Adaptation of Critical Time Intervention for Young Adults With MH Challenges
CTI-YAMH
1 other identifier
interventional
60
1 country
1
Brief Summary
Young adults experiencing homelessness have high rates of mental health conditions but low rates of service utilization and the point of transition from homelessness to supported housing provides a window of opportunity for intervention. The goal of this study is to adapt the evidenced-based intervention, Critical Time Intervention, for young adults with mental health conditions who are entering a rapid rehousing program and test the adapted intervention in a randomized feasibility pilot trial. Participants in the pilot trial will be asked to participate in the CTI-YAMH intervention that involves structured case management and supports from a mental health liaison and a peer support specialist. After a pilot feasibility phase (n=8), we will test the intervention by randomly assigning young adults on the housing wait list to a housing program with CTI-YAMH (n=26) or to get housing supports from another agency that does not provide CTI-YAMH (treatment as usual, n=26).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2023
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 5, 2023
CompletedFirst Submitted
Initial submission to the registry
October 20, 2023
CompletedFirst Posted
Study publicly available on registry
October 26, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2025
CompletedOctober 26, 2023
October 1, 2023
1.4 years
October 20, 2023
October 20, 2023
Conditions
Outcome Measures
Primary Outcomes (5)
Housing Stability
Housing Security Scale Number of days homeless, Number of moves in prior 90 days
Baseline, 3 mo, 6 mo, 12 mo
Mental Disorder
Diagnosis of Common Disorders i.e. Depression, Anxiety, Bipolar, Psychotic Disorders
Baseline, 12 mo.
Depressive Symptoms
PHQ-9
Baseline, 3 mo, 6mo, 12 mo.
Anxiety Symptoms
GAD-7
Baseline, 3 mo, 6mo, 12 mo.
PTSD Symptoms
Primary Care PTSD Screen
Baseline, 3 mo, 6mo, 12 mo.
Secondary Outcomes (1)
Treatment Engagement
Baseline, 3 mo, 6mo, 12 mo.
Study Arms (2)
Intervention Condition, CTI-YAMH
EXPERIMENTALParticipants receive the CTI-YAMH intervention in conjunction with rapid rehousing supports for the 6 month intervention
Treatment as Usual Condition
NO INTERVENTIONParticipants will be assigned to a housing program at another agency that provides rapid rehousing with usual supports
Interventions
SIx month supportive intervention involving CTI phased based casemanagement, support from a peer support specialist, and support from a mental health liaison
Eligibility Criteria
You may qualify if:
- Young adults (age 18-24) on the housing eligibility list assigned to rapid rehousing
- Positive for psychological distress on Kessler-6 or self-reported prior diagnosis of depression, anxiety, bipolar or a psychotic disorder with ongoing symptoms
You may not qualify if:
- Age 25 or older
- Not English speaking
- No eligible for rapid rehousing based on housing priority score
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Covenant House Texas
Houston, Texas, 77006, United States
Related Publications (1)
Narendorf SC, Munson MR, Khan U, Brown M, Gomez G, Santa Maria D, Gilmer T, Gattis MN, Hayward P, Herman D. Study protocol for a feasibility evaluation of Charge Up!: an adaptation of Critical Time Intervention for young adults moving from homelessness to housing. Pilot Feasibility Stud. 2025 Jul 2;11(1):91. doi: 10.1186/s40814-025-01677-7.
PMID: 40605122DERIVED
MeSH Terms
Conditions
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
October 20, 2023
First Posted
October 26, 2023
Study Start
September 5, 2023
Primary Completion
January 31, 2025
Study Completion
November 30, 2025
Last Updated
October 26, 2023
Record last verified: 2023-10
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, ICF
- Time Frame
- in accordance with data sharing requirements for NIMH
- Access Criteria
- Institutional level through the NDA
Data will be uploaded to the NIMH NDA using GUID identifiers