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- Title
Resource-Limited, Collaborative Pilot Intervention for Chronically Homeless, Alcohol-Dependent Frequent Emergency Department Users.
- Authors
McCormack, Ryan P.; Hoffman, Lily F.; Wall, Stephen P.; Goldfrank, Lewis R.
- 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 pre- and 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.
- Subjects
NEW York (State); HOMELESS persons; PEOPLE with alcoholism; COMPARATIVE studies; CONFIDENCE intervals; EPIDEMIOLOGY; HOSPITAL care; HOSPITAL emergency services; HOUSING; LONGITUDINAL method; PATIENT compliance; PILOT projects; DATA analysis; SOCIAL services case management; PRE-tests &; post-tests; CONTROL groups; DESCRIPTIVE statistics
- Publication
American Journal of Public Health, 2013, Vol 103, Issue S2, pS221
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2013.301373