The At Home / Chez Soi demonstration project was conducted to investigate the effectiveness of the Housing First model in 5 Canadian cities. Using a randomized controlled trial design, this study evaluates the impact of this project on the use of health services by people with severe and persistent mental health problems and a history of homelessness in the greater Moncton area. The sample comprised 193 homeless persons, 95 in the control group and 98 in the treatment group. The results show a significant difference between the 2 groups only in the number of days of hospitalization, particularly in the psychiatric unit. Factors associated with the use of health services by people who are homeless and who have severe mental health problems need to be further investigated.Keywords: homelessness, health services, severe mental illness, mental health
RÉSUMÉLe projet At Home / Chez Soi fut conçu afin d'évaluer l'efficacité du modèle Logement d'abord dans 5 villes canadiennes. Utilisant un devis expérimental, la présente étude examine l'effet du programme d'intervention At Home / Chez Soi sur le recours aux services de santé par des personnes itinérantes de la région de Moncton qui ont des troubles psychiatriques sévères et persistants. L'échantillon comprend 193 personnes itinérantes, soit 95 dans le groupe témoin et 98 dans le groupe intervention. Les résultats démontrent une différence significative entre les 2 groupes seulement en ce qui concerne le nombre de jours d'hospitalisation, en particulier à l'unité psychiatrique. Les facteurs associés au recours aux services de santé mentale par les personnes itinérantes ayant des problèmes sévères de santé mentale doivent être étudiés plus à fond.
Mots clés : personnes itinérantes, services de santé, problèmes sévères de santé mentaleChronic homelessness is often associated with physical and mental health conditions such as psychiatric, somatic, physical, and comorbid disorders, resulting in an increased mortality rate in this vulnerable population Nusselder et al., 2013). In response to attempts to reduce chronic homelessness in Canada for people with mental health problems, the Mental Health Commission of Canada launched the At Home / Chez Soi demonstration project . The purpose of this national initiative is to examine the impact of a Housing First strategy for homeless people with severe and persistent mental health problems in five cities across Canada: Moncton, Montreal, Toronto, Winnipeg, and Vancouver. This study attempts to describe the effects of the At Home / Chez Soi demonstration project's Housing First-style intervention on the use of health services by homeless people in the Moncton area. The Moncton site was chosen because the city of 139,000 is the only officially bilingual Canadian urban centre. Moreover, although this site has proportionally fewer homeless people than other large Canadian sites, access to health services for this population is particularly difficult.In general, homeless people use health services at much higher rates than the ...