Recruiting

Street Medicine & Clinic

Sponsor:

Denver Health and Hospital Authority

Code:

NCT07209072

Conditions

Homelessness

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Street medicine follow up

Study Details

Brief 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.

Conditions

Homelessness

Study ID

NCT07209072

Start date

Dec 5, 2025

Status verified date

Jan, 2026

Completion date

Dec, 2027

Anticipated

Primary completion date

Jun, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

1. adult (≥18 years of age) DHMC ED patient,
2. currently unsheltered, defined as living on the streets, in a vehicle, or in another place not fit for human habitation,
3. anticipating ED discharge, with
4. 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
5. 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 Criteria:

1. 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.
2. are prisoners,
3. previously enrolled.

Study Design

Enrollment

390 participants

Anticipated

Allocation

Non randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

no intervention: Standard of Care

Patients will receive a referral to a rapid follow up clinic at time of discharge

experimental: Street medicine

Patients will receive a referral to street medicine at time of discharge

Interventions

Street 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.

Primary outcome measure

  • ED visits [ Time Frame: 1 and 3 months ]

Central Contacts and Locations

Central contacts

Kathleen M Joseph, MD MPH

13175194468kathleen.joseph@dhha.org

Carolynn Lyle, PAC MPH

carol.lyle@dhha.org

Locations

Denver Health Medical Center

Recruiting

Denver, Colorado, United States, 80204

Contacts

Carolynn Lyle, PA-C MPH

carol.lyle@dhha.org

More Information

Sponsor

Denver Health and Hospital Authority

Last update posted

Jan 28, 2026

Last verified

Jan, 2026

Keywords

  • primary care
  • emergency department
  • homelessness

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Denver Health and Hospital Authority on 2026-01-28.