Homelessness - "Critical Time" intervention decreased risk
Clinical Bottom Line
A "critical time" time intervention decreased homelessness in mentally ill men.
Susser E, Valencia E, Conover S, et al. Preventing recurrent homelessness among mentally ill men: a 'critical time' intervention after discharge from a shelter. Am J Public Health 1997 Feb; 87: 256-62.
In a mentally ill homeless person, does a "critical time" intervention prevent extended homelessness?
"homelessness" in Evidence-Based Mental Health
Randomised controlled trial with intention-to-treat analysis. Patients discharged from an on-site psychiatry programme in a New York City men's shelter
(N = 48; 48 analysed): usual services only
(N = 48; 48 analysed): "critical time" intervention - an intervention aimed at strengthening an individual's ties to services, family and friends and providing emotional and practical support during transition from hostel to alternative accommodation.
|Outcome||Time to Outcome||CER||EER||RRR||ARR||NNT|
|Extended homelessness (>54 days)||18 months||0.40||0.21||0.47||0.19||5|
|95% Confidence Intervals:||1 to 73||3 to 100|
|Control mean||Exp mean||Difference between the means||95% CI|
|Days homeless||18 months||91||30||61||19 to 105|