Assessing the impact of Connect 2 Care on the residential stability of homeless and vulnerably housed clients

Alberta Academic Review

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Field Value
 
Title Assessing the impact of Connect 2 Care on the residential stability of homeless and vulnerably housed clients
 
Creator Dewsnap, Kyle
Kamran, Hasham
Rondeau, Kimberly
Polachek, Alicia
Fabreau, Gabriel
McBrien, Kerry
 
Subject Homelessness
Unstable housing
Social Determinants of Health
Health Navigation
Health Outreach
 
Description Background
Certain kinds of housing instability, such as foreclosure and homelessness, have been associated with poorer physical and mental health. The Connect 2 Care (C2C) program targets medically complex individuals who are unstably housed, primarily aimed at reducing acute care utilization and connecting clients to appropriate community-based care. However, because housing status is a fundamental determinant of health, the team also assists clients in finding permanent housing. As the C2C program aims to improve the health of its clients, we hope that this intervention positively impacts the housing stability of clients.
Objective
To determine whether the C2C program is effective in reducing factors of housing instability, such as the frequency of housing moves made, and time spent in unstable housing (such as shelters or sleeping outside).
Methods
C2C clients were asked to participate in 6- and 12- month follow-up surveys with a member of the research team. During both surveys, participants were prompted to describe their housing history using the Residential Time-Line Follow-Back (rTLFB) inventory. Starting at six months prior to their intake into C2C, participants created a twelve- to eighteen-month timeline that detailed their residential locations and number of housing transitions. Location descriptions provided by clients were categorized as stable, temporary, institutional, or literal homelessness. The number of housing transitions and the proportion of time spent in each housing category were then calculated for each individual. Changes in proportion of time spent over three unique time periods were evaluated using Wilcoxon’s paired rank test with Holm’s multiplicity correction.
Results
Since September 2018, housing data was collected from 100 unique clients. In comparing the six months preceding C2C intake with the six-to-twelve months after C2C intake, significant reductions in the amount of time spent in literal homelessness (p < 0.001) and reductions in the number of housing changes (p = 0.014) were observed.
Discussion
Housing stability for C2C clients improved after enrolment in the program. This study was potentially limited by incomplete sampling of the C2C population. Based on our findings, further research should be conducted in evaluating the relationship between increases in housing stability and increases of health status.
Acknowledgements
The C2C research team thanks Alberta Innovates and the Canadian Institute of Health Research for their financial support. The authors have no conflict of interests to state.
 
Publisher Alberta Academic Review Ltd
 
Date 2019-10-31
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier https://albertaacademicreview.com/index.php/aar/article/view/107
10.29173/aar107
 
Source Alberta Academic Review; Vol 2 No 3 (2019): CASCH Special Issue; 17
2561-5335
2561-5327
 
Language eng
 
Relation https://albertaacademicreview.com/index.php/aar/article/view/107/68
 
Rights Copyright (c) 2019 Kyle Dewsnap, Hasham Kamran, Kimberly Rondeau, Alicia Polachek, Gabriel Fabreau, MD, Kerry McBrien, MD
https://creativecommons.org/licenses/by/4.0
 

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