CTI is an empirically supported, time-limited case management model designed to prevent homelessness and other adverse outcomes in people with mental illness following discharge from hospitals, shelters, prisons and other institutions. CTI was originally developed and tested by researchers and clinicians at Columbia University and New York State Psychiatric Institute with significant support from the National Institute of Mental Health and the New York State Office of Mental Health. On the strength of rigorous experimental evidence supporting its effectiveness, the model has been identified as a “top-tier” social program by the Coalition for Evidence-Based Policy. CTI is listed in the National Registry of Evidence-Based Programs and Practices and is currently being applied and tested in the US and abroad. Continuing research and dissemination activities are now centered at the Center for the Advancement of Critical Time Intervention based at the Silberman School of Social Work at Hunter College in New York City. Download a four-page handout here.
August 4, 2013
The University of North Carolina CTI Pilot Project has developed several new initiatives and partnerships to promote dissemination of the model throughout the state. Project leaders Bebe Smith and Gary Cuddeback recently announced the launch of unccti.org, the new website of the project. An online CTI course covering issues specific to local mental health services is being offered through the University’s Behavioral Healthcare Resource Program.
The state’s public mental health system remains in transition as new regional managed care organizations consolidate from 11 to 4. With governmental partners at the state level, Smith and Cuddeback hope to disseminate the CTI model more broadly to better address the needs of persons in transition from institutional to community settings. On the local level, they are working to address the lack of affordable housing in Orange County. To meet this challenge, the University has established a strong partnership with the local community through the Orange County 100K Homes Task Force.
May 6, 2014
In his first column of the new year, New York Times columnist Nicholas Kristof focused on the need to improve mental health care in the US and drew attention to several innovative and effective intervention models that ought to be expanded. We were gratified to see him refer to CTI among them, emphasizing the evidence of its efficacy and cost-effectiveness. Update: Family CTI was also cited in David Borenstein’s Fixes column as an important component of New York City’s Home to Stay program. This innovative approach moves homeless families who are at especially high risk of recurrent homelessness into permanent housing. The CTI model is used to organize intensive transitional supports provided to families to help them successfully retain housing.
January 9, 2014
A newly published article in the Journal of Psychiatric Rehabilitation examines the impact of CTI on consumer self-ratings of the quality of their relationships with family members. Data from a recently completed randomized trial indicated that those assigned to receive nine months of CTI following hospital discharge reported greater frequency of family contact and greater improvement in satisfaction with family relations than did members of a usual services comparison group. The analysis also suggests that improved satisfaction with family relations associated with CTI contributed to a reduced likelihood of rehospitalization during the eighteen-month follow-up period.
November 14, 2013
North Carolina Health News provides a detailed report on the new program that brings CTI to Orange and Chatham counties. The program is funded by a three-year grant from the Kate B. Reynolds Charitable Trust and led by researchers at the University of North Carolina.
June 25, 2013
Renee de Vet of Radboud University Nijmegen Medical Centre, Netherlands
Two CTI-related studies were presented at the International Homelessness Research Conference at the University of Pennsylvania on June 3rd and 4th. The conference, co-sponsored by the university, the VA National Center on Homelessness Among Veterans, FEANTSA, the Canadian Homelessness Research Network, the Australian Housing and Urban Research Institute and the European Observatory on Homelessness brought together over 200 researchers, policymakers and practitioners working in the area of homelessness and housing. Melissa Martin of the Center for Social Innovation reported on an NIMH-funded study comparing the impact of online training in CTI to web-based training. Renee de Vet of the the Netherlands Centre for Social Care Research at Radboud University in Nijmegen described a randomized trial evaluating the effectiveness of CTI with persons transitioning from shelters to community living in multiple sites in the Netherlands.
June 12, 2013
Dan Herman and Sarah Conover (back row left) along with trainees from Argentina, Brazil and Chile at Silberman School of Social Work, NYC.
Practitioners and researchers from three Latin American countries in the NIMH-funded RedeAmericas regional mental health network spent the last two weeks of May in New York City where they received intensive training organized by Sarah Conover at the Silberman School of Social Work at Hunter College. The training focused on a task-shifting adaptation of the CTI model, in which qualified workers in the community take over tasks from mental health specialists. Critical Time Intervention-Task Shifting (CTI-TS) is designed to help individuals in the initial phase of treatment for a psychotic illness develop enduring ties to mental health and primary healthcare services and community supports, as well as to learn skills for promoting their own recovery. CTI-TS will be tested in Rio de Janeiro, Santiago and Buenos Aires in a randomized trial led by principal investigators from Columbia University and the University of Chile.
June 11, 2013
This 5-session instructor-led course will give your agency the tools it needs to implement CTI. It brings together national CTI experts, a team-based learning approach, and engaging multimedia technology. The course covers CTI principles, evidence for CTI, phases of CTI, and skills for implementation.
Read flyer to learn more. To register, click here.
February 21, 2013
The University of North Carolina School of Social Work has launched a CTI project that will provide services to over 200 persons with severe mental illness in Orange and Chatham counties. Led by faculty members Barbara B. Smith and Gary Cuddeback, the three-year project is also intended to promote the statewide adoption of the model. The project is funded by the Kate B. Reynolds Charitable Trust. Further details here.
December 28, 2012
A meeting was held in Cordoba, Argentina, on November 26-27, 2012 of the leadership group of RedeAmericas, one of five NIMH-funded hubs for international mental health services research. Each hub serves as a center for multidisciplinary activities across a specific region. RedeAmericas research focuses on the mental health treatment gap in six Latin American cities – Rio de Janeiro, Medellin, Santiago, Buenos Aires, Neuquén and Cordoba. The Cordoba meeting brought together more than 40 people from all six sites. Discussions focused on planning for a multi-site randomized trial of Critical Time Intervention-Task Shifting (CTI-TS), an adaptation of CTI that engages qualified workers and peer-mentors to assume community oriented tasks from health and mental health units, and to provide these services in the community. The planning meeting preceded the 2012 Latin American Public Health Conference at which RedeAmericas investigators played a key role, including a presentation by Dr. Ruben Alvarado of the University of Chile in Santiago about CTI-TS.
December 27, 2012