Home-Based Mental Health Evaluation (HOME): A Multi-Site Trial

The purpose of this project is to investigate the effectiveness of the Home-Based Mental
Health Evaluation (HOME) program, which is an innovative and culturally-relevant suicide
prevention intervention for Veterans aimed at increasing treatment engagement and decreasing
suicide risk following psychiatric hospitalization, a period of heightened suicide risk. The
research project employs a multi-site two-arm interventional trial design to study the
effectiveness of the HOME program. Effectiveness of the treatment will be evaluated by
comparing Veterans receiving the HOME program at two active treatment sites, Denver and
Philadelphia Department of Veterans Affairs Medical Centers (VAMCs), to with those receiving
care at two control sites, Houston and Portland VAMCs. The current protocol describes
procedures as they will occur at all sites, including those completed locally at the Denver
VAMC, which is the lead site for the study.

Inclusion Criteria:

1. Age between 18-89

2. Able to provide a phone number and the location of a residence at which they can be
reached

3. Planned location of discharge is a safe environment for the HOME provider to visit*

4. Agree to receive the HOME program intervention (active site participants only)

5. Ability to adequately respond to questions regarding the informed consent procedure

Exclusion Criteria:

1. Receiving services from the Mental Health Intensive Case Management (MHICM) or
Domiciliary program or being directly transferred to further inpatient or residential
treatment

2. Enrolled in other intervention studies that may affect the outcome of this study, or
where this study may affect the outcome of the other study, until the subject has
completed their participation in the other study

3. Current involvement in the criminal justice system as a prisoner or ward of the state.