Friday, May 9, 2025 5/9/2025

Supplement to HOME Trial: Role of Justice Involvement in Implementation and Effectiveness of Housing First for Youth Experiencing Homelessness

Award Number: UH3DA050174
ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE
OPDIV: NIH
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Supplement to HOME Trial: Role of Justice Involvement in Implementation and Effectiveness of Housing First for Youth Experiencing Homelessness - PROJECT SUMMARY While opioid use in the general population has received significant media and scholarly attention in recent years, very little research exists on opioid use among youth experiencing homelessness (YEH), despite nearly 70% of these youth meeting criteria for illicit drug or alcohol use disorders (SUD), and drug overdose and suicide being the leading causes of death. Our UG3/UH3 Heal Initiative study is the first to test whether a “housing first” (HF) intervention can reduce opioid use among YEH. Specifically, the ongoing UH3 phase of the “Housing, Opportu- nities, Motivation and Engagement” (HOME) study is randomizing 240 YEH ages 18-24 at high risk for opioid use disorder (OUD) to housing + opioid and related risk prevention services (n=120), or opioid and related risk prevention services alone (n=120). However, HF implementation is challenging on scale because justice system involvement often prevents or delays housing acquisition for YEH. In the increasingly tight housing market, land- lord barriers to housing YEH with criminal justice involvement (CJI) present numerous obstacles to the imple- mentation of HF (e.g., criminal background checks to screen out applicants with prior CJI, unwillingness to ap- prove applications or rent to individuals with a CJI record) and have delayed HF for youth with CJI. Consistent with NIDA's interest in supporting additional justice measures for existing awards (NOT-DA-23-011), we will capitalize on a unique opportunity to add a mixed-methods study focused on exploring the role of CJI in the HOME trial. Specifically, we will first collect new in-depth qualitative interview data from key stakeholders (land- lords, advocates, and YEH) to explore the contextual determinants (i.e., barriers and facilitators) related to the implementation of HF for YEH with CJI. This new data will provide first insights, including how specific types of CJI (e.g., number of incidents and types including incarceration, probation, warrants) influence HF participation and housing decisions, why landlords did and did not rent to YEH with CJI, and what various incentives and methods (e.g., increased deposits, rental vouchers, damage protection) could overcome the barriers to imple- menting HF with YEH with CJI. Next, we will complete supplemental quantitative analyses of new variables related to prior CJI and delayed time to housing acquisition to test the effect of CJI on main study outcomes. Our central hypotheses, based on prior literature among HF programs for adults, are that the HF intervention will have differential effects for YEH with and without CJI and that housing delays may worsen outcomes. Our results will contribute to a better understanding of barriers and facilitators of HF implementation for YEH with CJI, as well as the effects of CJI on outcomes of HF interventions among YEH. Our results will have significant impact on reducing opioid use and OUD and preventing loss of life, given the burden of OUD and high risk for opioid overdose in this population and their heightened risk for experiencing longer periods of homelessness.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = -$4,347 )
2025	2023	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	000	2	10/1/2024	SUPPLEMENT FOR EXPANSION	-$4,347
														Subtotal = -$4,347

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	001	2	11/14/2023	SUPPLEMENT FOR EXPANSION	$0
2024	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	002	2	7/24/2024	EXTENSION WITH OR WITHOUT FUNDS	$0
2024	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	000	2	11/3/2023	EXTENSION WITH OR WITHOUT FUNDS	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $169,233 )
2023	2023	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	001	2	9/18/2023	SUPPLEMENT FOR EXPANSION	$169,233
2023	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	000	2	11/7/2022	EXTENSION WITH OR WITHOUT FUNDS	$0
														Subtotal = $169,233

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	000	2	11/1/2021	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $238,989 )
2021	2021	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	004	2	8/31/2021	SUPPLEMENT FOR EXPANSION	$234,642
2021	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	002	2	2/3/2021	EXTENSION WITH OR WITHOUT FUNDS	$0
2021	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	003	2	2/3/2021	EXTENSION WITH OR WITHOUT FUNDS	$0
2021	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	000	2	1/15/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	005	2	9/20/2021	EXTENSION WITH OR WITHOUT FUNDS	$0
2021	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	001	2	2/1/2021	EXTENSION WITH OR WITHOUT FUNDS	$4,347
														Subtotal = $238,989

Issue Date FY: 2020 ( Subtotal = $5,631,052 )
2020	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	000	2	9/17/2020	EXTENSION WITH OR WITHOUT FUNDS	$4,922,920
2020	2020	OHIO STATE UNIVERSITY, THE	1960 KENNY RD	COLUMBUS	OH	43210	FRANKLIN	USA	Drug Use and Addiction Research Programs	001	2	9/18/2020	SUPPLEMENT FOR EXPANSION	$708,132
														Subtotal = $5,631,052

Grand Total All Awards = $6,034,927

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Supplement to HOME Trial: Role of Justice Involvement in Implementation and Effectiveness of Housing First for Youth Experiencing Homelessness

Award Number: UH3DA050174

ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE

OPDIV: NIH

AWARD CLASS: COOPERATIVE AGREEMENT

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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