Flavours of Critical Time Intervention In the Netherland

Flavours of Critical Time Intervention In the Netherland Bert van Hemert

CTI in the Netherlands 2010 Nederland CTI – TOP CTI – GGD CTI – MO/VO 1997 New York Homeless Serious mental illness Independent living 2003 – 2006 translation 2010 – 2014 Clinical trial MO/VO

CTI builds support systems in periods of transition CTI

Critical Time Intervention A service model to connect subjects with serious mental illness to proper care and to the community Pre CTI situation SMI Homeless GAP Long term support

Critical Time Intervention A service model to connect subjects with serious mental illness to proper care and to the community Pre CTI situation SMI Tr an sit ion • Limited in time • Focused • Adaptable Long term support

CTI – New York Target population • Homeless • SMI - Schizophrenia Transition • Independent living Focus of attention • Psychiatric treatment • Money management • Substance abuse • Housing • Family support Fases • 3 + 3 months

CTI Adapation • • Target population Transition Focus of attention Fases Flavours • CTI – TOP • CTI – MO/VO • CTI – GGD

CTI - TOP Target population • (Imminent) homeless • (Serious) mental illness • Multiple problems • No proper care Transition • Establishing continuity of care Focus of attention • Psychiatric treatment • Money management • Substance abuse • Housing • Family support Fases • Pre CTI • 3 + 3 months

OGGZ - GGD Target population • Serious social difficiency • Serious mental illness • Multiple problems • No proper care Transition • Establishing continuity of care Focus of attention • Psychiatric treatment • Money management • Substance abuse • Housing • Family support Fases • Pre CTI • 1 + 2 + 3 months

CTI – MO Target population • Homeless • SMI - Schizophrenia Transition • Independent living Focus of attention • Health • Money management • Substance abuse • Housing • Daily activities Fases • Pre-CTI • 3 + 3 months

CTI – VO Target population • (Imminent) homeless • SMI - Schizophrenia Transition • Safe living Focus of attention • Health • Money management • Substance abuse • Housing • Safety Fases • Pre-CTI • 3 + 3 months

Flavours of CTI The proof of the pudding … … is in the eating