{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:44:34Z","timestamp":1787676274881,"version":"build-2784847793"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007217","name":"VA HSR&D","doi-asserted-by":"crossref","award":["Career Development Award 15-074 (PI: Gabrielian)"],"award-info":[{"award-number":["Career Development Award 15-074 (PI: Gabrielian)"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Implementation Research and Practice"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Evidence-based practices (EBPs) improve housing and health for persons who have experienced homelessness with serious mental illness (PEH-SMI) but are challenging to implement. We tested a strategy to support pilot implementation of a 12-session housing skills training intervention for PEH-SMI, tailored from effective social skills training interventions. We aimed to optimize the implementation strategy and intervention prior to an implementation trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We provided training and technical assistance to nine providers to support pilot implementation of this intervention to six groups of PEH-SMI ( n\u2009=\u200935) engaged in VA Greater Los Angeles\u2019 homeless services. We used scales and semi-structured interviews with 14 PEH-SMI and all interventionists to inform implementation strategy adaptations, identify factors that impacted implementation, and assess perceptions of the intervention. Attendance was tracked and we observed a random sample of each interventionist's groups to assess treatment fidelity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Interventionists perceived the implementation strategy and the intervention favorably. However, interventionists often lacked physical space, staff, and resources (e.g., computers) to conduct the intervention. Interventionists found the content valuable for participants and a few suggested that group engagement should be a prerequisite for obtaining housing services. PEH-SMI were interested in the intervention's content and receptive to the group-based format. Participants attended a mean of 4\u2009\u00b1\u20093\/12 groups; all groups observed had acceptable fidelity. Problems with intervention retention were described, suggesting challenges maintaining group participation when participants transitioned between VA homeless services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>To support the implementation of an EBP for PEH-SMI in homeless programs, these data suggest the value of training\/technical assistance and strategies that enhance program-level buy-in to address resource concerns. Intervention adaptations, e.g., using a drop-in, open group format, in community-based settings that are easily accessible to PEH-SMI, may also increase adoption. This project was registered as \u201cImproving Housing Outcomes for Homeless Veterans\u201d Trial registration NCT03646149, registered 8\/24\/2018.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26334895241236679","type":"journal-article","created":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T03:20:20Z","timestamp":1709695220000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Testing an implementation package in a housing skills training pilot for homeless-experienced persons with serious mental illness"],"prefix":"10.1177","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1790-4271","authenticated-orcid":false,"given":"Sonya","family":"Gabrielian","sequence":"first","affiliation":[{"name":"Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA"},{"name":"University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA"},{"name":"UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3998-7212","authenticated-orcid":false,"given":"Alison B.","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA"},{"name":"University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA"},{"name":"UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lillian","family":"Gelberg","sequence":"additional","affiliation":[{"name":"Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA"},{"name":"University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA"},{"name":"UCLA Fielding School of Public Health, Los Angeles, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ella R.","family":"Koosis","sequence":"additional","affiliation":[{"name":"VA National Center for PTSD, Palo Alto, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0042-456X","authenticated-orcid":false,"given":"David M.","family":"Carlson","sequence":"additional","affiliation":[{"name":"University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA"},{"name":"UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander S.","family":"Young","sequence":"additional","affiliation":[{"name":"Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA"},{"name":"University of California Los Angeles David Geffen School of Medicine, Los Angeles, CA, USA"},{"name":"UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,6]]},"reference":[{"key":"bibr1-26334895241236679","unstructured":"Attkisson C. (2020).\n                      Administering and scoring the CSQ scales\n                      . https:\/\/csqscales.com\/wp-content\/uploads\/2020\/01\/CSQ-Administering-Scoring-2020-02-01.pdf"},{"key":"bibr2-26334895241236679","first-page":"799","volume-title":"The use of psychological testing for treatment planning and outcomes assessment: Instruments for adults","author":"Attkisson C. C.","year":"2004"},{"key":"bibr3-26334895241236679","volume-title":"Social skills training for schizophrenia: A step-by-step guide","author":"Bellack A. S.","year":"2004","edition":"2"},{"key":"bibr4-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1023\/A:1020933103412"},{"key":"bibr5-26334895241236679","unstructured":"CFIR Research Team-Center for Clinical Management Research. (n.d.).\n                      Consolidated framework for implementation research\n                      . Retrieved October 19, 2015, from http:\/\/cfirguide.org\/index.html"},{"key":"bibr6-26334895241236679","unstructured":"Cunningham M., Gillespie S., Anderson J. (2015).\n                      Rapid re-housing: What the research says.\n                      Urban Institute. https:\/\/www.urban.org\/sites\/default\/files\/publication\/54201\/2000265-Rapid-Re-housing-What-the-Research-Says.pdf"},{"key":"bibr7-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-50"},{"key":"bibr8-26334895241236679","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.01264"},{"key":"bibr9-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12117"},{"key":"bibr10-26334895241236679","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.14m09229"},{"key":"bibr11-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201800508"},{"key":"bibr12-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000112"},{"key":"bibr13-26334895241236679","first-page":"1486","author":"Holcomb J.","year":"2021","journal-title":"Journal of Cancer Education"},{"key":"bibr14-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61133-8"},{"key":"bibr15-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1037\/ser0000123"},{"issue":"1","key":"bibr16-26334895241236679","volume":"32","author":"Kopelowicz A.","year":"2006","journal-title":"Schizophrenia Bulletin"},{"key":"bibr17-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.76.3.491"},{"key":"bibr18-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1080\/23794925.2018.1455545"},{"key":"bibr19-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1080\/01609513.2011.587099"},{"key":"bibr20-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1186\/s13011-021-00388-5"},{"key":"bibr21-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-010-0319-7"},{"key":"bibr22-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300468"},{"key":"bibr23-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001664"},{"key":"bibr24-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1002\/jcop.20132"},{"key":"bibr25-26334895241236679","unstructured":"U.S. Department of Veterans Affairs. n.d.\n                      VISN 5 MIRECC\u2014VA social skills training for serious mental illness (SST) training program\n                      . Retrieved April 17, 2016, from https:\/\/www.mirecc.va.gov\/visn5\/training\/social_skills.asp"},{"key":"bibr26-26334895241236679","doi-asserted-by":"publisher","DOI":"10.1097\/00006223-200307000-00008"}],"container-title":["Implementation Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26334895241236679","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26334895241236679","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26334895241236679","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:40:38Z","timestamp":1777462838000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26334895241236679"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":26,"alternative-id":["10.1177\/26334895241236679"],"URL":"https:\/\/doi.org\/10.1177\/26334895241236679","relation":{},"ISSN":["2633-4895","2633-4895"],"issn-type":[{"value":"2633-4895","type":"print"},{"value":"2633-4895","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"26334895241236679"}}