Recruiting
Phase 1

Critical Time Intervention

Sponsor:

VA Office of Research and Development

Code:

NCT05312229

Conditions

Homelessness

Eligibility Criteria

Sex: All

Age: 0+

Healthy Volunteers: Accepted

Interventions

Critical Time Intervention

External Facilitation

Replicating Effective Programs

Study Details

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

Study ID

NCT05312229

Start date

Oct 1, 2021

Status verified date

Jul, 2026

Completion date

Sep 30, 2026

Anticipated

Primary completion date

Sep 30, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 0+

Healthy Volunteers: Accepted

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

Study Design

Enrollment

153 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Other

Interventions and Outcome Measures

Arms

experimental: Replicating Effective Programs (REP)

A stakeholder-informed training and technical assistance implementation strategy

active comparator: REP + External Facilitation (Enhanced REP)

REP plus site specific weekly facilitation to support CTI implementation.

no intervention: Control Group

No CTI implementation

Interventions

Critical Time Intervention

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

External Facilitation

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

Replicating Effective Programs

A stakeholder-informed training and technical assistance implementation strategy

Primary outcome measure

  • Fidelity to CTI [ Time Frame: 12 months after implementation start ]
  • Sustainment of CTI [ Time Frame: 18 months after implementation start ]
  • Dollars spent delivering CTI at each site [ Time Frame: Between 6 and 18 months after implementation start ]

Central Contacts and Locations

Central contacts

Sonya E Gabrielian, MD MPH

(310) 478-3711Sonya.Gabrielian@va.gov

Jenny M Barnard, BA

(626) 367-1077Jenny.Barnard@va.gov

Locations

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

Recruiting

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

Contacts

Sonya E Gabrielian, MD MPH

(310) 478-3711Sonya.Gabrielian@va.gov

Principal Investigator:

Sonya Emi Gabrielian, MD MPH

More Information

Sponsor

VA Office of Research and Development

Last update posted

Jul 30, 2026

Last verified

Jul, 2026

Keywords

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

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by VA Office of Research and Development on 2026-07-30.