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Bruzios K, Shaffer PM, Blonigen DM, Cucciare MA, Andre M, Byrne T, Smith J, Smelson D
Intervention for Justice-Involved Homeless Veterans With Co-Occurring Substance Use and Mental Health Disorders: Protocol for a Randomized Controlled Hybrid Effectiveness-Implementation Trial
Intervention for Justice-Involved Homeless Veterans with Co-Occurring Substance Use and Mental Health Disorders: Protocol for a Randomized Control Hybrid Effectiveness-Implementation Trial
Kathryn Bruzios;
Paige M Shaffer;
Daniel M Blonigen;
Michael A Cucciare;
Michael Andre;
Thomas Byrne;
Jennifer Smith;
David Smelson
ABSTRACT
Background:
US Veterans Affairs (VA) Mental Health Residential Rehabilitation Treatment Programs (MH RRTP) provide residential care for veterans experiencing homelessness. However, those with co-occurring mental health and substance use disorders (COD) and criminal legal involvement require additional interventions to address risk factors for recidivism.
Objective:
This study aims to evaluate (1) whether MISSION-CJ lowers criminal recidivism and health-related outcomes; (2) whether the effects of MISSION-CJ on these outcomes are mediated by several recidivism risk and protective factors; and (3) qualitatively assess the implementation of MISSION-CJ using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework.
Methods:
In a Hybrid Type 1 randomized control trial to test the effectiveness and implementation of MISSION-CJ, a multicomponent intervention for COD, veterans participating in MH RRTP (n = 226) will be randomized to enhanced usual care or MISSION-CJ.
Results:
The findings from this trial and qualitative evaluation will be available by 2026.
Conclusions:
If effective, implementation of MISSION-CJ alongside MH RRTP may be advantageous to address risk factors to address recidivism. Clinical Trial: ClinicalTrials.gov NCT04523337
Citation
Please cite as:
Bruzios K, Shaffer PM, Blonigen DM, Cucciare MA, Andre M, Byrne T, Smith J, Smelson D
Intervention for Justice-Involved Homeless Veterans With Co-Occurring Substance Use and Mental Health Disorders: Protocol for a Randomized Controlled Hybrid Effectiveness-Implementation Trial