Housing Transitions QUERI

NCT05312229 | Enrolling By Invitation Phase 1

• 2 other identifiers: PIX 22-001PII 21-285
• Study Type: interventional
• Target: 153
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Homelessness

Keywords

Care Management; Homeless; Implementation; Mental Health Care; Quality Assurance, Improvement

Outcome Measures

Primary Outcomes (3)

• Fidelity to CTI

  % of Sites with adequate fidelity to CTI at 12 months, as measured by the CTI fidelity scale

  12 months after implementation start

• Sustainment of CTI

  % of Sites with adequate fidelity to CTI at 18 months, as measured by the CTI fidelity scale

  18 months after implementation start

• Dollars spent delivering CTI at each site

  Case manager salary and benefits

  Between 6 and 18 months after implementation start

Secondary Outcomes (6)

• Housing stability

  Between 6 and 18 months after implementation start

• Cost of CTI as Implemented

  Between 6 and 18 months after implementation start

• Hospitalization rates

  Between 6 and 18 months after implementation start

• Cost of Implementation Strategies

  Through study completion, 4 years

• Return on Investment (ROI) of CTI

  6-, 12-, and 18-months after GPD case management program enrollment

Study Arms (3)

Replicating Effective Programs (REP)

EXPERIMENTAL

A stakeholder-informed training and technical assistance implementation strategy

Behavioral: Critical Time Intervention; Other: Replicating Effective Programs

REP + External Facilitation (Enhanced REP)

ACTIVE COMPARATOR

REP plus site specific weekly facilitation to support CTI implementation.

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

Control Group

NO INTERVENTION

No CTI implementation

Interventions

Critical Time Intervention BEHAVIORAL

An evidence-based, structured, and time-limited case management practice

Also known as: CTI

REP + External Facilitation (Enhanced REP); Replicating Effective Programs (REP)

External Facilitation OTHER

Site-specific support to help sites develop tailored plans to implement CTI.

Also known as: Coaching

REP + External Facilitation (Enhanced REP)

Replicating Effective Programs OTHER

A stakeholder-informed training and technical assistance implementation strategy

Also known as: REP

REP + External Facilitation (Enhanced REP); Replicating Effective Programs (REP)

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.

You may not qualify if:

• None

Sponsors & Collaborators

• VA Office of Research and Development: lead
• University of California, Los Angeles: collaborator
• Center for the Advancement of Critical Time Intervention: collaborator
• University of Southern California: collaborator

Study Sites (1)

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

West Los Angeles, California, 90073-1003, United States

Location

Related Publications (1)

• Gabrielian S, Finley EP, Ganz DA, Barnard JM, Jackson NJ, Montgomery AE, Nelson RE, Cordasco KM. Comparing two implementation strategies for implementing and sustaining a case management practice serving homeless-experienced veterans: a protocol for a type 3 hybrid cluster-randomized trial. Implement Sci. 2022 Oct 3;17(1):67. doi: 10.1186/s13012-022-01236-1.

  PMID: 36192785 DERIVED

Related Links

• Resources for VA Grant and Per Diem (GPD) case management aftercare grantee sites to implement and sustain Critical Time Intervention (CTI) at their sites.

Study Officials

• Sonya Emi Gabrielian, MD MPH

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

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Model Details: The investigators are implementing Critical Time Intervention (CTI), an evidence-based, time limited case management practice for individuals experiencing homelessness. The investigators will be randomizing sites receiving CTI into one of two levels of implementation support (low vs. high intensity support).

Study Record Dates

• First Submitted: March 10, 2022
• First Posted: April 5, 2022
• Study Start: October 1, 2021
• Primary Completion (Estimated): July 31, 2026
• Study Completion (Estimated): September 30, 2026
• Last Updated: October 8, 2025

Record last verified: 2025-10

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL

Locations

US (1)