Ignite Creation Date:
2024-05-06 @ 2:53 PM
Last Modification Date:
2024-10-26 @ 1:39 PM
Study NCT ID:
NCT04459000
Status:
RECRUITING
Last Update Posted:
2024-05-22
First Post:
2020-06-12
Brief Title:
Substance Use Treatment and Access to Resources STARS Project
Sponsor:
University of Oklahoma
Organization:
University of Oklahoma
Study Overview
Official Title:
Substance Use Treatment and Access to Resources STARS Project
Status:
RECRUITING
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study is evaluating a randomized clinical trial and a quasi-experimental observational study combined Pregnant women with substance abuse issues are referred to the Substance Use Treatment and Recovery STAR prenatal clinic and those who consent to participate in the study will be randomized to the STAR maternal Attachment Biobehavioral Catchup mABC home visiting model or to the STAR only treatment group Those who opt out of receiving prenatal care at STAR will be recruited as a control group for the QED portion Those randomized to STAR mABC will receive additional supports from a licensed therapist including up to 12 home visits focused on substance exposed babies and positive parenting
Detailed Description:
This study is evaluating a randomized clinical trial and a quasi-experimental observational study combined Pregnant women with substance abuse issues are referred to the Substance Use Treatment and Recovery STAR prenatal clinic and those who consent to participate in the study will be randomized to the STAR maternal Attachment Biobehavioral Catchup mABC home visiting model or to the STAR only treatment group Those who opt out of receiving prenatal care at STAR will be recruited as a control group for the QED portion Those randomized to STAR mABC will receive additional supports from a licensed therapist including up to 12 home visits focused on substance exposed babies and positive parenting The study will focus on the following specific aims
A Specific Aims
The Oklahoma Department of Mental Health and Substance Abuse Services OKDMHSAS in partnership with two clinics at Childrens Hospital at OU Medicine CHOUM - the Substance use Treatment And Recovery STAR prenatal clinic and the A Better Chance Clinic ABCC for infant assessment and treatment - have developed the Substance use Treatment and Access to Resources and Supports STARS program for pregnant women who have a substance use issue The STARS program focuses on women residing in Oklahoma County OK co who at the time of birth are at risk of losing their infant to state custody care child removal The effectiveness of combined focal services provided by the STAR prenatal care substance use treatment supports and postpartum care and the ABCC assessment evidence-based parent training clinics will be the target of the study described herein The overarching goal of the study is to evaluate the impact of these services on the well-being of and permanency outcomes for children and families affected by substance abuse The study will also evaluate the quality of service implementation and the overall projects adherence to the following objectives
Objective 1 Develop training and cross-training to increase the knowledge base of the medical therapy and child welfare The key element of this objective is to increase the states capacity to deliver collaborative and integrated services to serve children ages 0-3 and their families The STARS will increase the health care and child welfare workforces capacity by disseminating emerging and evidence-based services for substance-exposed newborns and Fetal Alcohol Spectrum Disorder The ODMHSAS and OKDHS plan to enhance cross-systems interventions that bridge agencies at policy and practice levels by pursuing procedural and policy modifications and formalize agreements to implement targeted evidence-based training that will enhance the knowledge base of statewide substance use disorder treatment providers child welfare and health care professionals Because of the state and local infrastructure the ODMHSAS has developed to date key partnerships and access to data the program is well-positioned to focus on substance-exposed newborns and their families as Oklahoma continues to strengthen and expand the statewide service and workforce capacity
Objective 2 Enhance the well-being of children parents and families and improve safe and permanent caregiving relationships The key element of this objective is to improve evidence-based practices to address attachment and bonding that will serve the mother and baby To achieve this the STARS program will collaborate with A Better Chance Clinic ABCC at OUHSC to implement modified maternal Attachment Biobehavioral Catchup mABC adaptation for pre and postnatal babies mABC is an intervention adapted from an evidence-based intervention for children who have experienced adversity eg neglect This adapted intervention specifically targets the challenges of infants born to opioid-dependent mothers
Objective 3 Improve retention in substance use treatment and successful completion of treatment for parents STARS program will utilize an array of EBPs to improve treatment retention and encourage completion of treatment services Treatment outcomes are increased by offering services to meet the parents needs Motivational Interviewing MI Community Reinforcement Approach CRA and Seeking Safety SS and Cognitive Process Therapy for trauma CPT will be utilized to address the treatment needs
Objective 4 Facilitate the implementation delivery and effectiveness of prevention services and programs under the Family First Prevention Services Act of 2018 for at-risk families Under Division E Title VII - Family First Prevention Services Act listed under Prevention Activities under Title IV-E it allows title IV-E dollars to fund promising supported and well-supported mental health and substance abuse prevention and treatment provided by a qualified clinician and in-home parent skill-based programs for up to 12 months for candidates for foster care and for pregnant or parenting foster youth ODMHSAS will develop memorandums of understandings conducting multidisciplinary teams and providing the evidence-based services that treat families that are at risk in compliance with this services act
Objective 5 Decrease the number of out of home placements for children by enhancing the safety of children prior to delivery ODMHSAS with collaboration with OKDHS will develop Plans of Safe Care prior to delivery The STARS program will implement Wraparound services to connect families to resources to support the mother and baby after delivery to ensure they have a safe environment and lifestyle
Objective 6 Decrease the number of out of home placements for children at risk The STARS program will provide various services and supports prior to delivery of the baby The program will offer prenatal care Medication-Assisted Treatment MAT when applicable substance use treatment through telehealth or in-person peer recovery housing and employment and aftercare supports
A Specific Aims
The Oklahoma Department of Mental Health and Substance Abuse Services OKDMHSAS in partnership with two clinics at Childrens Hospital at OU Medicine CHOUM - the Substance use Treatment And Recovery STAR prenatal clinic and the A Better Chance Clinic ABCC for infant assessment and treatment - have developed the Substance use Treatment and Access to Resources and Supports STARS program for pregnant women who have a substance use issue The STARS program focuses on women residing in Oklahoma County OK co who at the time of birth are at risk of losing their infant to state custody care child removal The effectiveness of combined focal services provided by the STAR prenatal care substance use treatment supports and postpartum care and the ABCC assessment evidence-based parent training clinics will be the target of the study described herein The overarching goal of the study is to evaluate the impact of these services on the well-being of and permanency outcomes for children and families affected by substance abuse The study will also evaluate the quality of service implementation and the overall projects adherence to the following objectives
Objective 1 Develop training and cross-training to increase the knowledge base of the medical therapy and child welfare The key element of this objective is to increase the states capacity to deliver collaborative and integrated services to serve children ages 0-3 and their families The STARS will increase the health care and child welfare workforces capacity by disseminating emerging and evidence-based services for substance-exposed newborns and Fetal Alcohol Spectrum Disorder The ODMHSAS and OKDHS plan to enhance cross-systems interventions that bridge agencies at policy and practice levels by pursuing procedural and policy modifications and formalize agreements to implement targeted evidence-based training that will enhance the knowledge base of statewide substance use disorder treatment providers child welfare and health care professionals Because of the state and local infrastructure the ODMHSAS has developed to date key partnerships and access to data the program is well-positioned to focus on substance-exposed newborns and their families as Oklahoma continues to strengthen and expand the statewide service and workforce capacity
Objective 2 Enhance the well-being of children parents and families and improve safe and permanent caregiving relationships The key element of this objective is to improve evidence-based practices to address attachment and bonding that will serve the mother and baby To achieve this the STARS program will collaborate with A Better Chance Clinic ABCC at OUHSC to implement modified maternal Attachment Biobehavioral Catchup mABC adaptation for pre and postnatal babies mABC is an intervention adapted from an evidence-based intervention for children who have experienced adversity eg neglect This adapted intervention specifically targets the challenges of infants born to opioid-dependent mothers
Objective 3 Improve retention in substance use treatment and successful completion of treatment for parents STARS program will utilize an array of EBPs to improve treatment retention and encourage completion of treatment services Treatment outcomes are increased by offering services to meet the parents needs Motivational Interviewing MI Community Reinforcement Approach CRA and Seeking Safety SS and Cognitive Process Therapy for trauma CPT will be utilized to address the treatment needs
Objective 4 Facilitate the implementation delivery and effectiveness of prevention services and programs under the Family First Prevention Services Act of 2018 for at-risk families Under Division E Title VII - Family First Prevention Services Act listed under Prevention Activities under Title IV-E it allows title IV-E dollars to fund promising supported and well-supported mental health and substance abuse prevention and treatment provided by a qualified clinician and in-home parent skill-based programs for up to 12 months for candidates for foster care and for pregnant or parenting foster youth ODMHSAS will develop memorandums of understandings conducting multidisciplinary teams and providing the evidence-based services that treat families that are at risk in compliance with this services act
Objective 5 Decrease the number of out of home placements for children by enhancing the safety of children prior to delivery ODMHSAS with collaboration with OKDHS will develop Plans of Safe Care prior to delivery The STARS program will implement Wraparound services to connect families to resources to support the mother and baby after delivery to ensure they have a safe environment and lifestyle
Objective 6 Decrease the number of out of home placements for children at risk The STARS program will provide various services and supports prior to delivery of the baby The program will offer prenatal care Medication-Assisted Treatment MAT when applicable substance use treatment through telehealth or in-person peer recovery housing and employment and aftercare supports
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None