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Summaries of RCT Grants

Expansion of Critical Time Intervention in Chicago and Central Mississippi

Critical Time Intervention (CTI) is a case-management program designed to prevent homelessness in adults with serious mental illness.

Grant Recipients: Research Foundation of the City University of New York

Term: 20212023

Funding: $254,301

Summary: Critical Time Intervention (CTI) is a case-management program designed to prevent homelessness in adults with serious mental illness. When evaluated in two well-conducted randomized controlled trials (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 grant, the Center for the Advancement of Critical Time Intervention (CACTI) at Hunter College, City University of New York, will enhance the quality of implementation of CTI in Chicago, IL and central Mississippi by ensuring adherence to the key features of the model.

Grant funds will be used to (i) provide technical assistance on program design, through activities such as training CTI workers and supervisors in the model, regular coaching, and consultation on quality assessment; and (ii) adapting fidelity tools and training to local conditions and training staff on their use. 

Under separate grants, Arnold Ventures is funding CTI service delivery in Chicago, IL and across a five-county region in central Mississippi, coupled with an RCT to determine whether the sizable effects on homelessness found in the earlier RCTs can be successfully reproduced.