Impact of supported housing on clinical outcomes: analysis of a randomized trial using multiple imputation technique

J Nerv Ment Dis. 2007 Jan;195(1):83-8. doi: 10.1097/01.nmd.0000252313.49043.f2.

Abstract

In 1992, the US Department of Housing and Urban Development (HUD) and the US Department of Veterans Affairs (VA) established the HUD-VA Supported Housing (HUD-VASH) Program to provide integrated clinical and housing services to homeless veterans with psychiatric and/or substance abuse disorders at 19 sites. At four sites, 460 subjects were randomly assigned to one of the three groups: (1) HUD-VASH, with both Section 8 vouchers and intensive case management; (2) case management only; and (3) standard VA care. A previous publication found HUD-VASH resulted in superior housing outcomes but yielded no benefits on clinical outcomes. Since many participants missed prescheduled visits during the follow-up period and follow-up rates were quite different across the groups, we reanalyzed these data using multiple imputation statistical methods to account for the missing observations. Significant benefits were found for HUD-VASH in drug and alcohol abuse outcomes that had not previously been identified.

Publication types

  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Alcoholism / psychology
  • Alcoholism / rehabilitation
  • Alcoholism / therapy
  • Appointments and Schedules
  • Case Management
  • Diagnosis, Dual (Psychiatry)
  • Follow-Up Studies
  • Government Agencies
  • Government Programs / statistics & numerical data*
  • Hospitals, Veterans
  • Housing / statistics & numerical data*
  • Humans
  • Ill-Housed Persons / psychology*
  • Ill-Housed Persons / statistics & numerical data
  • Mental Disorders / diagnosis
  • Mental Disorders / psychology
  • Mental Disorders / therapy*
  • Models, Statistical
  • Outcome Assessment, Health Care
  • Residential Treatment
  • Social Adjustment
  • Substance Abuse Treatment Centers
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / psychology
  • Substance-Related Disorders / therapy*
  • United States
  • United States Department of Veterans Affairs
  • Veterans / psychology
  • Veterans / statistics & numerical data*