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Critical Time Intervention

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Critical Time Intervention

illustration man picking between past and future pathCritical Time Intervention (CTI) is a time-limited evidence-based practice that mobilizes support for society's most vulnerable individuals during periods of transition. In VHA Homeless Programs it is used as a case management model designed to resolve homelessness and minimize adverse outcomes for individuals with mental illness. CTI, a low-barrier model, engages the Veteran through working on the Veteran's goals. CTI is also used to facilitate community integration and continuity of care by ensuring that a person has enduring ties to their community and support systems during these critical periods.

Preventing Homelessness in the Transition from Institution to Community

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About the CTI Model

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Evidence for Effectiveness

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Critical Time Intervention for Homeless People Making the Transition to Community Living: A Randomized Controlled Trial. de Vet R, Beijersbergen MD, Jonker IE, Lako DAM, van Hemert AM, Herman DB, Wolf JRLM. Am J Community Psychol. 2017 Sep;60(1-2):175-186. doi: 10.1002/ajcp.12150. Epub 2017 Sep 5.

Case Management Models in Permanent Supported Housing Programs for People With Complex Behavioral Issues Who Are Homeless. Clark C, Guenther CC, Mitchell JN. J Dual Diagn. 2016 Apr-Jun;12(2):185-92. doi: 10.1080/15504263.2016.1176852. Epub 2016 Apr 12.

The role of a critical time intervention on the experience of continuity of care among persons with severe mental illness after hospital discharge. Tomita A, Herman DB. J Nerv Ment Dis. 2015 Jan;203(1):65-70. doi: 10.1097/NMD.0000000000000224.

Health interventions for people who are homeless. Hwang SW, Burns T. Lancet. 2014 Oct 25;384(9953):1541-7. doi: 10.1016/S0140-6736(14)61133-8. Review.

Critical time intervention reduces psychiatric rehospitalisation among formerly homeless individuals with psychotic diagnoses. Prince JD. Evid Based Ment Health. 2013 May;16(2):38. doi: 10.1136/eb-2012-101109. Epub 2012 Dec 13. No abstract available.

Critical time intervention reduces psychiatric rehospitalisation among formerly homeless individuals with psychotic diagnoses. Prince JD. Evid Based Ment Health. 2013 May;16(2):38. doi: 10.1136/eb-2012-101109. Epub 2012 Dec 13. No abstract available.

Critical time intervention for reentry from prison for persons with mental illness. Draine J, Herman DB. Psychiatr Serv. 2007 Dec;58(12):1577-81

Outcomes of critical time intervention case management of homeless veterans after psychiatric hospitalization. Kasprow WJ, Rosenheck RA. Psychiatr Serv. 2007 Jul;58(7):929-35.

Critical Time Intervention: an empirically supported model for preventing homelessness in high risk groups. Herman D, Conover S, Felix A, Nakagawa A, Mills D. J Prim Prev. 2007 Jul;28(3-4):295-312. Epub 2007 Jun 1.

Capturing intervention effects over time: reanalysis of a critical time intervention for homeless mentally ill men. Lennon MC, McAllister W, Kuang L, Herman DB. Am J Public Health. 2005 Oct;95(10):1760-6. Epub 2005 Aug 30.

Cost-effectiveness of critical time intervention to reduce homelessness among persons with mental illness. Jones K, Colson PW, Holter MC, Lin S, Valencia E, Susser E, Wyatt RJ. Psychiatr Serv. 2003 Jun;54(6):884-90.

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Center for the Advancement of Critical Time Intervention: The Center for the Advancement of Critical Time Intervention (CACTI) was established in 2014 at the Silberman School of Social Work at Hunter College to support the broad dissemination of CTI and to ensure quality and fidelity in its implementation.

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