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HRP studies

Ongoing and recently completed Homelessness Research Programme studies

HEARTH study: Delivering primary health care to homeless people: an evaluation of the integration, effectiveness and costs of different models

Primary health care for homeless people is delivered in various ways: health centres specifically for homeless people; mobile teams in homeless services such as hostels; GP practices with special services for homeless people; and generic GP practices that provide ‘usual care’ to homeless people. There is no evidence, however, about which schemes are more effective in addressing homeless people’s health needs. This exciting new study aims to evaluate the effectiveness and cost-effectiveness of these different models, with special reference to their integration with other services and how this impacts on a range of health, social and economic outcomes. Principal Investigator: Maureen Crane. Funder: NIHR Health Services and Delivery Research Programme. More on this study.

Hospital Discharge Arrangements for Homeless People

This study will explore the special services that have been set-up to improve homeless people’s experiences of leaving hospital. Some services might for example, employ a housing support worker to work alongside the doctors and nurses at the hospital. Alternatively other schemes may provide a period of convalescence or rehabilitation. We want to know what homeless people think of these specialist services and how they help them to tackle the full range of problems they might have. We also want to know if this specialist support prevents homeless people from having to go back into hospital. To see how well these schemes are working and how much they cost we will also study hospital discharge in two hospitals where there is no specialist support for homeless people. Chief Investigator: Dr Michelle Cornes. Funder: NIHR Health Services Delivery Programme. More on this study.

Rebuilding Lives: supporting formerly homeless people to achieve independent living

Rebuilding Lives examined the longer-term support needs of homeless people who are rehoused. The subjects of the study were 297 formerly homeless people who were rehoused in London, Nottinghamshire and South Yorkshire. Following on from an earlier project that interviewed them at six months and 18 months (the FOR-HOME study), the interviews in Rebuilding Lives have been conducted five years after resettlement; this was the first UK study to collect such longitudinal information. Principal Investigator: Maureen Crane. Funder: NIHR School for Social Care Research. More on this study.

Rethinking multiple exclusion homelessness: implications for workforce development and interprofessional practice

This study focused on workforce development and interprofessional practice in the context of increased partnership working and the integration of services around multiple exclusion homelessness. The main recommendation issuing from the study is that ensuring fairer access to case management and longer term more specialised support where appropriate is key to addressing multiple exclusion homelessness. The research team received follow-on funding to undertake a Community of Practice Development Programme targeted at improving collaborative responses to multiple exclusion homelessness. Although recently completed, the project is still publishing in the academic journals. Principal Investigators: Jill Manthorpe; Michelle Cornes. Funder: ESRC. More on this study.

Service provision for older homeless people with memory problems

There is currently little information in the UK about the services and support that older homeless people with memory problems receive. This study is finding out about the ‘service pathways’ available to them, their experiences of accessing services, and the gaps in service-provision. Principal Investigator: Jill Manthorpe. Funder: NIHR Health Services and Delivery Research programme. More on this study.

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