Enhancing Veteran-Clinician Collaboration in VA Care for Serious Mental Illness
Official title: Enhancing Veteran-Clinical Collaboration in VA Psychosocial Rehabilitation and Recovery Centers
Run by VA Office of Research and Development · NCT06898879 · Data updated 2026-11-12
This study tests a 10-session group program to help Veterans with serious mental illness collaborate better with their clinicians and care teams.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 119 (estimated) |
| Sponsor | VA Office of Research and Development Federal |
| Locations | 3 sites (San Diego, California and 2 other locations) |
| Status | Recruiting |
| Started | August 12, 2026 |
| Main results expected | April 3, 2028 |
| Study ends | September 30, 2029 |
| Registry record updated | August 19, 2026 |
| Trial ID | NCT06898879 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Veterans with serious mental illness who are receiving PRRC, MHICM, or BHIP services at VA San Diego, Los Angeles, or Albuquerque and who speak English.
✕Probably not a fit
Veterans whose conditions or circumstances prevent meaningful participation in group sessions may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The project provides a group-based Collaborative Decision Skills Training (CDST) called Leveling Up to Veterans receiving VA mental health services at three regional PRRCs. It aims to increase comfort, knowledge, and skills for shared decision-making between Veterans and their treatment teams. The study builds on prior feasibility work and will evaluate effectiveness in improving collaboration, personal recovery, empowerment, treatment engagement, and social functioning among 119 Veterans. It emphasizes recovery-oriented care and inclusion of Veterans from minoritized groups. Outcomes will help refine how CDST can be implemented in VA PRRC settings.
Why it matters
Potential benefit: If successful, the program could help Veterans better align their care with personal goals and improve engagement and recovery.
How similar studies have gone: Prior pilot work suggests CDST can improve Veteran-clinician collaboration and related recovery outcomes, but large-scale effectiveness in VA PRRCs requires confirmation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Be a Veteran currently receiving Psychosocial Rehabilitation and Recovery Center (PRRC), Mental Health Intensive Case Management (MHICM) and/or Behavioral Health Interdisciplinary Program (BHIP) services at VA San Diego, Los Angeles, or Albuquerque (e.g., seen in the clinic in the past month or based on clinic criteria) 2. Meet Substance Abuse and Mental Health Services Administration (SAMHSA) criteria of serious mental illness; i.e., "having (within the past year) a diagnosable mental, behavior, or emotional disorder that causes serious functional impairment that substantially interferes with or limits one or more major life activities," based on chart review and clinician consultation if needed 3. Be fluent and literate in English 4. Agree to have a subset of VA mental health treatment appointments audiotaped Exclusion Criteria: 1. Primary substance use or organic neurological disorder diagnosis determined by chart review 2. Are determined by clinician and/or study staff to be at significant risk of exacerbation of symptoms, suicidal ideation, or other risk due to study participation 3. Have a history and/or current risk of violence that clinicians and/or study staff determine to be too high risk to manage effectively in the study setting (e.g., poses a risk to Veterans or study staff)
Where it's running
-
New Mexico VA Health Care System, Albuquerque, NM
Albuquerque, New Mexico, United States Recruiting -
VA San Diego Healthcare System, San Diego, CA
San Diego, California, United States Not yet recruiting -
VA Greater Los Angeles Healthcare System, West Los Angeles, CA
West Los Angeles, California, United States Not yet recruiting
Study contacts
- Principal investigator: Emily Treichler, PhD — VA San Diego Healthcare System, San Diego, CA
- Study coordinator: Emily Treichler, PhD
- Email: Emily.Treichler@va.gov
- Phone: (858) 552-8585
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.