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

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

Suggested Citation

  • McCormack, R.P. & Hoffman, L.F. & Wall, S.P. & Goldfrank, L.R., 2013. "Resource-limited, collaborative pilot intervention for chronically homeless, alcohol-dependent frequent emergency department users," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 221-224.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301373_6
    DOI: 10.2105/AJPH.2013.301373
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