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.
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.
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.
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.
The Center for Social Innovation (C4SI) partnered with CTI researchers at the Columbia University Mailman School of Public Health to design and implement an eight-week online instructor-led CTI training curriculum.
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.
This project utilized a combination of research methods with 99 prisoners and members of their social support networks to adapt CTI for female inmates in the predominantly rural state of New Mexico. This was in preparation for a larger study of the effectiveness of the adapted CTI in enhancing mental health and criminal justice outcomes.
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.
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.
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.