Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking

NCT02942979 | Completed Results

• 2 other identifiers: QUX 16-011QUE 15-284
• Study Type: observational
• Target: 108
• Locations: 1 country
• Sites: 1

Brief Summary

This study seeks to implement wrap around services for Veterans suffering from co-occurring mental illness and substance use and who are homeless. It will compare Implementation as Usual of MISSION to Facilitation Implementation of MISSION.

Conditions

Co-Occurring Disorders; Homelessness; Substance Abuse Disorder; Mental Illness

Keywords

Facilitation; Implementation; Homelessness; Substance Use Disorder; Mental Illness; Co-Occurring Disorders; Veterans; Primary Care

Outcome Measures

Primary Outcomes (1)

• Number of MISSION Sessions Undertaken

  Number of MISSION Sessions delivered to Veterans

  12 months

Study Arms (2)

MISSION Implementation as Usual

Passive implementation or, IU for MISSION-Vet is comprised of a two-hour webinar training, along with key information on how to access and use the MISSION-Vet Treatment Manual and Consumer Workbook. The manual is posted on the web and available inside the VA on the National Center for Homelessness Among Veterans website or at missionmode.org. This passive implementation strategy has been used in previous studies

Facilitation Implementation of MISSION

Facilitation is a comprehensive approach in which implementation experts partner with local staff to support implementation planning and to tailor adoption strategies to the local context. Facilitation gives attention to addressing individual- and organizational-level factors that can influence successful implementation of an evidence based practice with good fidelity.

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Homeless Veterans in the Greater Los Angeles VA system

You may qualify if:

• meets Diagnostic and Statistical Manual of Mental Disorders, 5th Edition diagnostic criteria of International Classification of Diseases, 10th Revision for a current substance abuse or dependence disorder, e.g.:
• alcohol
• marijuana
• cocaine
• or poly substance use and a co-occurring mental illness that includes anxiety, mood, or a psychotic spectrum disorder
• is willing to participate in the service
• is empaneled in HPACT at one of the study sites

Sponsors & Collaborators

• VA Office of Research and Development: lead
• US Department of Veterans Affairs: collaborator

Study Sites (1)

VA Bedford HealthCare System, Bedford, MA

Bedford, Massachusetts, 01730-1114, United States

Location

Related Publications (3)

• Yakovchenko V, McCullough MB, Smith JL, Gabrielian S, Byrne T, Bruzios KE, Koosis E, Smelson DA. Implementing a complex psychosocial intervention for unstably housed Veterans: A realist-informed evaluation case study. Implement Res Pract. 2021 Oct 26;2:26334895211049483. doi: 10.1177/26334895211049483. eCollection 2021 Jan-Dec.

  PMID: 37090015 DERIVED

• Smelson DA, Yakovchenko V, Byrne T, McCullough MB, Smith JL, Bruzios KE, Gabrielian S. Testing implementation facilitation for uptake of an evidence-based psychosocial intervention in VA homeless programs: A hybrid type III trial. PLoS One. 2022 Mar 17;17(3):e0265396. doi: 10.1371/journal.pone.0265396. eCollection 2022.

  PMID: 35298514 DERIVED

• Simmons MM, Gabrielian S, Byrne T, McCullough MB, Smith JL, Taylor TJ, O'Toole TP, Kane V, Yakovchenko V, McInnes DK, Smelson DA. A Hybrid III stepped wedge cluster randomized trial testing an implementation strategy to facilitate the use of an evidence-based practice in VA Homeless Primary Care Treatment Programs. Implement Sci. 2017 Apr 4;12(1):46. doi: 10.1186/s13012-017-0563-2.

  PMID: 28376839 DERIVED

Related Links

• Describes the intervention.

MeSH Terms

Conditions

Substance-Related Disorders; Mental Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders

Results Point of Contact

• Title: David Smelson
• Organization: VA Bedford Medical Center

david.smelson@va.gov

781-687-2845

Study Officials

• David A. Smelson, PsyD

  VA Bedford HealthCare System, Bedford, MA

  PRINCIPAL INVESTIGATOR

• Allen L. Gifford, MD

  VA Bedford HealthCare System, Bedford, MA

  PRINCIPAL INVESTIGATOR

• Sonya Emi Gabrielian, MD MPH

  VA Greater Los Angeles Healthcare System, West Los Angeles, CA

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Target Duration: 12 Months
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 17, 2016
• First Posted: October 24, 2016
• Study Start: February 12, 2016
• Primary Completion: June 30, 2020
• Study Completion: September 1, 2020
• Last Updated: July 21, 2023
• Results First Posted: November 11, 2021

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)