Coordinated Access for Addiction Recovery and Equity in VA Supportive Housing

Part of paid clinical trials in West Los Angeles, California.

Sponsor
VA Office of Research and Development
Study ID
NCT07141394
Status
Not Yet Recruiting

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Conditions

  • Homelessness
  • Substance Use Disorder (SUD)

Eligibility Criteria

Sex
ALL
Age
N/A - N/A
Healthy Volunteers
Accepted

Interventions

  • Medication for Addiction Treatment (MAT) — DRUG
    MAT includes medications for alcohol use disorder (MAUD) and medications for opioid use disorder (MAUD). It reduces substance use, increases SUD treatment engagement, enhances quality of life, and reduces overdoses.
  • Cognitive Behavioral Therapy for Substance Use Disorders (CBT-SUD) — BEHAVIORAL
    An evidence-based psychotherapy that uses cognitive behavioral therapy to further recovery goals across SUD diagnoses.

Study Details

The Department of Housing and Urban Development-VA Supportive Housing (HUD-VASH) Program provides subsidized permanent housing with case management to homeless-experienced Veterans (HEVs). Up to 40% of Veterans exit HUD-VASH within two years of attaining housing; substance use disorders (SUDs) are one of the largest causes of returns to homelessness for HEVs. CARE-VASH QUERI proposes to implement and evaluate two evidence-based SUD services - Medications for addiction treatment (MAT) and cognitive behavioral therapy for SUDs (CBT-SUD) - among Veterans in HUD-VASH.

Key Dates

Start date
Oct 1, 2026
Status verified
Oct 2025
Primary completion
Sep 30, 2030
Completion
Sep 30, 2030

Study Design

Enrollment
7,908 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER

Arms

  • Experimental: Replicating Effective Programs (REP)
    A stakeholder-informed training and technical assistance implementation strategy
  • Active Comparator: REP + Consumer Engagement (CE)
    REP plus CE package (educational materials, peer coaching, toolkit) to support MAT and CBT-SUD implementation.
  • No Intervention: Control Group
    No MAT or CBT-SUD implementation

Primary Outcome Measure

Reach of MAT (Medications for Addiction Treatment) [ Time Frame: 18 months post-implementation ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
VA Greater Los Angeles Healthcare System, West Los Angeles, CAWest Los AngelesCalifornia90073-1003-

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