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Booster sessions were offered to CTI implementation cohorts to help support their adoption and use of CTI at GPD grantee sites. Sessions reinforced core components of CTI, provided an opportunity to ask questions, and offered a chance to network with other mental health providers in the field. There are a total of 12 booster session webinars that are available to access, download and watch anytime.
Introduction to CTI Booster Sessions - December 6, 2022
Managing the CTI Step-Down Process and Letting Go - March 14, 2023
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In this session, Suzanne Wagner and Andrea White from Housing Innovations discussed strategies to manage the challenges of the CTI step-down process, including raising expectations for Veterans and the related systems of care. Issues in stepping back and letting go were reviewed, including the role of the case manager and measures of success.
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Sustaining CTI in Your GPD Aftercare Program - June 6, 2023
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During this session, Suzanne Wagner and Andrea White of Housing Innovations, reviewed strategies, tools, and resources for sustaining CTI in the GPD Aftercare program. Some GPD Aftercare programs struggle to maintain implementation of CTI over the long term because of staff turnover and/or fluctuations in Veteran caseload. Techniques discussed include creating a “CTI pitch” for new staff and Veterans coming into the GPD program; use of recorded trainings as a resource for supervisors to train GPD staff; and additional tools that reinforce the CTI model. The session also discussed managing Veteran caseloads using the Weighted Caseload Tracker tool and reviewed common challenges in CTI implementation and how to overcome them.
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Using CTI to Connect Veterans to Housing Options - September 12, 2023
This session highlights the Pre-CTI phase, which focuses on helping prepare Veterans for housing. In this phase, the case manager assesses Veterans' housing preferences and needs and works on skill development to help them manage housing and a lease. Connections to resources such as HUD-VASH and other supportive housing options, as well as treatment and supports were reviewed. Managing caseloads using the weighted caseload tracker was also discussed.
CTI Overview and Phase Planning - December 5, 2023
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This session provided a high-level overview of the CTI model with a focus on how Veterans transition through the phases of CTI. Phase Planning and how to use it to help Veterans achieve their goals was highlighted. The session also reviewed "stepping back" as a way to test out the resources, identify and develop new connections, and assess skill development. Finally, issues of staff turnover and the impact on CTI practice were discussed. Case examples were used to highlight concepts presented in the training.
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Supervision Practices in CTI - March 12, 2024
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This session highlighted the key role of supervision in the practice of Critical Time Intervention (CTI) to ensure staff had the knowledge and skills to do the work, that best practices were shared and promoted, and that needed resources were accessed. Supervision in CTI includes both the expertise of leadership staff as well as agency structures that support the team’s work. The session reviewed key roles, tasks and tools for CTI supervisors such as clinical supervision, caseload/workload management, and skill-building/problem-solving with staff. Structures to organize and support the work including team meetings, clinical consultation and case reviews were also discussed. Using the CTI Implementation Self-Assessment to prepare for Fidelity Reviews and new resources for QUERI CTI programs were presented. Throughout the session, participants had opportunities to raise examples/questions from their CTI practice.
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Implementing CTI for Veterans with Complex Needs - June 4, 2024
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Veterans in GPD Case Management programs present with a variety of medical and/or behavioral health issues and conditions. Aging, post-traumatic stress, mental illness, substance use, mobility and visual/auditory impairments create challenges to stabilizing in housing and building a life in the community.
This session discusses strategies and resources case managers can use to support Veterans with these complexities to get their needs met and be successful in their homes. |
Ending CTI Challenges and Strategies - September 10, 2024
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Ending Critical Time Intervention (CTI) and discharging Veterans from GPD Case Management can be challenging.
This session discussed ending the CTI intervention and addressed concerns that can lead to extensions. Strategies for increasing early engagement and linking to resources were reviewed. Also, issues that impact the end of CTI such as ongoing substance use and Veterans' ambivalence about receiving help were addressed. Finally, the trainers reviewed a brief case presentation outline, which should help guide case managers when presenting Veteran cases during supervision. Participants had opportunities for interaction and discussion about real-life examples from their CTI practice. |
Addressing Substance Use Using CTI - December 3, 2024
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Substance use disorders challenge Veterans' abilities to meet their tenancy obligations and maintain housing stability. This session reviewed CTI practices and interventions to support Veterans in managing/reducing the consequences of substance use that create barriers to staying housed. Professional and natural supports, and treatment and service options were discussed. The session also highlighted motivation-building techniques to increase Veterans' sense of confidence and competence. Case examples highlight CTI practices related to substance use.
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Establishing Meaningful Linkages Across the Phases of CTI - March 3, 2025
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Connecting Veterans to community- and VA-based resources is a core practice in CTI. It is also essential to their ongoing stability after GPD case management and the phases of support end. Establishing meaningful linkages that work for Veterans and endure after CTI ends starts in Phase 1 and continues throughout the course of the intervention. This session will review the key linkages and supports Veterans need, techniques to engage Veterans in evaluating and negotiating with useful resources, making adjustments over time and through the phases, and using the "warm handoff" to connect Veterans with other providers. The session will also discuss overcoming barriers to making linkages "stick" and will offer an opportunity for participants to discuss examples from their current practice.
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Applying Harm Reduction Principles to Critical Time Intervention - June 3, 2025
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In this session, we discuss strategies and principles that minimize risky behavior and adverse outcomes during vulnerable periods for Veterans undergoing housing transitions. Harm reduction will emphasize safety, limit-setting, monitoring, and evaluation, as well as safety planning to support effective and resilient wellness trajectories.
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CTI Recruitment: Engaging VA and Community Resources - September 9, 2025
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In this session, you will learn how to create strong referral streams by building relationships with key VA services and providers. We will identify and discuss important VA contacts who can support CTI recruitment and referrals. We will also discuss types of community organizations outside of the VA that have become reliable referral sources. We will share useful tips and strategies for working with these providers and explaining the benefits and processes of CTI. Attendees will gain insights into the best ways to talk about CTI with potential Veteran enrollees, helping you to explain the value of the approach and encourage participation.
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