RecruitingNot ApplicableNCT07209072

Emergency Department Linkage to Care for Patients Experiencing Homelessness


Sponsor

Denver Health and Hospital Authority

Enrollment

390 participants

Start Date

Dec 5, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

In an effort to improve access to primary care at time of discharge, patients who are homeless will be given either enhanced follow up through a street medicine team or routine follow up in clinic.


Eligibility

Min Age: 18 Years

Inclusion Criteria18

  • adult (≥18 years of age) DHMC ED patient,
  • currently unsheltered, defined as living on the streets, in a vehicle, or in another place not fit for human habitation,
  • anticipating ED discharge, with
  • a diagnosis listed below that requires short-term follow up:
  • COPD or asthma exacerbation
  • Bacterial or viral pneumonia
  • CHF with volume overload
  • SSTI
  • Dehydration requiring IV fluids
  • Hyperglycemia secondary to DM
  • Frostbite
  • First- and second-degree burns
  • Bacterial ENT infections
  • Diabetic foot infection
  • Traumatic head injury
  • Pregnancy
  • Opioid overdose
  • a stable location (i.e., an intersection, landmark, or encampment where they can be located by the street medicine team) within Denver County for at least 2 weeks.

Exclusion Criteria3

  • have altered mentation (e.g., intoxication, or secondary to medical, psychiatric, or behavioral conditions) that are unable to communicate their location, contact information, or agree to follow up.
  • are prisoners,
  • previously enrolled.

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Interventions

BEHAVIORALStreet medicine follow up

This intervention will use electronic health record builds to automatically send a referral to a street medicine clinic, who will attempt to contact the patient within 2 weeks.


Locations(1)

Denver Health Medical Center

Denver, Colorado, United States

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NCT07209072


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