-Wei Wang; Jay B Lusk; Stephanie Salcedo Rossitch; Jessica Fulton; Adelaide Gordon; Belinda Ear; Sarah Cantrell; Jennifer M Gierisch; John W Williams; Karen M Goldstein Journal: J Gen Intern Med Date: 2022-03-02 Impact factor: 6.473
Authors: Julia Corey; James Lyons; Austin O'Carroll; Richie Stafford; Jo-Hanna Ivers Journal: Int J Environ Res Public Health Date: 2022-03-09 Impact factor: 3.390