This Focus Area is dedicated to the development and adaptation of interventions to enhance community integration for homeless and recently-housed Veterans
Motivational Interviewing - Cognitive Behavioral Therapy (MI-CBT)
- Our findings of ties between motivational negative symptoms and defeatist beliefs with community integration strongly points to the potential value of motivation-focused interventions to enhance community integration. Fortunately, two evidence-based treatments, Motivational Interviewing (MI) and Cognitive Behavioral Therapy (CBT), have already been used extensively to target motivational challenges among individuals with SMI and substance use disorders. This evidence provides a strong foundation for the development of a new functional recovery-oriented intervention for the Veteran homeless population. In this project, we are evaluating the feasibility and treatment benefits of a new MI+CBT intervention for motivational negative symptoms and community integration goals in Veterans who were recently housed (within past 3-18 months) through a GLA supportive housing program (Dr. Reddy, PI). Participants will be randomized to individualized MI+CBT or treatment-as-usual (TAU). We will evaluate efficacy and durability on the proximal outcome of motivational negative symptoms and the more distal outcome of community integration with emphases on productive activity (e.g., paying bills, making clinic appointments) and increased social contact.
US Department of Veterans Affairs
11301 Wilshire Blvd.