Not Yet RecruitingNot Applicable

Employing Peer Outreach and Whole Health in Recovery for Homeless-Experienced Veterans

United States278 participantsStarted 2026-07-01

Plain-language summary

Homelessness is a national crisis in the United States, particularly in the veteran population. Due to multiple chronic conditions, homeless individuals frequently become hospitalized or are treated in emergency departments. Care engagement can mitigate this risk. Interventions grounded in evidence-based practices of peer support and whole health are effective for increasing care engagement. However, implementation of such interventions with high-acuity patients often requires strategies that are intensive and costly. This trial will evaluate the relative impacts and costs of using a high-intensity (vs. low-intensity) strategy to implement a peer-led, whole health intervention for homeless-experienced veterans in permanent supportive housing.

Who can participate

Age range18 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Eligible patients will be identified from VA's Homeless Registry "Hot Spot" reports, which use real-time data on acute care service utilization to identify high-need, housing-insecure patients. * These reports identify Veterans on the VA Homeless Registry (i.e., those who had received VA housing services in the past two years) who had \>1 hospital admissions and/or \>2 ED visits in the past quarter of the fiscal year. * From these reports, the investigators will identify patients at each implementation site who are * (a) currently enrolled in HUD-VASH * (b) have a mental health and/or SUD diagnosis Exclusion Criteria: * Not flagged on the VA's Homeless Registry Hot Spot Report * Not currently enrolled in HUD-VASH * Does not have a mental health and/or substance use disorder diagnosis * Is not a patient at a participating site of the implementation trial

What they're measuring

Reach

Timeframe: 18 months

Adoption

Timeframe: 18 months

Implementation

Timeframe: 18 months

Maintenance

Timeframe: 18 months

Trial details

NCT IDNCT07309224

SponsorVA Office of Research and Development

Sponsor typeFED

Study typeINTERVENTIONAL

Primary completion2030-07-01

Contact for this trial

Daniel M Blonigen, PhD MA

(650) 493-5000 Daniel.Blonigen@va.gov

View on ClinicalTrials.gov More Substance Use Disorder trials

Plain-language summary

Who can participate

Age range18 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.