Research

Brief Critical Time Intervention to Reduce Psychiatric Rehospitalization, 2014

A sample of 149 adults with a psychiatric inpatient readmission within 30 days of a prior psychiatric hospitalization was referred to an acute level of service coordination available at six provider organizations implementing B-CTI. These providers operate within the network of Community Care Behavioral Health, a not-for-profit managed care organization operating in Allegheny County, Pennsylvania.

Critical Time Intervention–Task Shifting Study, 2012-2016

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.

CTI-Hoarding Disorder Study, 2013

The aim of this study is to test whether the adapted CTI-HD reduces the risk of homelessness for people with hoarding disorder who have been threatened with eviction.

CTI Netherlands Shelter Study, 2010-2013

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.

CTI for Severely Mentally Ill Released Prisoners, 2012

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.

CTI for Men with Mental Illness Leaving Prison, 2006 – 2011

This is the first randomized trial to test CTI following incarceration. It tested the effectiveness of CTI in preventing re-offending and improving community integration for 215 men with serious mental illness, who had been released to Camden County from seven New Jersey prisons.

Critical Time Intervention-Intensive Housing Support Program, 2010-2013

The Ruah CTI-IHSP program enrolled 121 people with severe mental illness and at risk for homelessness when they were discharged from mental health inpatient units in Perth. This was the first time that an agency’s electronic medical records were used for generating fidelity ratings.

Critical Time Intervention-Brazil, 2010

This pilot study recruited 19 people with schizophrenia spectrum disorders served by the Psychosocial Service Centers (CAPS) in Rio de Janeiro to test the feasibility of implementing an adapted CTI for the Brazilian context. The problems of violence, drug use and unemployment in Rio’s favelas are concrete obstacles to continuity of mental health care.

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