Telephone Continuing Care and Recovery Support (TCCRS) - VA Homeless Programs
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Telephone Continuing Care and Recovery Support (TCCRS)

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Telephone Continuing Care and Recovery Support (TCCRS)

Overview

In 2013, a model development initiative called Telephone Continuing Care and Recovery Support (TCRRS), developed at the University of Pennsylvania, was started in the HUD-VASH Program, at nine sites, to test the feasibility of using trained telephone counselors to augment, not replace, the case management services provided to Veterans concurrently receiving housing through the HUD-VASH Program. The integration of this model with HUD-VASH programs aimed to enhance housing stability, reduce substance use, and improve mental health outcomes for Veterans concurrently receiving housing through the HUD-VASH Program.

The application of this model with HUD-VASH clients was to determine its effectiveness in enhancing housing stability, reducing substance use, and improving mental health outcomes, which were the aims and the purpose of this model, in addition to have trained phone counselors augment the routine case management services already provided in the program by HUD-VASH staff.

The participating HUD-VASH sites were chosen based on their ability to support the TCCRS model. Site suitability included: commitment of VA homeless program support; commitment of local staff to conduct individualized Veteran assessments; and staff participation in program evaluation efforts conducted by the Center.

Data

When the program was completed (March 2016), a total of nine sites had participated in the TCCRS model development initiative. The nine sites generated 104 referrals for telephone coaching. The coaches made contact and had sessions with 77 Veterans at least one time and 45 Veterans had three or more sessions.

Model Development Summary

Initial engagement of number of sites was less than expected; several sites that were initially invited to participate withdrew from the project.  The most significant barrier was the lack of access to phones by the Veterans.

Based on the implementation of a small scale program, this initiative appears to be a cost-effective method to establish services for homeless Veterans living in the community.  Additional site engagements will assist in further development of data collection processes and evaluation.  The TCCRS approach may also have applicability in the VA's Grant and Per Diem (GPD) Program.

Contact: Roger Casey, PhD / Roger.Casey@va.gov

For more information about TCCRS, go to the TCCRS page of the Resource Center.

 

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