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Cognitive Behavioral Therapy for Veterans Experiencing Homelessness (CBT-H)

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Cognitive Behavioral Therapy for Veterans Experiencing Homelessness (CBT-H)

What is Cognitive Behavioral Therapy?

Cognitive Behavioral Therapy (CBT) is an evidence-based psychotherapy with demonstrated success in treating depression, substance use disorders, anxiety and serious mental illness and related problems. Specifically, CBT:

  • Incorporates motivational enhancement strategies to promote engagement in therapy
  • Emphasizes a collaborative relationship between therapist and Veteran
  • Targets extreme or maladaptive thinking and behaviors by implementing specific cognitive and behavioral strategies in an integrated fashion, based on an individualized case conceptualization
  • Focuses on reducing depressive symptoms, achieving mutually established treatment goals, and improving quality of life, including housing retention

Fact Sheet for CBT-H

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Effectiveness of Peer-Supported Computer-Based CBT for Depression Among Veterans in Primary Care. Pfeiffer PN, Pope B, Houck M, Benn-Burton W, Zivin K, Ganoczy D, Kim HM, Walters H, Emerson L, Nelson CB, Abraham KM, Valenstein M.Psychiatr Serv. 2020 Jan 14:appips201900283. doi: 10.1176/appi.ps.201900283. [Epub ahead of print]

Acceptability of internet-based cognitive behavioural therapy (i-CBT) for post-traumatic stress disorder (PTSD): a systematic review. Simon N, McGillivray L, Roberts NP, Barawi K, Lewis CE, Bisson JI. Eur J Psychotraumatol. 2019 Aug 27;10(1):1646092. doi: 10.1080/20008198.2019.1646092. eCollection 2019. Review.

The process and delivery of CBT for depression in adults: a systematic review and network meta-analysis. López-López JA, Davies SR, Caldwell DM, Churchill R, Peters TJ, Tallon D, Dawson S, Wu Q, Li J, Taylor A, Lewis G, Kessler DS, Wiles N, Welton NJ., Psychol Med. 2019 Sep;49(12):1937-1947. doi: 10.1017/S003329171900120X. Epub 2019 Jun 10.

Treatments Veterans Health Administration PTSD specialty program providers report their patients prefer: The role of training and theoretical orientation. Garcia HA, DeBeer BR, Mignogna J, Finley EP. Psychol Trauma. 2019 Nov;11(8):837-841. doi: 10.1037/tra0000442. Epub 2019 Feb 28.

Effectiveness of evidence-based psychotherapy for posttraumatic distress within a jail diversion program. Feingold ZR, Fox AB, Galovski TE., Psychol Serv. 2018 Nov;15(4):409-418. doi: 10.1037/ser0000194.

Clinician Perceptions Related to the Use of the CBT-I Coach Mobile App. Miller KE, Kuhn E, Owen JE, Taylor K, Yu JS, Weiss BJ, Crowley JJ, Trockel M. Behav Sleep Med. 2019 Jul-Aug;17(4):481-491. doi: 10.1080/15402002.2017.1403326. Epub 2017 Dec 1

Development and Validation of the Negative Attitudes towards CBT Scale.Parker ZJ, Waller G. Behav Cogn Psychother. 2017 Nov;45(6):629-646. doi: 10.1017/S1352465817000170. Epub 2017 May 8.

Cognitive behaviour therapy for generalized anxiety disorder: Is CBT equally efficacious in adults of working age and older adults? Kishita N, Laidlaw K., Clin Psychol Rev. 2017 Mar;52:124-136. doi: 10.1016/j.cpr.2017.01.003. Epub 2017 Jan 16. Review.

Mindfulness-Oriented Recovery Enhancement versus CBT for co-occurring substance dependence, traumatic stress, and psychiatric disorders: Proximal outcomes from a pragmatic randomized trial. Garland EL, Roberts-Lewis A, Tronnier CD, Graves R, Kelley K., Behav Res Ther. 2016 Feb;77:7-16. doi: 10.1016/j.brat.2015.11.012. Epub 2015 Nov 27. Erratum in: Behav Res Ther. 2018 Jan;100:78.

Contemporary Cognitive Behavior Therapy: A Review of Theory, History, and Evidence. Thoma N, Pilecki B, McKay D., Psychodyn Psychiatry. 2015 Sep;43(3):423-61. doi: 10.1521/pdps.2015.43.3.423. Review.

Cognitive-behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for dementia family caregivers with significant depressive symptoms: Results of a randomized clinical trial. Losada A, Márquez-González M, Romero-Moreno R, Mausbach BT, López J, Fernández-Fernández V, Nogales-González C., J Consult Clin Psychol. 2015 Aug;83(4):760-72. doi: 10.1037/ccp0000028. Epub 2015 Jun 15

Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research. Ehde DM, Dillworth TM, Turner JA., Am Psychol. 2014 Feb-Mar;69(2):153-66. doi: 10.1037/a0035747. Review.

The empirical status of cognitive-behavioral therapy: a review of meta-analyses. Butler AC, Chapman JE, Forman EM, Beck AT., Clin Psychol Rev. 2006 Jan;26(1):17-31. Epub 2005 Sep 30. Review

CBT-i iconCBT-i Coach is for people who are engaged in Cognitive Behavioral Therapy for Insomnia with a health provider, or who have experienced symptoms of insomnia and would like to improve their sleep habits. The app will guide users through the process of learning about sleep, developing positive sleep routines, and improving their sleep environments. It provides a structured program that teaches strategies proven to improve sleep and help alleviate symptoms of insomnia.

thumbnailA Therapist's Guide to Brief Cognitive Behavioral Therapy

No available resources

Recommended duration of cognitive behavioral therapy sessions:

Cognitive Behavioral Therapy – (CBT-D)

This therapy focuses on relationships among thoughts, feelings, and behaviors with the goal of improving mood. It helps patients learn new patterns of thinking and to develop new positive behaviors.

16 weekly sessions

Cognitive Behavioral Therapy for Insomnia - (CBT-I)

CBT-I focuses on changing thoughts and behaviors to help with difficulties falling and staying asleep as well as increasing restful sleep.

6 individual or group sessions

Cognitive Behavioral Therapy for Chronic Pain - (CBT-CP)

This therapy focuses on changing thoughts and behaviors to help improve pain management and quality of life.

9-12 weekly sessions

Cognitive Behavioral Therapy for Veterans Experiencing Homelessness – (CBT-H)

CBT is an ideal treatment option for Veterans experiencing chronic homelessness. Given the short-term, goal-oriented focus of CBT, the treatment targets present day problems that Veterans experience and that can interfere with Veterans' ability to maintain housing.

12-16 weekly or bi-weekly sessions

POC

For more information about CBT-H contact Roget Casey, PhD at roger.casey@va.gov

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