Critical Time Intervention

Our Vision

NO person is lost in the pursuit of safe and stable housing.

Our Values

People

Impact

Commitment

Flexibility

Transparency

Balance

What We Do For The System

Provide Critical Time Intervention (CTI) care coordination services to model fidelity with the inclusion of pre-CTI.

• Reduce lost contact for Homeless Households at Coordinated Entry and after housing referral

• Reduce recidivism of households in Rapid Re-Housing and Permanent Supportive Housing

• Reduce vacancy rates of scarce system resources through care coordination, early data collection, and documentation of need

• Divert households in the system’s Priority Pool who would otherwise not receive a housing referral by providing increased pre-CTI supports

• Maintain system accountability via data collection, evaluation, collaboration with partners, and continued learning.

 How We Do It

Time Limited Phased Care Coordination

Pre-CTI

During the pre-CTI phase the Housing Navigator makes their initial contact with the household and focuses on outreach, building a genuine and non-judgmental relationship and starts planning & assessment. The Housing Navigator is reliable, genuine and engages as an ally by partnering with the household in their journey to exit homelessness. With each interaction the Housing Navigator will have the ability to learn more about the households’ unique strengths and needs. The Housing Navigator and the household can start creating a Plan for Phase 1 by identifying needs that can be taken care of before entering housing. The plan is doable, person-centered, strength-based & relate directly to obtaining and maintaining safe and stable housing.

Phase 1-Transition

Phase 1 begins when a household exits homelessness and enters into housing. During Phase 1, the Housing Navigator will be providing the most intensive supports and evaluation of what skills the person has now that they have actually entered into housing. Modification of the plan developed in Pre-CTI may be necessary but should continue to focus on specific and doable goals. During this phase the Housing Navigator spends a significant amount time household, with visits at least weekly.

Phase 2-Try Out

Phase 2 begins 60 days after exiting homelessness when entering Rapid Rehousing and 90 for Permanent Supported Housing. During this phase the Housing Navigator steps back and empowers the individual to do as much as possible independently. Visits are decreased to every 2 weeks. The Housing Navigator monitor individuals use of resources and encourage harm reduction techniques.

Phase 3-Transfer of Care

During Phase 3, visits with the household are low, likely only once a month and the Housing Navigator shifts to more consultation supports rather that direct care. There is be a final transfer of care meeting that includes all relevant parties, including formal and informal supports. There is also one final wrap up meeting with between the household and Housing Navigator to review what went right and what went wrong, review the network of care & resources which the household has created and focus on the future.

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October 2013

Critical Time Intervention should purposefully end on the first day.

Dr. Samuals / Centre for Research on Educational and Community Services