Coordinated Access for Addiction Recovery and Equity in VA Supportive Housing

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

• Ages Any age
• All sexes
• Healthy volunteers accepted
• Child, Adult, Older adult

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

About this study

Official title: Coordinated Access for Addiction Recovery and Equity in VA Supportive Housing (CARE-VASH) (QUE 25-013)

Conditions

Homelessness, Substance Use Disorder (SUD)

Being tested

Medication for Addiction Treatment (MAT), Cognitive Behavioral Therapy for Substance Use Disorders (CBT-SUD)

Keywords

Homeless, Substance Use Disorder, Permanent Supportive Housing, Implementation Science

Medical subject headings

Substance-Related Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

• Medication for Addiction Treatment (MAT)Drug

  Also called MAT

  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)Behavioural

  Also called CBT-SUD

  An evidence-based psychotherapy that uses cognitive behavioral therapy to further recovery goals across SUD diagnoses.

What is being measured

The primary outcome is the main question the study is designed to answer.

1. Reach of MAT (Medications for Addiction Treatment)

   • (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)

   Measured: 18 months post-implementation

2. Reach of CBT-SUD (Cognitive Behavioral Therapy-Substance Use Disorders)

   • (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

   Measured: 18 months post-implementation

3. Adoption of MAT (Medications for Addiction Treatment)

   % (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

   Measured: 18 months post-implementation

4. Adoption of CBT-SUD (Cognitive Behavioral Therapy-Substance Use Disorders)

   % (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

   Measured: 18 months post-implementation

5. Sustainment of MAT (Medications for Addiction Treatment)

   • (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

   Measured: 18-27 months post-implementation

6. Sustainment of CBT-SUD (Cognitive Behavioral Therapy-Substance Use Disorders)

   • (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

   Measured: 18-27 months post-implementation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

1. First posted26 Aug 2025
2. Study start15 Sep 2026
3. Primary completion30 Sep 2030 (estimated)
4. Study completion30 Sep 2030 (estimated)

Resources

• Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
• Publications (1)Papers the sponsor has linked to this study.
• Other trials for HomelessnessStudies of the same condition, open and under way.
• More trials run by VA Office of Research and DevelopmentThe sponsor's other registered studies.
• What the trial phases meanHow a treatment moves from first tests in people to approval.

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.