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 HWVP provided case management services and mental health RT to women veterans who were homeless or at risk of becoming homeless. The study authors defined RT as “a program that houses clients in a central location and provides clinical and social services to the clients while they are resident[s].” The program was implemented in eleven Veterans Affairs (VA) medical centers across the United States. The specific clinical and rehabilitation services varied by center, though all provided stable, safe housing and support from professional staff.

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.

TWE, part of the VA’s Compensated Work Therapy Program, helped participants develop work restoration plans and provided a rehabilitative work setting within the VA, other federal agencies, or private businesses in the community. TWE participants received at least 30 hours per week of structured vocational rehabilitation activities and were assigned to therapeutic work placements for six months to one year. Participants also received case management to help them gain and enhance their employment skills and find and maintain competitive employment.

TWE, part of the VA’s Compensated Work Therapy Program, helped participants develop work restoration plans and provided a rehabilitative work setting within the VA, other federal agencies, or private businesses in the community. After their participation in TWE, participants moved into CE, during which they could receive standard VA services (including VA health care, education benefits, home loan assistance, disability compensation, and vocational rehabilitation and employment assistance).