Active Projects

The MISSION model is a highly flexible service delivery platform that has been adapted to several special populations for individuals with co-occurring substance use and mental health disorders (CODs). In collaboration with a multitude of partner organizations, active pilot programs and large scale evaluations are currently seeking to further enhance and adapt the MISSION treatment model. Abstracts regarding active projects are listed below.

MISSION-Vet Implementation
PI David Smelson Psy.D.
Supported by VA ORD/HSR&D

The MISSION-Vet Implementation project is a Veterans Affairs (VA) Office of Research & Development, Health Services Research and Development, and National Center on Homelessness Among Veterans supported program comparing implementation as usual to Getting To Outcomes (GTO). The goal of this program is to determine the most effective strategy for MISSION-VET intervention within VA Homeless Services.

PI David Smelson Psy.D. and Matthew Chinman Ph.D.
Supported by VA ORD

The collaboration between Housing and Urban Development (HUD) and Veterans Affairs (VA) Supportive Housing Program (VASH) is the VA’s largest initiative to end homelessness among Veterans. However, participant dropout rate from the HUD-VASH program is high, due to the fact that little attention is given to CODs. To combat this issue, MISSION-HUD VASH aims to augment the MISSION-Vet model with an implementation platform called Getting to Outcomes (GTO). Participants receiving GTO and MISSION-Vet will be compared to a control group receiving MISSION-Vet implemented as usual.

Improving Outcomes for Homeless Veterans with Peer Support
PI Marsha Ellison Ph.D.
Supported by VA HSR&D

The purpose of this project is to conduct a multi-site randomized controlled trial by delivering peer support to homeless veterans with co-occurring mental illnesses and substance abuses issues, by using the peer support intervention treatment guide available in the MISSION-VET Consumer Workbook.

PI Hilary Jacobs M.S.W.
Supported by SAMHSA/CSAT

MISSION-For Offenders Recovering With Awareness, Resources, and Dignity (MISSION-FORWARD) aims to enhance two Metro Boston area specialty courts, the Quincy Adult Drug Court and the Dedham Veterans Treatment Court, by directly embedding the MISSION wraparound service model within both courts. The objective for MISSION-FORWARD is to specifically treat CODs and other related problems found to affect recidivism.

PI David Smelson Psy.D.
Supported by CSAT/CMHS

MISSION-Housed is designed to enhance the current efforts of the Massachusetts Interagency Council on Housing and Homeless in reaching their goal of ending homelessness in Massachusetts by directly delivering permanent housing and needed support services to chronically homeless individuals with CODs in the Metro Boston area through the use of the MISSION wraparound service model.

PI Debra A. Pinals M.D.
Supported by SAMHSA/CMHS

The MISSION-Court Related Enhancement Services for Treatment (MISSION-CREST) project aims to enhance and expand existing Springfield Mental Health Court services through infrastructure planning and development activities, while also providing MISSION–Criminal Justice to individuals with CODs involved in the Springfield District Court.

PI Debra A. Pinals M.D.
Supported by BJA                                                                                                              

MISSION-West: Integrated Re-entry and Peer Support (MISSION-WI-RAPS) delivers specialized MISSION services to inmates with CODs being released from the Hampden County Sheriff’s Department correctional centers. The main goals are to reduce recidivism, reduce substance abuse, and improve mental health outcomes.

PI Sheila Casey Esq.
Supported by SAMHSA/CSAT

The MISSION-Cape project aims to enhance the existing COD treatment services being provided through the Barnstable Drug Court by administering MISSION-Criminal Justice services. These services include medication assisted treatment, mental health and trauma-informed therapy, employment opportunities, and housing through intensive case management and peer-support.

MISSION-HPACT Implementation
PI David Smelson Psy.D.
Supported by VA QUERI

The MISSION-Homeless Patient Aligned Care Team Implementation (MISSION-HPACT) project is part of the Veterans Affairs' Bridging the Care Continuum QUERI Center. The primary role of the project is to implement the MISSION-Vet Model in Greater Los Angeles Homeless-PACT clinics in order to better understand how to implement and sustain complex interventions.

PI Sheila Casey Esq.
Supported by SAMHSA/CSAT

Similar to the MISSION-Cape project, MISSION-Boston/Metro (MISSION/BMetro) aims to enhance the existing COD treatment services being provided by both the Quincy and Chelsea Drug Courts. This service enhancement intends to increase access to mental health, substance abuse, trauma, and employment services among active drug court participants who are transitioning out of residential care.