Intervention group participants were referred to local and statewide alcohol treatment, given bus fare to these facilities, and paid to provide data on their use of health services at biweekly check-ins with program staff.

Intervention group participants were referred to local and state alcohol treatment services, were provided with bus fare to these facilities, and were paid to provide data on their use of health services at biweekly check-ins with program staff.

Intervention group participants were referred to local and statewide alcohol treatment, paid bus fare to these facilities, and paid to provide data on their use of health services at biweekly check-ins with program staff.

Eligible participants were adults experiencing homelessness who had alcohol use disorders; who lived in or near Albuquerque, NM, for three months or more; and who did not have serious disabilities or dependent children. The intervention lasted four months.   

The intervention housed participants in substance- and cost-free Project H&ART residences. Residence managers who were themselves recovering from substance use disorders provided participants with support, encouraged them to set personal goals, and helped them build peer support networks. Participants were required to (1) remain alcohol and drug free (as determined by random drug tests), (2) attend weekly community meetings, and (3) inform residence managers twice weekly about any other community services received.

Adults without housing were assigned to one of two drop-in centers (one exclusive to women, one for both genders). Drop-in centers provided daytime shelter, food, clothing, showers, recreational activities, and referrals to social services from on-site social workers.  The service population included adults with a mental illness who were also experiencing homelessness. This intervention was implemented in St. Louis, Missouri. The intervention lasted 12 months.

Through ICM, case managers worked with participants who were incarcerated to determine their needs and goals and to establish reentry plans for support after release. After participants’ release from prison, case managers connected them to mental and physical health treatment, employment, education, and housing services. Participants had access to 24-hour case management and no limits on the duration of participation. Mental and physical health treatment services included mental health, substance abuse, and medical and dental treatment.

The intervention included enhanced behavioral, medical, and dental services that augmented participants’ standard county health benefits. Services included treatment for chemical dependence, psychological and neuropsychological assessments, and prescription medications above the three-per-month Medicaid limit. The intervention eliminated co-payments for prescription drugs and outpatient services and improved participants’ access to mental health services.

FACT helped parents with low incomes achieve financial and employment stability through a variety of supports. The main method was intensive case management to help parents set personal goals and, for those with an open child support case, to help manage child support payments. Participants also had access to workshops on healthy relationships, parenting, career assistance, and financial literacy during their enrollment in FACT. In addition, participants could access subsidized employment or transitional employment, therapy sessions, and legal assistance.