Employment-Based Housing for Homelessness

(Project HIRE Trial)

VS
JT
Overseen ByJack Tsai, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: The University of Texas Health Science Center, Houston

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine whether providing housing and job opportunities to those at risk of homelessness can reduce their need for emergency care and enhance their overall quality of life. Participants will be divided into three groups to compare different support systems: one group will receive employment-based housing (housing and employment support), another will receive basic job services, and a third will receive resource information. The trial targets English and Spanish speakers recently discharged from a Houston emergency department who are at risk of becoming homeless and need job support. As an unphased trial, this study offers a unique opportunity to contribute to innovative solutions for homelessness and improve community support systems.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that providing housing and job services to people experiencing homelessness can greatly improve their well-being. Studies have found that housing assistance reduces crime and boosts employment. Additionally, job-focused programs have successfully helped individuals find stable housing and secure better jobs.

In a recent study, 95% of participants achieved stable housing after the program, and their employment rates increased by 41%. These programs are generally well-received, with no major negative effects reported. Offering both housing and job support together appears more effective than offering them separately.

This information suggests that the Employment-Based Housing model is likely safe for participants. It meets important needs without known risks or negative effects, making it a promising option for those considering joining a clinical trial.12345

Why are researchers excited about this trial?

Researchers are excited about the Employment-Based Housing program because it takes a unique approach to tackling homelessness by integrating stable housing with employment opportunities. Unlike traditional methods that often focus solely on providing temporary shelter or support services, this program aims to offer long-term solutions by empowering individuals through job opportunities that can lead to sustainable housing. This innovative approach targets the root causes of homelessness, potentially leading to more effective and lasting outcomes.

What evidence suggests that this trial's treatments could be effective for reducing acute care use and improving housing, employment, and health-related quality of life?

This trial will compare Employment-Based Housing with Vocational Services and Resources for individuals experiencing homelessness. Studies have shown that permanent supportive housing helps people experiencing homelessness remain housed longer. The "Housing First" model, which provides immediate housing without conditions, reduces homelessness and improves health. Research indicates that stable housing can help people maintain employment, as losing a home significantly increases the risk of job loss. Programs focusing on both employment and housing for homeless individuals have successfully helped them secure long-term housing and improve job situations. By addressing both housing and employment, this approach aims to tackle the main causes of homelessness and enhance overall quality of life.16789

Are You a Good Fit for This Trial?

Inclusion Criteria

I can speak English or Spanish.
I am 18 years old or older.
Screen positive for risk of homelessness and employment need per the Centers Accountable Health Communities Health-Related Social Needs Screening Tool.
See 1 more

Exclusion Criteria

I have a legal conservator making decisions for me.
Unwillingness to participate in a background and drug test

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Randomization and Intervention

Participants are randomized into one of three arms: Employment-Based Housing, Passive control, or Active control intervention

12 months
Regular follow-ups (frequency not specified)

Follow-up

Participants are monitored for outcomes related to housing stability, health-related quality of life, emergency department visits, employment, and sleep quality

12 months
Ongoing assessments (frequency not specified)

What Are the Treatments Tested in This Trial?

Interventions

  • Employment-Based Housing

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Active Control

Placebo Group

Group I: Employment-Based HousingExperimental Treatment1 Intervention
Group II: Vocational ServicesActive Control1 Intervention
Group III: ResourcesPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

The University of Texas Health Science Center, Houston

Lead Sponsor

Trials
974
Recruited
361,000+

National Institute of Nursing Research (NINR)

Collaborator

Trials
623
Recruited
10,400,000+

Citations

Housing stability, employment, and survival behaviors among ...

Research shows that permanent supportive housing is effective in increasing housing stability for youth experiencing homelessness, but is ...

Study Details | NCT07470372 | Experimental Trial of an ...

The long-term goal of this project is to examine how housing and vocational services can be integrated into hospital emergency departments (EDs) ...

Housing stability, employment, and survival behaviors ...

Research shows that permanent supportive housing is effective in increasing housing stability for youth experiencing homelessness, but is associated with worse ...

The Effects of the “Work Works” Approach on Housing ...

These effects may be associated with a sense of security or stability that comes with being enrolled in a structured program and/or early ...

THE EVIDENCE IS CLEAR: HOUSING FIRST WORKS

First approach is more effective at reducing homelessness and increasing housing stability than the high- barrier Treatment First or abstinence-based programs.

Income, Employment, and Safety Net Participation

We link restricted-use microdata identifying those recorded as homeless during the 2010 Census to longitudinal tax records and administrative ...

Employment Experiences of Formerly Homeless Adults with ...

This study examines the work experiences of individuals with serious mental illness who are enrolled in TF and HF supportive housing and who have been ...

Employment of Families Experiencing Homelessness

The study involves 2,282 homeless families with children who entered shelter between late 2010 and early 2012 in one of twelve communities across the country ...

Homelessness and Job Security: Challenges and Interventions

Many people experiencing homelessness face a range of challenges with finding a stable job, including: