Past Projects


Previous MISSION projects have focused on the development, implementation, and evaluation of the co-occurring substance use and mental health disorders (CODs) services being provided through MISSION programs. These studies were the result of collaborative efforts between multiple partner organizations. Inactive MISSION project abstracts are listed below in chronological order.

MISSION Model Development Project
(1999-2005)
PI David Smelson, Psy.D.
Supported by VA OPCS/VISN 3 MIRECC

This project developed and piloted the original MISSION model.  Military veterans with CODs were recruited from an acute inpatient psychiatry setting. The treatment group received eight weeks of MISSION services, and the comparison group received treatment as usual (TAU). The MISSION group showed improvements in treatment attendance, hospitalization days, and substance use compared to TAU participants.

MISSION-NJ
(2004-2010)
PI David Smelson, Psy.D.
Supported by SAMHSA

The MISSION-New Jersey (MISSION-NJ) project examined outcomes in a year long MISSION intervention. Recruited participants included veterans with CODs. Veterans received either treatment as usual (TAU) or TAU plus 12 months of MISSION services. MISSION participants had fewer days and episodes of hospitalization at two and six months post-study entry than controls. The MISSION group also exhibited greater improvements in global psychiatric functioning at the six month follow-up compared to the TAU group.

Brief 2-Month Intervention
(2005-2009)
PI David Smelson, Psy.D.
Supported by VA HSR&D

This study examined MISSION outcomes in a brief two month intervention. Veterans with CODs were recruited from an acute inpatient psychiatry setting. The treatment group received eight weeks of MISSION and the comparison group received eight weeks of matched attention health education.  MISSION participants demonstrated significant improvements in service engagement compared to controls.

MISSION-DIRECT VET
(2008-2013)  
PI Debra A. Pinals, M.D.
Supported by SAMHSA-CMHS

MISSION-Diversion and Recovery for Traumatized Veterans (MISSION-DIRECT VET) was a 12 month MISSION intervention for incarcerated veterans with CODs. These participants were offered MISSION services in lieu of jail time. Study participants demonstrated significant improvements in substance abuse, depression and functioning, and emotional lability at a six month follow-up assessment.

MISSION-Vet Model Development
(2010)
PI David Smelson, Psy.D.
Supported by VA ORD/HSR&D/NCHAV

This model development project resulted in the formal creation of the MISSION-Vet model and the corresponding treatment workbook.  The model was developed specifically to meet the needs of veterans experiencing homelessness, and whose ability to return to independent community living is complicated by mental illness and substance abuse.

MISSION-CREW
(2010-2011)
PI Debra A. Pinals, M.D.
Supported by BJA

The MISSION-Community Re-entry for Women (MISSION-CREW) program was designed to promote successful community re-entry and care coordination among female inmates with CODs, by employing a model of evidence-based practices that integrates trauma-sensitive treatment, COD treatment, care coordination and peer support. In addition, the program addressed gender-specific re-entry treatment service needs together with comprehensive transition planning and linkages to community based care.

MISSION-RAPS
(2011-2012)
PI Debra A. Pinals, M.D.
Supported by BJA

MISSION-Re-entry and Peer Support (MISSION-RAPS) was an enhancement of the MISSION-CREW project. The primary goal was to examine the criminal justice outcomes of women released into the greater Boston area from MCI-Framingham and South Middlesex Correctional Center who had previously enrolled into the MISSION treatment program. The study focused specifically on women offenders with CODs.

MASS-MISSION
(2011-2014)
PI David Smelson, Psy.D.
Supported by SAMHSA-CABHI

MISSION-Ending Chronic Homelessness in Central and Western Massachusetts (Mass-MISSION) was a 12 month MISSION intervention aimed at rapidly housing chronically homeless individuals in permanent housing, while providing MISSION services to address underlying CODs.

MISSION-HUD VASH
(2012-2016)
PI David Smelson, Psy.D. & Matthew Chinman, Ph.D.
Supported by VA ORD

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

MISSION-I-RAPS
(2013-2015)
PI David Smelson, Psy.D.
Supported by BJA

The MISSION-Integrated Re-entry and Peer Support (MISSION-I-RAPS) project delivered specialized MISSION services to inmates with CODs being released from the Massachusetts Correctional Institutions at Framingham, South Middlesex Correctional Center, and Old Colony Correctional Center. The main goals were to reduce recidivism, reduce substance abuse, and improve mental health outcomes.

MISSION-FORWARD
(2013-2016)
PI Hilary Jacobs, M.S.W.
Supported by SAMHSA/CSAT

MISSION-For Offenders Recovering With Awareness, Resources, and Dignity (MISSION-FORWARD) aimed 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 was to specifically treat CODs and other related problems found to affect recidivism.

MISSION-Housed
(2013-2016)
PI David Smelson, Psy.D.
Supported by CSAT/CMHS

MISSION-Housed was designed to enhance the efforts of the Massachusetts Interagency Council on Housing and Homeless in reaching their goal of ending homelessness in Massachusetts. MISSION-Housed directly delivered 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.