Coordinated Access for Addiction Recovery and Equity in VA Supportive Housing (CARE-VASH)

This study, called CARE-VASH, aims to help homeless-experienced Veterans (HEVs) in the HUD-VASH program stay in their housing and recover from substance use disorders (SUDs). Many Veterans leave HUD-VASH early, often due to SUDs. This study will introduce and evaluate two proven treatments: Medications for Addiction Treatment (MAT), which includes medicines for alcohol and opioid use disorders, and Cognitive Behavioral Therapy for Substance Use Disorders (CBT-SUD), a type of talk therapy. The study will look at how many Veterans receive these treatments and how well they are put into practice over 18 months. You can join if you are a homeless-experienced Veteran enrolled in the HUD-VASH program. There are no age restrictions or other exclusion criteria. The study plans to include about 7908 Veterans.

Study design
This is an interventional study involving about 7908 participants. It will compare two ways of putting these treatments into practice across 12 HUD-VASH sites.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The study will measure outcomes for 18 months after the treatments are put into place.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07141394

Coordinated Access for Addiction Recovery and Equity in VA Supportive Housing

Not Yet Recruiting
NAAll AgesInterventional
VA Office of Research and Development
~7,908 participants
Updated 2025-10-10 on ClinicalTrials.gov
What's tested:Medication for Addiction Treatment (MAT)Cognitive Behavioral Therapy for Substance Use Disorders (CBT-SUD)

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Reach of MAT (Medications for Addiction Treatment)
Measured over 18 months post-implementation
+5 more outcomes measured
Homelessness
Substance Use Disorder (SUD)
1 sites across 1 states
California1
  • Sonya Emi Gabrielian, MD MPH · PRINCIPAL_INVESTIGATOR · VA Greater Los Angeles Healthcare System, West Los Angeles, CA
  • Evelyn T Chang, MD MSHS · PRINCIPAL_INVESTIGATOR · VA Greater Los Angeles Healthcare System, Sepulveda, CA
  • Erin P Finley, PhD MPH · PRINCIPAL_INVESTIGATOR · VA Greater Los Angeles Healthcare System, West Los Angeles, CA
  • Emily Treichler, PhD · PRINCIPAL_INVESTIGATOR · VA San Diego Healthcare System, San Diego, CA

Opens a ready-to-send draft in your own email app — review before sending.

Do you actually qualify for this trial?

Add a private profile and we'll compare every criterion below against your situation — and tell you which ones are met, uncertain, or excluding.

Check eligibility for this trial ~2 min · HIPAA-protected · delete anytime
Eligibility criteria

Inclusion

Homeless-experienced Veterans (HEVs) enrolled in the Department of Housing and Urban Development-VA Supportive Housing (HUD-VASH) Program.

Exclusion

None
  • Reach of MAT (Medications for Addiction Treatment)18 months post-implementation

    * (percent of) Veterans who used Medications for Opioid Use Disorder (MOUD) for OUD, ≥1 prescription * (percent of) Veterans who used MOUD for OUD for 180 days since initial prescription (without a break ≥14 days in supply) * (percent of) Veterans who used Medications for Alcohol Use Disorder (MAUD) for AUD, ≥1 prescription * (percent of) Veterans who used MAUD for AUD for 180 days since initial prescription (without a break ≥14 days in supply)

  • Reach of CBT-SUD (Cognitive Behavioral Therapy-Substance Use Disorders)18 months post-implementation

    * (percent of) Veterans with stimulant use disorder who had ≥1 visit for Cognitive Behavioral Therapy-Substance Use Disorders (CBT-SUD) or contingency management * (percent of) Veterans with substance use disorder with ≥1 CBT-SUD visit * (percent of) Veterans with substance use disorder with ≥9 CBT-SUD visits

  • Adoption of MAT (Medications for Addiction Treatment)18 months post-implementation

    % (percent of) Department of Housing and Urban Development - VA Supportive Housing (HUD-VASH) and mental health prescribers engaged with Veterans who ordered Medications for Opioid Use Disorder (MOUD) / Medications for Alcohol Use Disorder (MAUD) at least once

  • Adoption of CBT-SUD (Cognitive Behavioral Therapy-Substance Use Disorders)18 months post-implementation

    % (percent of) Department of Housing and Urban Development - VA Supportive Housing (HUD-VASH) case managers who delivered ≥1 CBT-SUD (Cognitive Behavioral Therapy-Substance Use Disorders) session

  • Sustainment of MAT (Medications for Addiction Treatment)18-27 months post-implementation

    * (percent of) Veterans who used Medications for Opioid Use Disorder (MOUD) for OUD, ≥1 prescription * (percent of) Veterans who used MOUD for OUD for 180 days since initial prescription (without a break ≥14 days in supply) * (percent of) Veterans who used Medications for Alcohol Use Disorder (MAUD) for AUD, ≥1 prescription * (percent of) Veterans who used MAUD for AUD for 180 days since initial prescription (without a break ≥14 days in supply) * (percent of) Department of Housing and Urban Development - VA Supportive Housing (HUD-VASH) and mental health prescribers engaged with Veterans who ordered Medications for Opioid Use Disorder (MOUD) / Medications for Alcohol Use Disorder (MAUD) at least once

  • Sustainment of CBT-SUD (Cognitive Behavioral Therapy-Substance Use Disorders)18-27 months post-implementation

    * (percent of) Veterans with stimulant use disorder who had ≥1 visit for Cognitive Behavioral Therapy-Substance Use Disorders (CBT-SUD) or contingency management * (percent of) Veterans with substance use disorder with ≥1 CBT-SUD visit * (percent of) Veterans with substance use disorder with ≥9 CBT-SUD visits * (percent of) Department of Housing and Urban Development - VA Supportive Housing (HUD-VASH) case managers who delivered ≥1 CBT-SUD (Cognitive Behavioral Therapy-Substance Use Disorders) session