Collaborating to Implement Cross-System Interventions in Child Welfare &

Status Not yet recruiting

Clinical Trial Summary

As a result of the opiate crisis, child welfare agencies have experienced an increase in the number of children in foster care as parental substance use puts children at greater risk of maltreatment. To facilitate implementation of the Sobriety Treatment and Recovery Team (START) model, this study (1) identifies collaborative strategies associated with effective implementation and service outcomes given system and organizational context, (2) uses this evidence to specify strategies and develop a decision support guide to help agency leaders select collaborative strategies, and (3) assesses the feasibility, acceptability, and appropriateness of the decision support guide.

Clinical Trial Description

This is a multi-staged, mixed methods study that leverages a naturally occurring policy experiment in southern Ohio. In aim 1, we will examine the collaborative strategies associated with implementation and service outcomes, given the context with 17 counties engaged in the Ohio START pilot project. We will use a convergent mixed methods design, and integrate our qualitative and quantitative data using qualitative comparative analysis. For aim 2, we will specify the collaborative strategies and develop a decision support guide using the VA's model of implementation strategy development (diagnose barriers, and convene an expert panel to design strategies). For aim 3, we assess the feasibility, acceptability, and appropriateness of the decision support guide using a sequential mixed methods design. In the first quantitative phase, we will conduct a randomized vignette experiment with agency directors in the 71 Ohio counties that are not involved in the Ohio START pilot project to compare the decision support guide with general implementation support. Our second qualitative phase (which is dominant), will examine feasibility more in-depth by piloting the guide and conducting descriptive case studies with up to three new counties. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT03931005
Study type	Interventional
Source	Ohio State University
Contact	Alicia Bunger, PhD
Phone	614-688-8366
Email	bunger.5@osu.edu
Status	Not yet recruiting
Phase	N/A
Start date	April 25, 2024
Completion date	May 30, 2024

View Details

See also
Status	Clinical Trial	Phase
Recruiting	`NCT06003725` - Cultural Adaptation of Drug Treatment for DJJ Youth	N/A
Recruiting	`NCT05414344` - A Brief Intervention for Alcohol Users With Interpersonal Trauma	N/A
Recruiting	`NCT05768815` - Optimizing Mental Health for Infants Exposed to Early Adversity: A Comparison of Breaking the Cycle and Maxxine Wright	N/A
Completed	`NCT05606601` - An Online Intervention Addressing Mental Health and Substance Use in University Students	N/A
Completed	`NCT03489434` - Technology-Based Prevention for Adolescents in Primary Care	N/A
Completed	`NCT04284813` - Families With Substance Use and Psychosis: A Pilot Study	N/A
Recruiting	`NCT05899101` - The Impact of Opioid and Cannabis Exposure on Fetal Growth
Completed	`NCT02990026` - Specialty Mental Health Probation in North Carolina	N/A
Not yet recruiting	`NCT06116266` - Collaborative Care for Polysubstance Use in Primary Care Settings (Co-Care)	N/A
Not yet recruiting	`NCT03249428` - E-Cigarette Inner City RCT	N/A
Active, not recruiting	`NCT03129334` - Preventing Prescription Drug Abuse in Middle School Students	N/A
Completed	`NCT04183400` - Safety Awareness For Empowerment (SAFE): An RCT With Young People Experiencing Homelessness	N/A
Completed	`NCT02112201` - The ProGirls Study	N/A
Completed	`NCT01752998` - Treating Chronic Pain in Buprenorphine Patients in Primary Care Settings	N/A
Terminated	`NCT01661517` - Brief Intervention and Referral to Treatment With Substance Use Disorders in the Emergency Room Setting	Phase 0
Completed	`NCT01511380` - Targeting HIV Risk Behaviors in Juvenile Drug Court-Involved Youth	Phase 2
Completed	`NCT01351454` - Behavioral Depression Treatment for African American HIV-infected Substance Users	N/A
Completed	`NCT01154309` - Group CBT for Depression and AOD Disorders	Phase 1
Completed	`NCT00996541` - Support To Reunite Involve and Value Each Other	N/A
Completed	`NCT01025674` - Randomized Trial of the Positive Action Program in Chicago Schools and Extension to Grade 8	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Collaborating to Implement Cross-System Interventions in Child Welfare and Substance Use

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms