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Trial record 1 of 1 for:    sdp 11-240
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MISSION-Vet HUD-VASH Implementation Study

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01430741
Recruitment Status : Completed
First Posted : September 8, 2011
Results First Posted : May 30, 2017
Last Update Posted : June 29, 2018
Sponsor:
Information provided by (Responsible Party):
VA Office of Research and Development

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: None (Open Label);   Primary Purpose: Other
Conditions Substance Related Disorders
Mental Illness
Interventions Behavioral: Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition)
Other: Getting To Outcomes
Enrollment 227
Recruitment Details  
Pre-assignment Details All case managers were invited to participate and verbally consented before randomization into the IU or the GTO group. 10 refused to participate.
Arm/Group Title MISSION-Vet - IU Case Management MISSION-Vet IU Veterans GTO Case Management GTO MISSION Veterans
Hide Arm/Group Description

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - standard training on the MISSION model via a 1.5 hour webinar

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - staff receive standard training on the MISSION model via a 1.5 hour webinar and then deliver MISSION services to Veterans

Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform. Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform, while delivering MISSION services to Veterans.
Period Title: Overall Study
Started 22 87 47 81
Completed 22 87 37 81
Not Completed 0 0 10 0
Arm/Group Title MISSION-Vet - IU Case Management MISSION-Vet - IU Veterans Enhanced Implementation Approach GTO Case Management GTO Veterans Total
Hide Arm/Group Description

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - standard training on the MISSION model via a 1.5 hour webinar

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - staff receive standard training on the MISSION model via a 1.5 hour webinar and then deliver MISSION services to Veterans.

Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform. Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform, while delivering MISSION services to Veterans Total of all reporting groups
Overall Number of Baseline Participants 22 87 37 81 227
Hide Baseline Analysis Population Description
Limited baseline characteristics were collected for the Veteran population who received case management. Only age was collected for Veterans. No baseline characteristics were collected on the staff population.
Age, Continuous   [1] 
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 0 participants 87 participants 0 participants 81 participants 168 participants
49.7  (10.8) 55.9  (9.5) 52.8  (10.6)
[1]
Measure Analysis Population Description: No baseline characteristics were collected on the case management population.
Sex/Gender, Customized  
Measure Type: Number
Unit of measure:  Participants
Unknown Number Analyzed 22 participants 87 participants 37 participants 81 participants 227 participants
22 87 37 81 227
1.Primary Outcome
Title MISSION Fidelity Index
Hide Description The fidelity index assesses the presence or absences of activities within MISSION-Vet - DRT, peer led sessions, self-guided exercises, referrals made, and/or delivery of the workbook, to each participating Veteran. We analyzed fidelity as the percent of adoption of MISSION-Vet. The threshold for fidelity to adopt MISSION-Vet is 1 contact between the case manager and each participating Veteran. There is no composite score, fidelity to MISSION-Vet is if the case manager conducted at least 1 session with a Veteran.This measure was embedded into the VA Electronic Medical Record System. The investigators will assess the impact GTO has in facilitating adoption and use with fidelity to the MISSION-Vet 12-month service delivery platform, in comparison to implementation as usual.
Time Frame 12-months
Hide Outcome Measure Data
Hide Analysis Population Description
Clinician fidelity to MISSION-Vet using IU or GTO. Only assessed Staff population.
Arm/Group Title MISSION-Vet - IU Case Management MISSION-Vet IU Veterans GTO Case Management GTO Veterans
Hide Arm/Group Description:

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - standard training on the MISSION model via a 1.5 hour webinar

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - staff receive standard training on the MISSION model via a 1.5 hour webinar and then deliver MISSION services to Veterans

Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform.
Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform, while delivering MISSION services to Veterans.
Overall Number of Participants Analyzed 22 0 37 0
Measure Type: Number
Unit of Measure: percentage of MISSION-Vet staff use
0 68
2.Post-Hoc Outcome
Title Number of Services Provided by Case Managers and Peers to Veterans
Hide Description Services provided by Case Managers OR Peers was computed by a count of the number of contacts between case managers OR peers and Veterans. This computed a total of all Veteran contacts, which was the sum of face-to-face contacts with Veterans and contacts on behalf of Veterans (described as Veteran contacts) with other stakeholders (e.g. family, medical providers). Assessed on a monthly basis for 12 months following study enrollment. These measures were obtained from the standardized monthly and quarterly status reports completed by case managers, which were extracted from HOMES. We used a linear-mixed effects model to calculate a Least-Squares Mean for each group at the study's end-point holding all variables in the model (Veteran age, Veteran sex, presence of an SMI diagnosis, employment) constant at their mean value.
Time Frame 12 months
Hide Outcome Measure Data
Hide Analysis Population Description
All MISSION-Vet IU Veterans and GTO Veterans were analyzed from HUD-VASH data monitoring system HOMES (Homeless Operations, Management and Evaluation).
Arm/Group Title MISSION-Vet - IU Case Management MISSION-Vet IU Veterans GTO Case Management GTO Veterans
Hide Arm/Group Description:

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - standard training on the MISSION model via a 1.5 hour webinar

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - staff receive standard training on the MISSION model via a 1.5 hour webinar and then deliver MISSION services to Veterans

Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform.
Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform, while delivering MISSION services to Veterans.
Overall Number of Participants Analyzed 0 87 0 81
Least Squares Mean (Standard Error)
Unit of Measure: Number of Service Contacts
3.466  (2.824) 3.469  (3.051)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MISSION-Vet IU Veterans, GTO Veterans
Comments Compared changes in service intensity among Veterans served by case managers in the GTO group relative to the comparison group of Veterans, by fitting a series of mixed-effects regression models. Final mixed-effect models for all outcomes included fixed terms for group (GTO group vs. comparison), time, group x time interaction as well as control covariates.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value =.04
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
3.Post-Hoc Outcome
Title Drug and Alcohol Dependence
Hide Description Examined monthly alcohol and drug use by Veterans. Assessed on a monthly basis for 12 months following study enrollment. These measures were obtained from the standardized monthly and quarterly status reports completed by case managers, which were extracted from HOMES.
Time Frame 12 months
Hide Outcome Measure Data
Hide Analysis Population Description
All MISSION-Vet IU Veterans and GTO Veterans were analyzed from HUD-VASH data monitoring system HOMES (Homeless Operations, Management and Evaluation).
Arm/Group Title MISSION-Vet - IU Case Management MISSION-Vet IU Veterans GTO Case Management GTO Veterans
Hide Arm/Group Description:

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - standard training on the MISSION model via a 1.5 hour webinar

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - staff receive standard training on the MISSION model via a 1.5 hour webinar and then deliver MISSION services to Veterans

Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform.
Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform, while delivering MISSION services to Veterans.
Overall Number of Participants Analyzed 0 87 0 81
Least Squares Mean (Standard Error)
Unit of Measure: Monthly Substance Use
Drug Use 1.291  (0.62) 1.786  (0.588)
Alcohol Use 1.668  (0.79) 2.278  (0.752)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MISSION-Vet IU Veterans, GTO Veterans
Comments Compared changes in alcohol dependence among Veterans served by case managers in the GTO group relative to the comparison group of Veterans, by fitting a series of mixed-effects regression models. Final mixed-effect models for all outcomes included fixed terms for group (GTO group vs. comparison), time, group x time interaction as well as control covariates.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value =.21
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection MISSION-Vet IU Veterans, GTO Veterans
Comments Compared changes in drug dependence among Veterans served by case managers in the GTO group relative to the comparison group of Veterans, by fitting a series of mixed-effects regression models. Final mixed-effect models for all outcomes included fixed terms for group (GTO group vs. comparison), time, group x time interaction as well as control covariates.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value =.07
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
4.Post-Hoc Outcome
Title Predicted Values of Veteran Inpatient Hospitalizations for Medical and Mental Health Conditions
Hide Description Number of inpatient hospitalization for medical and mental health conditions. Assessed on a monthly basis for 12 months following study enrollment. These measures were obtained from the standardized monthly and quarterly status reports completed by case managers, which were extracted from HOMES. A dichotomous measure of whether a veteran experienced an inpatient hospitalization for medical or mental health conditions , and not a count of number of hospitalizations. Specifically, we used a mixed-effects logistic regression model to calculate a predicted values (i.e. a Least-Squares Mean) for each group/arm at the study's end-point holding all variables in the model (Veteran age, Veteran sex, presence of an SMI diagnosis, employment) constant at their mean value. Predicted value reported in log-odds (logit) units.
Time Frame 12 months
Hide Outcome Measure Data
Hide Analysis Population Description
All MISSION-Vet IU Veterans and GTO Veterans were analyzed from HUD-VASH data monitoring system HOMES (Homeless Operations, Management and Evaluation).
Arm/Group Title MISSION-Vet - IU Case Management MISSION-Vet IU Veterans GTO Case Management GTO Veterans
Hide Arm/Group Description:

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - standard training on the MISSION model via a 1.5 hour webinar

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - staff receive standard training on the MISSION model via a 1.5 hour webinar and then deliver MISSION services to Veterans

Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform.
Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform, while delivering MISSION services to Veterans.
Overall Number of Participants Analyzed 0 87 0 81
Least Squares Mean (Standard Error)
Unit of Measure: Inpatient Hospitalization Log Odds Units
Medical Inpatient Hospitalizations -6.597  (1.903) -6.555  (1.498)
Mental Health Inpatient Hospitalizations -5.311  (6.008) -3.825  (5.802)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MISSION-Vet IU Veterans, GTO Veterans
Comments Compared mental health inpatient hospitalizations among Veterans served by case managers in the GTO group relative to the comparison group of Veterans, by fitting a series of mixed-effects regression models. Final mixed-effect models for all outcomes included fixed terms for group (GTO group vs. comparison), time, group x time interaction as well as control covariates.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value =.14
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection MISSION-Vet IU Veterans, GTO Veterans
Comments Compared medical inpatient hospitalizations among Veterans served by case managers in the GTO group relative to the comparison group of Veterans, by fitting a series of mixed-effects regression models. Final mixed-effect models for all outcomes included fixed terms for group (GTO group vs. comparison), time, group x time interaction as well as control covariates.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value =.19
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
5.Post-Hoc Outcome
Title Predicted Values of Veteran Emergency Department Visits for Medical and Mental Health Concerns
Hide Description Number of emergency department visits for medical and for mental health. Assessed on a monthly basis for 12 months following study enrollment. These measures were obtained from the standardized monthly and quarterly status reports completed by case managers, which were extracted from HOMES. A dichotomous measure of whether a veteran experienced an emergency department visit for medical or mental health conditions , and not a count of number of emergency department visits. We used a mixed-effects logistic regression model to calculate a predicted values (i.e. a Least-Squares Mean) for each group/arm at the study's end-point holding all variables in the model (Veteran age, Veteran sex, presence of an SMI diagnosis, employment) constant at their mean value. Predicted value reported in log-odds (logit) units.
Time Frame 12 months
Hide Outcome Measure Data
Hide Analysis Population Description
All MISSION-Vet IU Veterans and GTO Veterans were analyzed from HUD-VASH data monitoring system HOMES (Homeless Operations, Management and Evaluation).
Arm/Group Title MISSION-Vet - IU Case Management MISSION-Vet IU Veterans GTO Case Management GTO Veterans
Hide Arm/Group Description:

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - standard training on the MISSION model via a 1.5 hour webinar

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - staff receive standard training on the MISSION model via a 1.5 hour webinar and then deliver MISSION services to Veterans

Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform.
Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform, while delivering MISSION services to Veterans.
Overall Number of Participants Analyzed 0 87 0 81
Least Squares Mean (Standard Error)
Unit of Measure: Log Odd Units of Emergency Dept. Visits
Medical Emergency Dept Visits -4.663  (3.063) -3.983  (2.923)
Mental Health Emergency Dept Visits -7.96  (2.312) -6.792  (1.779)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MISSION-Vet IU Veterans, GTO Veterans
Comments Compared changes in mental health emergency department visits among Veterans served by case managers in the GTO group relative to the comparison group of Veterans, by fitting a series of mixed-effects regression models. Final mixed-effect models for all outcomes included fixed terms for group (GTO group vs. comparison), time, group x time interaction as well as control covariates.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value =.24
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
6.Post-Hoc Outcome
Title Estimated Proportion of Veterans Without Negative Housing Exits
Hide Description We obtained information on negative housing exits from the HUD-VASH Exit form, which is available in HOMES and tracks the dates and reasons for all exits from the program. We measured whether and when a Veteran experienced a negative housing over the period from study enrollment (i.e. the first date of MISSION-Vet for those served by case managers in the GTO group and the date of the first MISSION-Vet session provided to any Veteran at the appropriate study site for this in the comparison group) until the end of the study observation period; the maximum follow-up time was 2.4 years, but only for HUD-VASH Exits. A negative exit was defined as an exit from HUD-VASH that occurred due to non-compliance with case management, eviction, Veteran dissatisfaction with housing, inability to locate Veteran and incarceration. Kaplan-Meier survival curves to calculate an estimate of the proportion of Veterans in each arm/group not experiencing a negative exit from housing at the study's endpoint.
Time Frame 12 months
Hide Outcome Measure Data
Hide Analysis Population Description
All MISSION-Vet IU Veterans and GTO Veterans were analyzed from HUD-VASH data monitoring system HOMES (Homeless Operations, Management and Evaluation).
Arm/Group Title MISSION-Vet - IU Case Management MISSION-Vet IU Veterans GTO Case Management GTO Veterans
Hide Arm/Group Description:

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - standard training on the MISSION model via a 1.5 hour webinar

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - staff receive standard training on the MISSION model via a 1.5 hour webinar and then deliver MISSION services to Veterans

Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform.
Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform, while delivering MISSION services to Veterans.
Overall Number of Participants Analyzed 0 87 0 81
Measure Type: Number
Number (95% Confidence Interval)
Unit of Measure: Proportion of Veterans
0.808
(0.694 to 0.883)
0.884
(0.737 to 0.952)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection MISSION-Vet IU Veterans, GTO Veterans
Comments We used Kaplan-Meier survival curves to estimate the extent and timing of negative housing exits over time and Cox proportional hazards regression to assess the relationship between membership in the GTO group and risk of experiencing a negative housing exit, adjusting for a set of relevant covariates.
Type of Statistical Test Superiority or Other
Comments [Not Specified]
Statistical Test of Hypothesis P-Value =.481
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Time Frame [Not Specified]
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title MISSION-Vet - IU Case Management MISSION-Vet - IU Veterans GTO Case Management GTO Veterans
Hide Arm/Group Description

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - standard training on the MISSION model via a 1.5 hour webinar

Maintaining Independence and Sobriety Through Systems Integration, Outreach, and Networking (Veterans Edition):MISSION-Vet has been developed to target mental health, substance abuse and related issues faced by homeless Veterans through assertive outreach, psychoeducation, and linkages to community-based resources.

Implementation as Usual (IU) - staff receive standard training on the MISSION model via a 1.5 hour webinar and then deliver MISSION services to Veterans

Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform. Getting To Outcomes (GTO) is used to strengthens the knowledge, attitudes, and skills practitioners need to carry out evidence based programs. In GTO, staff receive ongoing technical assistance using the GTO implementation platform, while delivering MISSION services to Veterans
All-Cause Mortality
MISSION-Vet - IU Case Management MISSION-Vet - IU Veterans GTO Case Management GTO Veterans
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   --/--   --/--   --/--   --/-- 
Hide Serious Adverse Events
MISSION-Vet - IU Case Management MISSION-Vet - IU Veterans GTO Case Management GTO Veterans
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   0/22 (0.00%)   0/87 (0.00%)   0/37 (0.00%)   0/81 (0.00%) 
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
MISSION-Vet - IU Case Management MISSION-Vet - IU Veterans GTO Case Management GTO Veterans
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   0/22 (0.00%)   0/87 (0.00%)   0/37 (0.00%)   0/81 (0.00%) 
First peer specialists were not readily available to teams in the IU condition in two of the three sites. Second, HOMES data on case managers reports. Third, we believe the services documented underrepresented the actual amount of services delivered.
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Dr. David Smelson, Professor
Organization: Bedford VA
Phone: 781-570-1903
EMail: david.smelson@va.gov
Publications of Results:
O K, Kline A, Sawh L, Fisher W, Rodrigues S, Kane V, Kuhn J, Ellison ML, Smelson DA. Unemployment and Co-occurring Disorders Among Homeless Veterans. Journal of Dual Diagnosis. 2013 Mar 27; 9(2):134-138.
Layout table for additonal information
Responsible Party: VA Office of Research and Development
ClinicalTrials.gov Identifier: NCT01430741    
Other Study ID Numbers: SDP 11-240
First Submitted: July 26, 2011
First Posted: September 8, 2011
Results First Submitted: October 20, 2016
Results First Posted: May 30, 2017
Last Update Posted: June 29, 2018