Resource-limited, collaborative pilot intervention for chronically homeless, alcohol-dependent frequent emergency department users

R.P. McCormack, L.F. Hoffman, S.P. Wall and L.R. Goldfrank

American Journal of Public Health, 2013, vol. 103, issue S2, S221-S224

Abstract: We introduced case management and homeless outreach to chronically homeless, alcohol-dependent, frequent emergency department (ED) visitors using existing resources. We assessed the difference in differences of ED visits 6 months preand postintervention using a prospective, nonequivalent control group trial. Secondary outcomes included changes in hospitalizations and housing. The differences in differences between intervention and prospective patients and retrospective controls were -12.1 (95% CI = -22.1, -2.0) and -12.8 (95% CI = -26.1, 0.6) for ED visits and -8.5 (95% CI = -22.8, 5.8) and -19.0 (95% CI = -34.3, -3.6) for inpatient days, respectively. Eighteen participants accepted shelter; no controls were housed. Through intervention, ED use decreased and housing was achieved.

Keywords: adult; alcoholism; article; case management; cooperation; emergency health service; female; homelessness; hospitalization; housing; human; male; middle aged; mortality; pilot study; statistics; United States; alcoholism; case management; emergency health service; homelessness; housing; statistics and numerical data; United States, Adult; Alcoholism; Case Management; Cooperative Behavior; Emergency Service, Hospital; Female; Homeless Persons; Hospitalization; Housing; Humans; Male; Middle Aged; New York City; Pilot Projects, Adult; Alcoholism; Case Management; Cooperative Behavior; Emergency Service, Hospital; Female; Homeless Persons; Hospitalization; Housing; Humans; Male; Middle Aged; New York City; Pilot Projects (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301373_6

DOI: 10.2105/AJPH.2013.301373

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