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Study Name
At Home/Chez Soi Project with Intensive Case Management (ICM)
Study Sharepoint ID
28501.02
Evaluation name
Evaluation of At Home/Chez Soi project with intensive case management (ICM)
Strength of Evidence Tag
Reason for the Rating

This study received a low study quality rating because it is a high-attrition randomized controlled trial that does not adjust estimated impacts for potentially important differences between the intervention and comparison groups.

This study received a low study quality rating because it is a high-attrition randomized controlled trial that does not adjust estimated impacts for potentially important differences between the intervention and comparison groups.

Populations targeted
Settings in which the intervention was studied

Subgroups

Subgroup data - Female
No
Subgroup data - Male
No
Subgroup data - White
No
Subgroup data - Black
No
Count age
0
Count Young Adults
0
Count Hard-to-employ
0
Count Disability
0
Count chronically ill
0
Count mentally ill
0
Count substance dependent
0
Count formerly incarcerated
0
Count Justice involved
0
Count limited work history
0
Count homeless
0
Count immigrants
0
Count refugees
0
Count veterans
0
Count female
0
Count Male
0
Count Any postsecondary education
0
Count With a high school diploma or GED
0
Count No high school diploma or GED
0
Count Married
0
Count Parents
0
Count Single Parents
0
Count Non-Custodial Parents
0
Count Employed
0
Count Self employed
0
Count Unemployed
0
Count Disconnected/discouraged workers
0
Count general low-income population
0
Count Very low income (as classified by the authors)
0
Count welfare population
0
Count long-term welfare recipients
0
Count Asian
0
Count Black or African American
0
Count Hispanic or Latino of any race
0
Count American Indian or Alaska Native
0
Count Pacific islander
0
Count White
0
Count White not Hispanic
0
Count More than one race
0
Count Unknown race
0
Count another race
0
Percent mentally ill
100.00
Percent Justice involved
30.00
Percent homeless
100.00
Percent female
33.00
Percent Male
66.00
Percent Any postsecondary education
30.00
Percent No high school diploma or GED
52.00
Percent With a high school diploma or GED
18.00
Percent Married
4.00
Percent Parents
32.00
Percent Unemployed
92.00
Percent White
48.00
Percent another race
52.00
Mean age
42.20
Group formation formatted

This study used a randomized controlled trial design. Recruitment primarily took place at shelters or on the street. Inclusion criteria required participants to be age 18 or older (19 or older in British Columbia), hold legal status in Canada (as a citizen, immigrant, refugee, or claimant), have a serious mental disorder, and be experiencing absolute homelessness or precarious housing (with at least two instances of absolute homelessness) in the year before randomization. People were screened for eligibility and assessed as high or moderate need before being randomly assigned into intervention or comparison groups. Researchers used a computer program to randomly assign 1,198 moderate-need participants to receive immediate housing placement with ICM or treatment as usual (the comparison group). In total, evaluators collected data for 656 participants in the intervention group and 447 participants in the comparison group. Both the unit of assignment and unit of analysis were at the individual level.

Study timing formatted

24 months

Implementing organization formatted

Mental Health Commission of Canada

Treatment condition formatted

Intervention group members were placed immediately into housing and received rent subsidies up to $600 per month so participants contributed no more than 30 percent of their income toward housing. Participants also received support through ICM, which connected them with health and other services. ICM services were available 12 hours a day, 7 days per week. All intervention group members were experiencing homelessness, had a mental illness, and had been assessed as having moderate needs.

Comparison condition formatted

The comparison group received treatment as usual, defined as access to existing housing or intervention programs in their communities. All comparison group members were experiencing homelessness, had a mental illness, and had been assessed as having moderate needs.

Mandatory services formatted

None

Setting details formatted

At Home/Chez Soi was implemented in five sites across Canada: Toronto, Moncton, Montreal, Winnipeg, and Vancouver. Each site operated in a unique local context, including varied housing and service availability contexts.

Secondary domains examined

Housing stability

Earliest publication year
2014
Most recent publication year
2016
Manuscripts
Check edits flag
No
Primary Service
Housing
Subgroup data - Hispanic
No