Tag Archives: Evidence-based medicine


Promising Strategies Series: Critical Time Intervention


Our Promising Strategies Series blog entries are intended to offer a brief overview on specific approaches to end homelessness. We will post links to external sites where you can find more in-depth information.

Critical Time Intervention (CTI) is a time-limited case management model that focuses on assisting a person transitioning from a shelter, hospital, prison, or other institution into a permanent living situation. The program is structured in three phases each lasting about three months.

The following table is copied from an online paper describing CTI: (http://www.criticaltime.org/wp-content/uploads/2009/04/cti-handout4.pdf)

Phase Transition Try-Out Transfer of Care
 Timing  Months 1-3 Months 4-7 Months 8-9
 Purpose Provide Specialized support &   implement transition plan Facilitate and test client’s   problem-solving skill Terminate CTI services with support   network safely in place
  •   CTI   worker makes home visits
  •   Accompanies   clients to community providers
  •   Meets   with caregivers when necessary
  •   Gives   support and advice to client an d caregivers
  • Mediates conflicts between client and caregivers
  •   CTI   worker observes operation of support network
  •   Helps to   modify network as necessary
  •   CTI   worker reaffirms roles of support network members
  •   Develops   and begins to set in motion plan for long-term goals (e.g. employment,   education, family reunification)
  •   Holds   party/meetings to symbolize transfer of care

CTI was developed in the early 1990s by Columbia University and New York State Psychiatric Institute to assist transition people with mental illness from institutional settings to community living.

The model works in two ways:

  1. CTI offers individualized support to ease the transition from an institution to permanent housing; and
  2. It helps develop and strengthen individual’s long-term relationships with support networks such as family, friends, and community service.

The goal is to prepare people to access support services without the intensive care of a case manager.

For a more thorough overview of CTI, visit the U.S. Interagency Council on Homelessness’ Solutions Database. (http://www.usich.gov/usich_resources/solutions/explore/critical_time_intervention_cti/)

Additional resources can be found at the following links:

Critical Time Intervention (http://www.criticaltime.org/)

SAMHSA’s National Registry of Evidence-based Programs and Practices (http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=125)

Critical Time Intervention Training and Evaluation from the Center for Social Innovation (http://www.center4si.com/projects/projects.cfm?project=f0fa1046-ba1d-485d-ab3f-24e018e3e694)