Housing Transitions QUERI

VA Office of Research and Development

Status and phase: Invitation-only; Phase 1

Conditions: Homelessness

Treatments: Other: Replicating Effective Programs; Other: External Facilitation; Behavioral: Critical Time Intervention

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT05312229

PIX 22-001

PII 21-285 (Other Grant/Funding Number)

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 153 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Grant and Per Diem (GPD) case management aftercare grantees in 7 Veterans Integrated Service Networks (VISN), all of whom provide 6-months of case management to Veterans who have experienced homelessness.

Exclusion criteria

• None

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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153 participants in 3 patient groups

Replicating Effective Programs (REP)

Experimental group

Description:

A stakeholder-informed training and technical assistance implementation strategy

Treatment:

Behavioral: Critical Time Intervention

Other: Replicating Effective Programs

REP + External Facilitation (Enhanced REP)

Active Comparator group

Description:

REP plus site specific weekly facilitation to support CTI implementation.

Treatment:

Behavioral: Critical Time Intervention

Other: External Facilitation

Other: Replicating Effective Programs

Control Group

No Intervention group

Description:

No CTI implementation