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Welfare Reform on the Web (May 2004): Homelessness - UK

TACKLING THE NEEDS OF THE HOMELESS: A CONTROLLED TRIAL OF HEALTH ADVOCACY

S. Graham-Jones, S. Reilly and E. Gaulton

Health and Social Care in the Community, Vol. 12, 2004, p.221-232

The study assessed the effectiveness of a health advocate's casework with homeless people (including families) in a primary care setting in terms of improvement in health related Quality of Life. The impact of the health advocacy intervention was assessed in a quasi-experimental three-armed controlled trial. Homeless people moving into hostels or other temporary accommodation in the Liverpool 8 area and patients registering at an inner-city health centre as temporary residents were allocated in alternating periods to health advocacy (with or without outreach registration) or "usual care" over an intake period of three years. Improvements in health-related quality of life were greatest in people recruited and supported by a health advocate early in their stay in temporary housing, compared to those in the control group given "usual care" at the health centre.

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