This multi-country pilot of an adapted CTI (CTI-TS) in Rio de Janeiro in Brazil, Santiago in Chile, and Buenos Aires in Argentina is the first RCT of the CTI model in Latin America. CTI-TS includes peer support workers in addition to community mental health workers, which have been used in previously tested versions of CTI. The primary outcomes of this pilot RCT are to improve quality of life and reduce unmet needs. Among the secondary outcomes is to improve the social integration of the participants.
Two randomized trials were funded by the same grant:
1. The Homeless Sector Trial assessed the effectiveness of CTI in improving housing and other outcomes in people from nine adult homeless shelters.
2. The Women’s Shelter Sector Trial assessed the effectiveness of CTI in improving quality of life in women from eight domestic violence shelters.
After the encouraging results of the pilot, the investigators conducted a full-scale randomized trial at three prisons in Manchester, Leeds and Brixton to test the effectiveness of CTI in improving engagement with services and reducing re-offending.
Following on the encouraging results of the first trial with men discharged from the shelter, this second randomized trial tested CTI with 150 previously homeless adults with serious mental illness following discharge from two psychiatric hospitals.
This first randomized trial of the nine-month CTI model assessed its effectiveness in preventing homelessness among 96 men with serious mental disorder being placed into community housing from a large shelter in New York City. The men were followed up for 18 months.
