​
​Implementing and sustaining Critical Time Intervention (CTI)
​in case management programs for homeless-experienced Veterans

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What is CTI?

CTI is an evidence-based, structured, and time-limited case management practice that can improve housing stability and decrease hospitalizations among homeless-experienced Veterans. Learn more>

Where are we implementing CTI?

The VA Grant Per Diem Case Management “Aftercare” Program is operated by VA’s community partners to provide 6 months of case management for homeless-experienced Veterans undergoing housing transitions; implementation of CTI in Aftercare can standardize and improve case management services in this program. 

​How does CTI benefit Veterans?
 
CTI is delivered in three time-limited phases of decreasing intensity. Services are provided by a single case manager (“CTI Specialist”) who delivers field-based care that helps Veterans mobilize resources and support. Services focus on housing stability, recovery goals and building a network of supports. Learn more>

Testimonials

“We’ve been successful [using CTI in our program]. Veterans are graduating and keeping their housing.”  
Case Manager

“I think Veterans, coming from a military background, respond well to [the] clear goals and objectives [that CTI provides].
When you tell them, ‘Hey, we're doing this and this. Here's the beginning, the middle, and the end.’ I think that's something that they really can appreciate." 
Case Manager

"I would love to have CTI as standard training any time one of our case managers comes onboard." 
Aftercare Liaison

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Participating Sites

Housing Transitions QUERI is implementing and evaluating Critical Time Intervention (CTI) in 32 Grant Per Diem (GPD) case management aftercare grantee sites in 7 VISNs across the nation over 4 years. Implementation at the 32 sites will be completed in three separate waves, each wave lasting 9 months.

Pilot

​Pilot Sites (Red Star)
VISN 22

• VA Greater Los Angeles Healthcare System
  • Good Samaritan
  • New Directions
  • U.S. Veterans
  • Volunteers of America

Wave 1

​In Wave 1, we implemented CTI in 11 GPD case management aftercare grantee sites (blue stars on the map), which are affiliated with 8 VA facilities (listed below) and 6 Veterans Integrated Service Networks (VISNs).

VISN 1

• VA Maine Healthcare System
  • Veterans, Inc.
  • Volunteers of America, Northern New England
• VA Boston Healthcare System
  • Vietnam Veterans Workshop

VISN 10

• Richard L. Roudebush VA Medical Center
  • HVAF of Indiana, Inc.

VISN 12

• Jesse Brown Department of Veterans Affairs Medical Center
  • Volunteers of America, Illinois
  • Inner Voice, Inc

VISN 19

• Sheridan VA Medical Center
  • Volunteers of America, Northern Rockies

VISN 20

• VA Portland Health Care System
  • Housing Opportunities of South West Washington
  • WestCare Oregon DBA VETcare

VISN 21

• VA Palo Alto Health Care System
  • Veterans Transition Center (VTC) of Monterey County
• VA Pacific Islands Healthcare System
  • US Vets​

Wave 2

​In Wave 2, we will implement CTI in 11 GPD case management aftercare grantee sites (teal stars on the map), which are affiliated with 10 VA facilities (listed below) and 6 Veterans Integrated Service Networks (VISNs).

​VISN 1

• VA Connecticut Healthcare System
  • ​Columbus House, Inc.
• VA Manchester, NH
  • ​Easter Seals

VISN 10

• Northern Indiana HCS
  • ​Shepherd's House
  • VOA of Greater Ohio

VISN 12

• Clement J. Zablocki VA Medical Center
  • ​Center for Veterans Issues, Ltd.

VISN 19

• Eastern Colorado HCS
  • ​Colorado Coalition for the Homeless

VISN 20

• Alaska VA Healthcare System
  • ​Catholic Social Services
• Roseburg VA
  • ​Housing Authority of Douglas County

VISN 21

• VA Southern Nevada HCS
  • ​United States Veterans Initiative
• VA Northern California HCS
  • ​Nation's Finest
• San Francisco VA
  • ​Nation's Finest

​Wave 3

COMING OCTOBER 2023

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