Top

Administration and Policy in Mental Health and Mental Health Services Research

Published in:

Open Access 01-01-2017 | Original Article

Critical Time Intervention for People Leaving Shelters in the Netherlands: Assessing Fidelity and Exploring Facilitators and Barriers

Authors: Renée de Vet, Danielle A. M. Lako, Mariëlle D. Beijersbergen, Linda van den Dries, Sarah Conover, Albert M. van Hemert, Daniel B. Herman, Judith R. L. M. Wolf

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 1/2017

Abstract

International dissemination of evidence-based interventions calls for rigorous evaluation. As part of an evaluation of critical time intervention (CTI) for homeless people and abused women leaving Dutch shelters, this study assessed fidelity in two service delivery systems and explored factors influencing model adherence. Data collection entailed chart review (n = 70) and two focus groups with CTI workers (n = 11). The intervention obtained an overall score of three out of five (fairly implemented) for compliance fidelity and chart quality combined. Fidelity did not differ significantly between service systems, supporting its suitability for a range of populations. The eight themes that emerged from the focus groups as affecting model adherence provide guidance for future implementation efforts.

Available only for authorised users

Aarons, G. A., Wells, R. S., Zagursky, K., Fettes, D. L., & Palinkas, L. A. (2009). Implementing evidence-based practice in community mental health agencies: A multiple stakeholder analysis. American Journal of Public Health, 99, 2087–2095. doi:10.2105/ajph.2009.161711.CrossRefPubMedPubMedCentral

Bond, G. R., Evans, L., Salyers, M. P., Williams, J., & Kim, H. W. (2000). Measurement of fidelity in psychiatric rehabilitation. Mental Health Services Research, 2, 75–87. doi:10.1023/a:1010153020697.CrossRefPubMed

Brownson, R. C., Colditz, G. A., & Proctor, E. K. (2012). Dissemination and implementation research in health: Translating science to practice. New York, NY: Oxford University Press.CrossRef

Bybee, D., & Sullivan, C. (2002). The process through which an advocacy intervention resulted in positive change for battered women over time. American Journal of Community Psychology, 30(1), 103–132. doi:10.1023/A:1014376202459.CrossRefPubMed

Carey, M. A. (1995). Comment: Concerns in the analysis of focus group data. Qualitative Health Research, 5(4), 487–495. doi:10.1177/104973239500500409.CrossRef

Caton, C. L., Wyatt, R. J., Felix, A., Grunberg, J., & Dominguez, B. (1993). Follow-up of chronically homeless mentally ill men. American Journal of Psychiatry, 150(11), 1639–1642.CrossRefPubMed

Chen, F. (2012). Exploring how service setting factors influence practice of Critical Time Intervention. Journal of the Society for Social Work and Research, 3, 51–64. doi:10.5243/jsswr.2012.4.CrossRef

Chen, F., & Ogden, L. (2012). A working relationship model that reduces homelessness among people with mental illness. Qualitative Health Research, 22, 373–383. doi:10.1177/1049732311421180.CrossRefPubMed

Coalition for Evidence-Based Policy (2013, September). Critical Time Intervention—Top Tier. Retrieved from the Social Programs That Work website: http://evidencebasedprograms.org/1366-2/critical-time-intervention-top-tier.

Conover, S. (2012). CTI fidelity scale manual. Unpublished manuscript, Department of Psychiatry, Columbia University, New York, NY.

Conover, S. & Herman, D. B. (2007). CTI fidelity scale. Unpublished manuscript, Department of Epidemiology and the Center for Homelessness Prevention Studies, Columbia University Mailman School of Public Health, New York, NY.

Cuddeback, G. S., Morrissey, J. P., Domino, M. E., Monroe-DeVita, M., Teague, G. B., & Moser, L. L. (2013). Fidelity to recovery-oriented ACT practices and consumer outcomes. Psychiatric Services, 64, 318–323. doi:10.1176/appi.ps.201200097.CrossRefPubMed

de Vet, R., van Luijtelaar, M. J. A., Brilleslijper-Kater, S. N., Vanderplasschen, W., Beijersbergen, M. D., & Wolf, J. R. L. M. (2013). Effectiveness of case management for homeless persons: A systematic review. American Journal of Public Health, 103(10), e13–e26. doi:10.2105/ajph.2013.301491.CrossRefPubMedPubMedCentral

Evers, A. W. M., Rovers, M. M., Kremer, J. A. M., Veltman, J. A., Schalken, J. A., Bloem, B. R., & van Gool, A. J. (2012). An integrated framework of personalized medicine: From individual genomes to participatory health care. Croatian Medical Journal, 53, 301–303. doi:10.3325/cmj.2012.53.301.CrossRefPubMedPubMedCentral

Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation research: A synthesis of the literature (FMHI Publication No. 231). Retrieved from National Implementation Research Network website: http://nirn.fpg.unc.edu/sites/nirn.fpg.unc.edu/files/resources/NIRN-MonographFull-01-2005.pdf.

Fukui, S., Goscha, R., Rapp, C. A., Mabry, A., Liddy, P., & Marty, D. (2012). Strengths model case management fidelity scores and client outcomes. Psychiatric Services, 63, 708–710. doi:10.1176/appi.ps.201100373.CrossRefPubMed

Hartman, A. (1978). The diagrammatic assessment of family relations. Social Casework, 59, 465–476.

Herman, D. B. (2014). Transitional support for adults with severe mental illness: Critical time intervention and its roots in assertive community treatment. Research on Social Work Practice, 24, 556–563. doi:10.1177/1049731513510976.CrossRef

Herman, D. B., Conover, S., Felix, A., Nakagawa, A., & Mills, D. (2007). Critical Time Intervention: An empirically supported model for preventing homelessness in high risk groups. The Journal of Primary Prevention, 28, 295–312. doi:10.1007/s10935-007-0099-3.CrossRefPubMed

Herman, D. B., Conover, S., Gorroochurn, P., Hinterland, K., Hoepner, L., & Susser, E. S. (2011). Randomized trial of critical time intervention to prevent homelessness after hospital discharge. Psychiatric Services, 62, 713–719. doi:10.1176/appi.ps.62.7.713.CrossRefPubMedPubMedCentral

Herman, D. B., & Mandiberg, J. M. (2010). Critical time intervention: Model description and implications for the significance of timing in social work interventions. Research on Social Work Practice, 20, 502–508. doi:10.1177/1049731509360667.

Hogue, A., Liddle, H. A., Singer, A., & Leckrone, J. (2005). Intervention fidelity in family-based prevention counseling for adolescent problem behaviors. Journal of Community Psychology, 33, 191–211. doi:10.1002/jcop.20031.CrossRef

Jenson, J. M. (2014). Science, social work, and intervention research: The case of Critical Time Intervention. Research on Social Work Practice, 24, 564–570. doi:10.1177/1049731513517144.CrossRef

Jones, K., Colson, P. W., Holter, M. C., Lin, S., Valencia, E., Susser, E., & Wyatt, R. J. (2003). Cost-effectiveness of critical time intervention to reduce homelessness among persons with mental illness. Psychiatric Services, 54, 884–890.CrossRefPubMed

Jonker, I. E., Sijbrandij, M., van Luijtelaar, M. J. A., Cuijpers, P., & Wolf, J. R. L. M. (2015). The effectiveness of interventions during and after residence in women’s shelters: A meta-analysis. European Journal of Public Health, 25, 15–19. doi:10.1093/eurpub/cku092.CrossRefPubMed

Kasprow, W. J., & Rosenheck, R. A. (2007). Outcomes of critical time intervention case management of homeless veterans after psychiatric hospitalization. Psychiatric Services, 58, 929–935. doi:10.1176/appi.ps.58.7.929.CrossRefPubMed

Krabbenborg, M. A. M., Boersma, S. N., Beijersbergen, M. D., Goscha, R. J., & Wolf, J. R. L. M. (2015). Fidelity of a strengths-based intervention used by Dutch shelters for homeless young adults. Psychiatric Services. doi:10.1176/appi.ps.201300425.

Lako, D. A. M., de Vet, R., Beijersbergen, M. D., Herman, D. B., van Hemert, A. M., & Wolf, J. R. L. M. (2013). The effectiveness of critical time intervention for abused women and homeless people leaving Dutch shelters: Study protocol of two randomised controlled trials. BMC Public Health, 13, 555. doi:10.1186/1471-2458-13-555.CrossRefPubMedPubMedCentral

McHugh, R. K., & Barlow, D. H. (Eds.). (2012). Dissemination and implementation of evidence-based psychological interventions. New York, NY: Oxford University Press.

McHugo, G. J., Drake, R. E., Teague, G. B., & Xie, H. (1999). Fidelity to assertive community treatment and client outcomes in the New Hampshire dual disorders study. Psychiatric Services, 50, 818–824. doi:10.1176/ps.50.6.818.CrossRefPubMed

McQuistion, H., Gorroochurn, P., Hsu, E., & Caton, C. M. (2014). Risk factors associated with recurrent homelessness after a first homeless episode. Community Mental Health Journal, 50(5), 505–513. doi:10.1007/s10597-013-9608-4.CrossRefPubMed

Millner, W. R., & Rollnick, S. (2002). Motivational interviewing. New York, NY: Guilford Press.

Olivet, J. (2013). Evidence-based practice in community-based social work: A multi-media strategy. Needham, MA: Center for Social Innovation.

Public Health Agency of Canada. (2009). Critical Time Intervention. Retrieved from the Canadian Best Practices Portal website: http://cbpp-pcpe.phac-aspc.gc.ca/~cbpp/public/wp-content/themes/wet-boew306/print-interventions.php?pID=2308&lang=en.

Rapp, C. A., Etzel-Wise, D., Marty, D., Coffman, M., Carlson, L., Asher, D., & Holter, M. (2010a). Barriers to evidence-based practice implementation: Results of a qualitative study. Community Mental Health Journal, 46, 112–118. doi:10.1007/s10597-009-9238-z.CrossRefPubMed

Rapp, C. A., Goscha, R. J., & Carlson, L. S. (2010b). Evidence-based practice implementation in Kansas. Community Mental Health Journal, 46, 461–465. doi:10.1007/s10597-010-9311-7.CrossRefPubMed

Rapp, C. A., & Goscha, R. J. (2011). The strengths model: A recovery oriented approach to mental health services. New York, NY: Oxford University Press.

Robins, C. S., Ware, N. C., dosReis, S., Willging, C. E., Chung, J. Y., & Lewis-Fernández, R. (2008). Dialogues on mixed-methods and mental health services research: Anticipating challenges, building solutions. Psychiatric Services, 59, 727–731. doi:10.1176/appi.ps.59.7.727.CrossRefPubMedPubMedCentral

Salyers, M. P., Masterton, T. W., Fekete, D. M., Picone, J. J., & Bond, G. R. (1998). Transferring clients from intensive case management: Impact on client functioning. American Journal of Orthopsychiatry, 68, 233–245. doi:10.1037/h0080332.CrossRefPubMed

Scheyett, A., McCarthy, E., & Rausch, C. (2006). Consumer and family views on evidence-based practices and adult mental health services. Community Mental Health Journal, 42(3), 243–257. doi:10.1007/s10597-005-9027-2.CrossRefPubMed

Substance Abuse and Mental Health Services Administration (2006, August). Critical Time Intervention. Retrieved from the National Registry of Evidence-Based Programs and Practices (NREPP) website: http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=125.

Susser, E., Valencia, E., Conover, S., Felix, A., Tsai, W. Y., & Wyatt, R. J. (1997). Preventing recurrent homelessness among mentally ill men: A “critical time” intervention after discharge from a shelter. American Journal of Public Health, 87, 256–262. doi:10.2105/AJPH.87.2.256.CrossRefPubMedPubMedCentral

Tan, C., Basta, J., Sullivan, C. M., & Davidson, W. S. (1995). The role of social support in the lives of women exiting domestic violence shelters: An experimental study. Journal of Interpersonal Violence, 10(4), 437–451. doi:10.1177/088626095010004004.CrossRef

Toro, P. A. (2007). Toward an international understanding of homelessness. Journal of Social Issues, 63, 461–481. doi:10.1111/j.1540-4560.2007.00519.x.CrossRef

Torrey, W., Rapp, C., Van Tosh, L., McNabb, C. A., & Ralph, R. (2005). Recovery principles and evidence-based practice: Essential ingredients of service improvement. Community Mental Health Journal, 41(1), 91–100. doi:10.1007/s10597-005-2608-2.CrossRefPubMed

Tutty, L. M. (1996). Post-shelter services: The efficacy of follow-up programs for abused women. Research on Social Work Practice, 6(4), 425–441. doi:10.1177/104973159600600402.CrossRef

Valencia, E. S., van der Plas, A., Beune, E., Schols, D., & van Hemert, A. M. (2006). Gestructureerde zorgtoeleiding in de GGz met Critical Time Intervention. Handleiding CTI—NL [Structured care linkage in mental health care with Critical Time Intervention. Manual CTI—NL]. The Hague, Netherlands: Parnassia Group.

Valencia, E. S., van der Plas, A. G. M., van Hemert, A. M., Schols, D., & Hoek, H. W. (2007, November). Adapting the evidence-based Critical Time Intervention (CTI) for people with schizophrenia and homelessness in The Hague. Paper presented at the 135th Annual Meeting of the American Public Health Association, Washington, DC. Abstract retrieved from http://www.psychiatrieweb.mywebhome.nl/files/docs/070703_apha_adapting_cti.pdf.

van Hemert, A. M. (n.d.). Adaption of the Critical Time Intervention (CTI) model for continuity of services for people with schizophrenia and homelessness in The Hague. Retrieved from http://www.zonmw.nl/nl/projecten/project-detail/adaption-of-the-critical-time-intervention-cti-model-for-continuity-of-services-for-people-with-sc/samenvatting/.

Wolf, J. R. L. M., Beijersbergen, M. D., & van den Dries, L. (2012). CTI-werkmap: Modelgetrouwheid, registratie en monitoring [CTI handbook: Model fidelity, documentation, and monitoring]. Unpublished manuscript, Department of Primary and Community Care, Radboud university medical center, Nijmegen, Netherlands.

Title: Critical Time Intervention for People Leaving Shelters in the Netherlands: Assessing Fidelity and Exploring Facilitators and Barriers
Authors: Renée de Vet
Danielle A. M. Lako
Mariëlle D. Beijersbergen
Linda van den Dries
Sarah Conover
Albert M. van Hemert
Daniel B. Herman
Judith R. L. M. Wolf
Publication date: 01-01-2017
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 1/2017
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-015-0699-9

ACC 2024 Congress

Springer Medicine

Critical Time Intervention for People Leaving Shelters in the Netherlands: Assessing Fidelity and Exploring Facilitators and Barriers

Abstract

ACC 2024 Congress

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2017

A Non-randomized Comparison of Strategies for Consultation in a Community-Academic Training Program to Implement an Evidence-Based Psychotherapy

The Relationship Between Provider Competence, Content Exposure, and Consumer Outcomes in Illness Management and Recovery Programs

Introduction to the Special Issue: Legislation Related to Children’s Evidence-Based Practice

The Consistencies and Vagaries of the Washington State Inventory of Evidence-Based Practice: The Definition of “Evidence-Based” in a Policy Context

Developing a Quality Assurance System for Multiple Evidence Based Practices in a Statewide Service Improvement Initiative

Impact of Mental Health Services on Resilience in Youth with First Episode Psychosis: A Qualitative Study