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Critical Time Intervention (CTI)

Mental IllnessCommunity/neighbourhoodMaleHousing conditionsIncome and social statusAdults (age 35-49)Social environmental supportPhysical environmental support
CTI is a time-limited intervention that overlaps the period before and after discharge from the institution to the community. The intervention, involves two components: (1) strengthening the individual's long-term ties to services, family, and friends; and (2) providing emotional and practical support during the transition. Postdischarge services are delivered by workers who have established relationships with patients during their institutional stay. CTI is intended to be used with individuals leaving institutions such as shelters, hospitals, and jails. The intervention is delivered in three main phases: (1) transition to the community, which focuses on providing intensive support and assessing the resources that exist for the transition of care to community providers; (2) tryout, which involves testing and adjusting the systems of support that were developed in the first phase; and (3) transfer of care, which completes the transfer of care to community resources that will provide long-term support. The emphasis, however, is on maintaining continuity of care during a critical period of transition, whereas primary responsibility is gradually passed to the existing supports in the community. Another study investigated the cost-effectiveness of the CTI program, and found that it is not only an effective method to reduce recurrent homelessness among persons with severe mental illness but also represents a cost-effective alternative to the status quo.

Citation Information and Links

Additional Web Links

For additional information about the intervention:

http://criticaltime.wordpress.com/

For reports about the intervention, etc.:

http://www.ncbi.nlm.nih.gov/pubmed/17541827

For document references or commentaries:

Samuels, J., Shinn, M., Fischer, S., Thompkins, A., & Park, H. (2006). The impact of the family Critical Time Intervention on homeless children: Final report to the National Institute of Mental Health. Orangeburg, NY: Nathan Kline Institute of Psychiatric

Country of Origin

United States

Evaluation Design   Learn More

  • Experimental design (controlled studies with random assignment of participants in experimental conditions - e.g., RCTs, Solomon Four Group design, etc.)
  • Quasi-experimental design (controlled studies without random assignment, but employing control/comparison groups, or counter-balanced designs)

Language(s)

English

Primary Source Document

Authors:

Herman, D., Opler, L., Felix, A., Valencia, E., Wyatt, R & Ezra, S.

Document Title:

A Critical Time Intervention with Mentally III Homeless Men: Impact On Psychiatric Symptoms

Publication or Source:

The Journal of Nervous and Mental Disease, Volume 188(3)

Date:

2000-01-01

Relevant Ecological Levels

  • Individual level (e.g., individual behaviour, knowledge, beliefs, attitudes)
  • Interpersonal level (e.g., family, friends)
  • Organizational level (e.g., workplaces, schools, NGOs, health service organizations/institutions/systems)

Strategies

  • Individual education/skill development
  • Individual asset development
  • Citizen empowerment
  • Social environmental support
  • Physical environmental support

Systematic Review Evidence

  • To be determined