Cognitive Behavioral Day Treatment Plus Abstinence-Contingent Housing, Vocational Training, and Work provided abstinence-contingent housing, paid employment training, and daily cognitive behavioral treatment to individuals experiencing homelessness and cocaine dependency in Birmingham, AL. The program transported participants from program-provided housing to job training, job interviews, and work sites.

The DT+ intervention served people experiencing homelessness who had (1) a diagnosis of cocaine or multisubstance dependence that included cocaine use and (2) a coexisting nonpsychotic mental disorder. Participants had access to (1) eight weeks of behavioral day treatment, including lunch and transportation, followed by weekly group therapy; (2) housing; (3) support with setting goals related to employment and housing; (4) vocational counseling; and (5) referrals to job opportunities.

This program was part of a four-year demonstration project and provided immediate housing placement to adults who were experiencing homelessness, had a mental illness, and were assessed as having moderate needs. Participants received rent subsidies and contributed no more than 30 percent of their income toward housing. They also received support from ICM teams, who worked to connect them with health and other services. ICM services were available 12 hours a day, 7 days a week.

This program was part of a four-year demonstration project and provided immediate housing placement to adults who were experiencing homelessness, had a mental illness, and were assessed as having high needs. Participants received rent subsidies and contributed no more than 30 percent of their income toward housing. They also received support from multidisciplinary ACT teams, which included a psychiatrist, nurse, and peer specialist, among others. Participants met with a member of the ACT team at least once per week, and the team provided round-the-clock crisis coverage.

This program provided housing and services for adults experiencing homelessness with cocaine dependency and nonpsychotic mental disorders . The intervention was delivered in two phases: