Clinical Trials Logo

Clinical Trial Summary

The purpose of this study is to determine whether Maintaining Independence and Sobriety through Systems Integration, Outreach and Networking - Criminal Justice version (MISSION-CJ) is effective for reducing criminal recidivism and improving other health-related outcomes (substance use, mental health, housing, employment, community integration) among justice-involved, homeless Veterans with a co-occurring substance use and mental health disorder.


Clinical Trial Description

VHA Mental Health Residential Rehabilitation Treatment Programs (MH RRTPs) serve Veterans with an estimated 50% having criminal justice involvement annually. Justice-involved Veterans (JIVs) receive assistance with their addiction and behavioral health needs, but MH RRTP programs do not directly address their antisocial behaviors and cognitions. Furthermore, MH RRTP discharge is a vulnerable transition and no national transitional approach facilitates Veteran's engagement in prosocial community behaviors that sustain MH RRTP gains, ultimately reducing revolving door service use. Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking-Criminal Justice version (MISSION-CJ) is a new case manager and peer delivered team-based treatment for JIVs with a co-occurring substance use and mental health disorder (COD). While MISSION-CJ derives in part from an evidence-based treatment for homeless individuals (MISSION), it includes a new conceptual framework and numerous new and differentiating features for a CJ population including: (1) a treatment planning tool focused on criminogenic needs that monitors progress and tunes service delivery elements; (2) a prosocial treatment curriculum; and (3) tools/resources to address JIVs' legal issues. With MISSION-CJ, this study attempts to change the practice paradigm and transform care for JIVs by moving beyond the current model of linking Veterans to VA care and tracking behavioral health outcomes, to a hybrid treatment/linkage approach that addresses criminogenic needs, supports engagement in VA and non-VA care, and targets recidivism as an outcome-the gold standard for CJ research. Using a Hybrid Type 1 design, this project will test the effectiveness of MISSION-CJ in a three-site RCT (Bedford, Palo Alto, and Little Rock VAs) with JIVs with a COD, admitted to an MH RRTP, and previously arrested and charged and/or released from incarceration in the past 5-years. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT04523337
Study type Interventional
Source VA Office of Research and Development
Contact David A Smelson, PsyD
Phone (781) 687-7778
Email david.smelson@va.gov
Status Recruiting
Phase N/A
Start date July 1, 2021
Completion date February 28, 2025

See also
  Status Clinical Trial Phase
Recruiting NCT05639855 - Study on Mental Health-related Stigma N/A
Completed NCT03042832 - Testing the Leadership and Organizational Change for Implementation (LOCI) Intervention N/A
Completed NCT03007940 - Using NIATx Strategies to Implement Integrated Services in Routine Care N/A
Active, not recruiting NCT05726617 - Avatar Intervention for the Treatment of Cannabis Use Disorder in Patients With Severe Mental Health Disorders N/A
Active, not recruiting NCT04090723 - Using CBPR to Engage Hazardous Drinking Women in the HIV Prevention and Care Continuum N/A
Enrolling by invitation NCT05523843 - Pilot Study on the Clinical Utility of the Tulsa Life Chart
Recruiting NCT04299789 - Military Service Identification Tool
Recruiting NCT05258578 - Tele-BARICARE to Manage COVID-19-Related Distress N/A
Recruiting NCT06190184 - Viome Precision Nutritional Programs to Improve Clinical Outcomes for Mental Health Conditions N/A
Completed NCT04649736 - Home-based Respiratory Physiotherapy and Telephone-Based Psychological Support in Severe COVID-19 Patients N/A
Not yet recruiting NCT05097807 - The Impact of Shallow Reading in Social Media N/A
Active, not recruiting NCT03013595 - The MILESTONE Study: Improving Transition From Child to Adult Mental Health Care N/A
Active, not recruiting NCT05092542 - Intervention to Address Disparate Mental Health Consequences of COVID-19 Pandemic on Latinx and African Newcomers N/A
Completed NCT05274958 - Effectiveness of Telepsychiatry With Randomized Waitlist Control Utilizing Patient Reported Outcome Measures N/A
Completed NCT05303870 - Impact of Psychological Therapies on Emergency Medical Patients N/A
Recruiting NCT04841655 - Tobacco Cessation Among Smokers Under Alcohol and/or Cannabis Treatment
Completed NCT05213182 - Peer Support Intervention to Mitigate Social Isolation and Stigma of Adolescent Motherhood in Zimbabwe Phase 2
Completed NCT05638516 - Improving Mental Health in Youth and Lowering Risk for Obesity Through a Digital Preventative Product N/A
Completed NCT06311084 - IMAGINATOR 2.0: Co-design and Early Evaluation of a Novel Blended Digital Intervention Targeting Self-harm in Young People N/A
Active, not recruiting NCT04600414 - Collaborating to Heal Addiction and Mental Health in Primary Care N/A