Ignite Creation Date:
2024-05-06 @ 3:00 PM
Last Modification Date:
2024-10-26 @ 1:41 PM
Study NCT ID:
NCT04499079
Status:
ENROLLING_BY_INVITATION
Last Update Posted:
2024-05-17
First Post:
2020-07-30
Brief Title:
Alliances to Disseminate Addiction Prevention and Treatment ADAPT
Sponsor:
Indiana University
Organization:
Indiana University
Study Overview
Official Title:
Alliances to Disseminate Addiction Prevention and Treatment ADAPT A Statewide Learning Health System to Reduce Substance Use Among Justice-Involved Youth in Rural Communities
Status:
ENROLLING_BY_INVITATION
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:
ADAPT
Brief Summary:
Youth involved in the juvenile justice system YJJ bear a disproportionate burden of the addiction crisis YJJ substance use SU is extremely prevalent with a third of YJJ meeting criteria for a substance use disorder SUD The investigators seek to address the national addiction crisis at its epicenter
Despite their high need for SUD services and the proliferation of evidence-based interventions to reduce SU YJJ are rarely connected to needed high-quality SU care A care cascade model highlights gaps in YJJ achieving the full continuum of SUD care ie SUD risk identification treatment referral treatment initiation and treatment engagement YJJ on community supervisionprobation face a unique problem accessing SUD services while the courts or probation may identify YJJ need for SUD care YJJ must receive care through healthcare agencies in the community The primary goal of the project Alliances to Disseminate Addiction Prevention and Treatment ADAPT is to address this and other gaps along the care cascade for YJJ The investigators will accomplish this goal by creating alliances between the juvenile justice system JJ agencies and community mental health centers CMHCs in eight Indiana counties
ADAPT takes a two-pronged approach First the investigators will employ a Learning Health System LHS to develop collaborative alliances between JJ agencies and CMHCs organizations that traditionally operate independently Second the investigators will present local Cascade data during continuous quality improvement cycles within the LHS alliances By offering agency representatives an opportunity to view and discuss for example the local rate at which YJJ with SUD risk are initiating CMHC SU services the investigators will facilitate development of tailored local solutions to improve the Cascade for each countys YJJ
To maximize long-term sustainability of ADAPTs JJ-CMHC alliances the investigators will conduct this research in collaboration with leaders from an existing statewide initiative the Juvenile Detention Alternatives Initiative JDAI JDAI is a juvenile justice reform effort that utilizes data-driven decision-making and is implemented in almost 300 counties across the US If this project is successful the JDAI infrastructure and support for this research will inform sustainment and expansion across Indiana and the nation
The investigators hypothesize that ADAPT - novel LHS alliances using Cascade data to implement localized solutions to YJJ receiving evidence-based addictions care - will positively impact SU and recidivism outcomes over time The investigators seek to complete the following specific aims
AIM 1 Implement LHS alliances between JJ agencies and CMHCs The investigators will establish LHS alliances novel collaborative partnerships between JJ agencies and CMHCs
AIM 2 Generate and track local solutions to address gaps in the Cascade for YJJ in rural Indiana counties Quantifying local Cascade data will enable JJ agencies and CMHCs to suggest and implement tailored evidenced-based interventions which will be tracked through LHS quality improvement cycles
AIM 3 Assess implementation outcomes and processes We will assess implementation outcomes such as system alliance among JJ and CHMC personnel using mixed methods
AIM 4 Assess the impact of ADAPT Conduct a stepped wedge cluster randomized controlled trial to assess the impact of LHS alliances on the Cascade for YJJ We will analyze administrative data linked across JJ and health systems to assess the long-term community-wide effects of ADAPT on public health and safety outcomes eg lower rates of SU-related outcomes and criminal recidivism
Despite their high need for SUD services and the proliferation of evidence-based interventions to reduce SU YJJ are rarely connected to needed high-quality SU care A care cascade model highlights gaps in YJJ achieving the full continuum of SUD care ie SUD risk identification treatment referral treatment initiation and treatment engagement YJJ on community supervisionprobation face a unique problem accessing SUD services while the courts or probation may identify YJJ need for SUD care YJJ must receive care through healthcare agencies in the community The primary goal of the project Alliances to Disseminate Addiction Prevention and Treatment ADAPT is to address this and other gaps along the care cascade for YJJ The investigators will accomplish this goal by creating alliances between the juvenile justice system JJ agencies and community mental health centers CMHCs in eight Indiana counties
ADAPT takes a two-pronged approach First the investigators will employ a Learning Health System LHS to develop collaborative alliances between JJ agencies and CMHCs organizations that traditionally operate independently Second the investigators will present local Cascade data during continuous quality improvement cycles within the LHS alliances By offering agency representatives an opportunity to view and discuss for example the local rate at which YJJ with SUD risk are initiating CMHC SU services the investigators will facilitate development of tailored local solutions to improve the Cascade for each countys YJJ
To maximize long-term sustainability of ADAPTs JJ-CMHC alliances the investigators will conduct this research in collaboration with leaders from an existing statewide initiative the Juvenile Detention Alternatives Initiative JDAI JDAI is a juvenile justice reform effort that utilizes data-driven decision-making and is implemented in almost 300 counties across the US If this project is successful the JDAI infrastructure and support for this research will inform sustainment and expansion across Indiana and the nation
The investigators hypothesize that ADAPT - novel LHS alliances using Cascade data to implement localized solutions to YJJ receiving evidence-based addictions care - will positively impact SU and recidivism outcomes over time The investigators seek to complete the following specific aims
AIM 1 Implement LHS alliances between JJ agencies and CMHCs The investigators will establish LHS alliances novel collaborative partnerships between JJ agencies and CMHCs
AIM 2 Generate and track local solutions to address gaps in the Cascade for YJJ in rural Indiana counties Quantifying local Cascade data will enable JJ agencies and CMHCs to suggest and implement tailored evidenced-based interventions which will be tracked through LHS quality improvement cycles
AIM 3 Assess implementation outcomes and processes We will assess implementation outcomes such as system alliance among JJ and CHMC personnel using mixed methods
AIM 4 Assess the impact of ADAPT Conduct a stepped wedge cluster randomized controlled trial to assess the impact of LHS alliances on the Cascade for YJJ We will analyze administrative data linked across JJ and health systems to assess the long-term community-wide effects of ADAPT on public health and safety outcomes eg lower rates of SU-related outcomes and criminal recidivism
Detailed Description:
None
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
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| UG1DA050070 | NIH | None | httpsreporternihgovquickSearchUG1DA050070 |