Continuous Treatment Team provided participants with an unlimited amount of community-based services and an individualized plan to address their specific needs. Clinical case managers worked closely with clients to create their individualized plan; address their health needs; and help them access housing, transportation, and money management services. The service population included adults without housing who had a severe psychiatric disorder; no history of violent behavior; and an intention to stay in the St. Louis, MO, area for the duration of the study.

A mental health clinic in St. Louis, MO, provided the traditional outpatient treatment, which included psychotherapy, psychiatric medication, and assistance in obtaining social services. The service population included adults without housing who had a severe psychiatric disorder, no history of violent behavior, and an intention to stay in the St. Louis area for the duration of the study. The intervention lasted 12 months.

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.

A mental health clinic in St. Louis, MO, provided the traditional outpatient treatment, which included psychotherapy, psychiatric medication, and assistance in obtaining social services. The service population included adults without housing who had a severe psychiatric disorder, no history of violent behavior, and an intention to stay in the St. Louis area for the duration of the study. The intervention lasted 12 months.

Continuous Treatment Team provided participants with an unlimited amount of community-based services and an individualized plan to address their specific needs. Clinical case managers worked closely with clients to create their individualized plan; address their health needs; and help them access housing, transportation, and money management services. The service population included adults without housing who had a severe psychiatric disorder; no history of violent behavior; and an intention to stay in the St. Louis, MO, area for the duration of the study.

The intervention provided access to supplemental resources in the Veterans Employment Resource Center (VERC). The standard VERC services included internet and phone access for job search activities, resume writing supports, video training for applying to and interviewing for jobs, and two video-recorded practice interviews. In addition, the program provided intervention participants with the About Face vocational manual and in-person classes during the week following study enrollment.

The About Face—Self Study intervention provided participants with a vocational manual titled About Face in addition to standard services from the Veterans Employment Resource Center (VERC). The standard VERC services included internet and phone access for job search activities, resume writing supports, video training for applying to and interviewing for jobs, and two video-recorded practice interviews.

SEI participants received continuous case management over the full 20-month intervention period. For the first eight months, participants attended classes twice a week for one and a half hours each session. In the vocational skills acquisition phase (four months), participants learned vocational skills such as, photography and silk-screening. In the small business skills acquisition phase (four months), participants learned accounting, budgeting, marketing, and management skills.

The IPS model provides customized and long-term vocational, case management, and mental health services to youth experiencing homelessness to help them get a job and maintain their employment. The model follows eight supported-employment principles, all of which relate to theories of psychiatric recovery. IPS participants were assigned to an employment specialist, case manager, and clinician at study enrollment. All study staff were co-located to integrate mental health services with job search supports.

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.