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Идёт набор NCT05665179

Removing Barriers: Community Partnering for Innovative Solutions to the Opioid Crisis

Без фазы С лечением Opioid Use Disorder Alcohol Use Disorder Health Risk Behaviors Criminal Behavior

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Removing Barriers to Recovery.
Кому может быть актуально
Состояния в реестре: Opioid Use Disorder, Alcohol Use Disorder, Health Risk Behaviors, Criminal Behavior. Базовые параметры: от 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

The opioid epidemic has become one of America's deadliest crises, surpassing car crashes, firearms, and HIV/AIDS as a leading cause of death for Americans under fifty years of age. People trying to recover from opioid-use disorder face many obstacles. Obstacles such as minor legal problems (e.g., arrest warrants for failure to pay a fine, failure to appear in court, or late child support payments) can undermine the stability needed to overcome opioid dependence. Outstanding legal obligations make it difficult to find jobs and to secure housing. They can result in removal from treatment programs as well as incarceration. Resolving these legal problems requires coordination, organization, preparation, travel, and time-expectations that may be problematic for many people in the early stages of recovery. Technology has the potential to make resolving these legal problems much easier. Online platform technology is now available that can guide people in recovery through the resolution of many legal problems at no cost and without an attorney, potentially doing so quickly, remotely, and at any time of day. This study of individuals in treatment in Michigan tests whether resolving outstanding legal issues improves drug treatment outcomes. The research also examines whether and to what extent resolving legal issues supports family reunification, reduces future criminal behavior, and improves access to jobs and housing for clients in treatment for opioid use disorder. A randomized controlled trial (RCT) is used to determine the effects of resolving legal issues on these outcomes. For identification, the investigators leverage the random assignment of legal services to treatment center clients, along with the random assignment of clients to treatment centers by birth month. We assemble a novel longitudinal dataset of hundreds of clients in treatment for substance use disorder and link these clients to several administrative datasets and qualitative data, which allows for measurement of: (1) substance use behaviors and (2) justice-system involvement, including civil and criminal legal system encounters. This study also uses linked client and administrative data to research the population in opioid treatment centers, follow-up behaviors, and whether the consequences of providing no-cost legal services differ by client background. Findings from this research will improve America's understanding of the acute socio-legal needs faced by those experiencing opioid use disorder and provide recommendations to help target resources toward the areas that best support long-term abstinence from opioids and other drugs.

Вмешательства

  • Поведенческое Removing Barriers to Recovery
    Experimental patients are provided no-cost legal services in-person at addiction treatment centers using an online platform

Первичные конечные точки

  • Frequency of substance misuse [Срок оценки: 1 year]
  • Quantity of substance(s) [Срок оценки: 1 year]
Вторичные конечные точки (6)
  • Frequency of substance misuse [Срок оценки: 2 years]
  • Quantity of substance(s) [Срок оценки: 2 years]
  • Count of justice system involvement [Срок оценки: 1 year]
  • Justice system involvement case type [Срок оценки: 1 year]
  • Count of justice system involvement [Срок оценки: 2 years]
  • Case type of justice system involvement [Срок оценки: 2 years]

Критерии участия

Критерии включения

\*Receiving substance use disorder treatment services

Критерии исключения

\*Not receiving substance use disorder treatment services

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Поддерживающая терапия

Центры проведения

США · 2 центра
  • Home of New Vision — Ann Arbor
  • Dawn Farm — Ypsilanti

Публикации

  • O'Neil MM, Johnson RA, Cordova D, Pryor J, Pinals DA. A legal dispute resolution intervention for patients with substance use disorders: a study protocol for a randomized controlled trial. BMC Public Health. 2023 Mar 6;23(1):435. doi: 10.1186/s12889-023-15296-5. PMID 36879259

Идентификаторы

NCT: NCT05665179 · HUM00152102

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗