NCT Number: NCT05312229
The VA Grant and Per Diem (GPD) case management aftercare program provides six months of case management for homeless-experienced Veterans undergoing housing transitions. This Partnered Implementation Initiative (PII) proposes to implement and evaluate Critical Time Intervention (CTI)-an evidence-based, structured, and time-limited case management practice-in 32 GPD case management aftercare sites across the nation.
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Interventional
Phase 1
West Los Angeles, California, 90073-1003, United States
Location status: Recruiting
Sonya E Gabrielian, MD MPH
CONTACT
(310) 478-3711 ext. 49853
Sonya Emi Gabrielian, MD MPH
PRINCIPAL_INVESTIGATOR
The VA Grant and Per Diem case management (GPD-CM) program provides six months of case management for homeless-experienced Veterans (HEVs) undergoing housing transitions. At present, no specific case management paradigm is required in the GPD-CM program, resulting in practice variation across sites. This Partnered Implementation Initiative (PII) implements Critical Time Intervention (CTI)-an evidence-based, structured, and time-limited case management practice-at 32 VA GPD-CM sites. The investigators will use the Replicating Effective Programs (REP) implementation bundle to support CTI implementation at all 32 sites. Half of these sites will also receive 9 months of external facilitation (enhanced REP) as additional support for CTI implementation. In a type 3 hybrid trial, the investigators will use mixed methods to examine the impacts of REP versus enhanced REP. Using trial data, the investigators will develop a business case analysis and implementation playbook for the investigators' program partners to support continued CTI spread and sustainment in the GPD-CM program.
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
An evidence-based, structured, and time-limited case management practice
Other names: CTI
Site-specific support to help sites develop tailored plans to implement CTI.
Other names: Coaching
A stakeholder-informed training and technical assistance implementation strategy
Other names: REP
Time frame: 12 months after implementation start
% of Sites with adequate fidelity to CTI at 12 months, as measured by the CTI fidelity scale
Time frame: 18 months after implementation start
% of Sites with adequate fidelity to CTI at 18 months, as measured by the CTI fidelity scale
Time frame: Between 6 and 18 months after implementation start
Case manager salary and benefits
Time frame: Between 6 and 18 months after implementation start
Days between entry into the GPD case management program and indicator of housing instability
Time frame: Between 6 and 18 months after implementation start
Mean monthly cost of CTI case management per GPD case management Veteran served, compared to the mean monthly cost in the non-CTI GPD case management programs.
Time frame: Between 6 and 18 months after implementation start
Number of days between entry into the GPD case management program and hospitalization, number of hospitalizations, number of bed days
Time frame: Through study completion, 4 years
Dollars spent on REP versus enhanced REP
Time frame: 6-, 12-, and 18-months after GPD case management program enrollment
Dollars saved via improved housing stability and decreased hospitalizations among patients engaged in CTI versus control participants
Time frame: Between 6 and 18 months after implementation start
Number of outpatient appointments
Contact information is provided by the study sponsor or research team.
VA Office of Research and Development
Fed
Implementing and Sustaining Critical Time Intervention (CTI) in Case Management Programs for Homeless-experienced Veterans (PII 21-285)
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View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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