Severe Psychopathology and Substance Use Disorder Modify the Association Between Housing Trajectories and Food Security Among Homeless Adults

Purpose: We examined the housing trajectories of homeless people with mental illness over a follow-up period 6 years and association these food security. then modifying role psychopathology alcohol substance use disorders in this association. Materials Methods: followed 487 adults at Toronto site At Home/Chez-Soi project—a randomized trial Housing First. Food security data were collected seven times during period. Psychopathology (Colorado Symptom Index score) assessed baseline. identified using group-based trajectory modeling. Logistic regression was used to estimate between groups Results: Three identified: rapid move consistent stable (34.7%), slow inconsistent (52.1%), never moved (13.2%). Individuals included group had higher odds remaining secure compared those [AOR 2.9, 95% CI: 1.3–6.6, P -value: 0.009]. However, when interactions considered, significant among moderate but not severe psychopathology. disorder lowest status. Discussion: Severe modified International Standard Randomized Control Trial Number Register (ISRCTN42520374).