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Purpose

There is a significant revolving door of incarceration among homeless adults, a population with substantial health disparities. Homeless adults who receive the professional coordination of individualized care (i.e., case management) during the period following their release from jail experience fewer mental health and substance use problems, are more likely to obtain stable housing, and are less likely to be re-incarcerated. The proposed study will use mobile technology to address these barriers and fill gaps in the understanding of the causes of the revolving door of homeless incarceration. This research represents a step toward integrated service connection and healthcare service provision for one of the most underserved, high need, and understudied populations in the United States. Smart phone apps that increase the use of available healthcare services and identify predictors of key outcomes (e.g., homelessness, re-arrest, medication compliance) could be used to reach hard to reach populations with histories of significant and persistent health disparities (e.g., homeless adults).

Conditions

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • released from Dallas County Jail in the past month - plan to reside in the Dallas area for the next year - enrolled in The Bridge Homeless Recovery Program - willing and able to attend the baseline visit, randomization visit, and the 1, 3, and 6-month follow-up visits - score ≥ 4 on the REALM-SF indicating > 6th grade English literacy level - score >24 on the Mini-Mental State Exam indicating no substantial cognitive impairment.

Exclusion Criteria

  • Cannot read English - Under the age of 18

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Active Comparator
Usual Case Management (UCM) 		Group receives standard case management at the shelter
  • Behavioral: In-Person Case Management at Homeless Recovery Program
    In-Person Case Management at Homeless Recovery Program
Experimental
UCM + Smartphone 		Group receives standard case management and an unlimited smartphone
  • Behavioral: In-Person Case Management at Homeless Recovery Program
    In-Person Case Management at Homeless Recovery Program
  • Behavioral: Unlimited Smartphone
    Smartphone with unlimited calls, texts, and data plan
Experimental
Smartphone Based Case Management (SPCM) 		Group receives standard case management and an unlimited smartphone with the SPCM app
  • Behavioral: In-Person Case Management at Homeless Recovery Program
    In-Person Case Management at Homeless Recovery Program
  • Behavioral: Unlimited Smartphone
    Smartphone with unlimited calls, texts, and data plan
  • Behavioral: Smartphone Based Case Management (SPCM) app
    Smartphone Based Case Management app

More Details

Status
Completed
Sponsor
University of Oklahoma

Study Contact

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.