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Summaries of RCT Grants

Critical Time Intervention Expansion Project — Region 8 Mississippi

Critical Time Intervention (CTI) – a case-management program designed to prevent homelessness in adults with serious mental illness – has the strongest evidence of sizable and sustained impacts of any program designed to reduced homelessness to date.

Grant Recipients: Madison-Rankin-Simpson Mental Health Commission Region 8

Term: 2020 –2024

Funding: $1,228,934

Summary: Critical Time Intervention (CTI) – a case-management program designed to prevent homelessness in adults with serious mental illness – has the strongest evidence of sizable and sustained impacts of any program designed to reduced homelessness to date. When evaluated in two well-conducted RCTs in New York City, CTI was found to reduce the likelihood of homelessness by more than 60%, 18 months after random assignment, and to produce sizable cost savings in government/community expenditures that nearly (in one RCT) or completely (in the second RCT) offset the program’s cost.

Under this project, the grantee – in partnership with The Center for the Advancement of Critical Time Intervention (CACTI) at Hunter College, City University of New York– will implement and expand program delivery of CTI in a five-county region in central Mississippi. CTI will be delivered to approximately 150 individuals over a three year period. These funds will cover salary costs for trained CTI case managers, and other costs directly associated with CTI service delivery.

This project will be conducted in the context of a multi-site randomized controlled trial, conducted by the University of Chicago Health Lab, in order to determine whether the large impacts on homelessness found in the prior RCTs of CTI in New York City can generalize across varied settings and implementation conditions.

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