Preventing Overdose and Promoting Recovery Through Court Navigation

Официальное название

Hybrid Type I Trial of a Peer-Led Court Navigation Program to Improve Substance Use Disorder Treatment Receipt and Reduce Overdose and Incarceration Among People Passing Through Courthouses

Обзор

This project is a hybrid type I clinical trial to assess the effectiveness and implementation determinants of a peer-led court navigation program for people who use drugs and are passing through county courthouses. Courthouses are a common point of contact for people with behavioral health needs, but outside of specialty court models, they remain underexplored as a setting for connecting people to substance use disorder treatment and related services. This study will test whether court navigation led by peer recovery specialists can increase receipt of substance use disorder treatment and reduce overdose and incarceration. Peer court navigators will meet with participants in courthouse settings, assess their needs, provide information and referrals, and offer follow-up support for up to 3 months. Peer recovery specialists, who have lived experience with substance use recovery, are increasingly being integrated into criminal legal and community-based settings; however, peer-led court navigation remains an innovative and understudied approach.

Вмешательства

• Поведенческое CourtConnect
  CourtConnect connects individuals in courthouses with peer court navigators who provide information, referrals, and support to address substance use disorder treatment needs and related health and social needs. Navigation begins in the courthouse and continues in the community through follow-up support for up to 3 months.
• Другое Information Only
  Participants assigned to the information-only group receive information about health and social services in the community from a non-peer research assistant. They do not receive peer court navigation or follow-up support from a peer court navigator.

Первичные конечные точки

• Administratively documented substance use disorder treatment engagement [Срок оценки: 90 days after baseline]

Вторичные конечные точки (2)

• Number of participants with a fatal or nonfatal overdose [Срок оценки: 12 months after baseline]
• Number of participants with a jail booking or prison entry [Срок оценки: 12 months after baseline]

Критерии участия

Критерии включения

• Aged 18 years or older
• Current resident of Indiana
• Able to complete study procedures in English
• Meets at least one of the following criteria: used heroin, fentanyl, methamphetamine, or cocaine in the past 12 months; is interested in resources or treatment for a substance use disorder; or experienced an opioid-related overdose in the past 12 months

Критерии исключения

• Has been sentenced to incarceration in jail or prison for the next 12 months

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

Открытое

Основная цель

Организация здравоохранения

Центры проведения

США · 2 центра

• St. Joseph County Courthouse 1 — South Bend
• RTI International — Research Triangle Park

Идентификаторы

NCT: NCT07700407 · R01DA064492 · R01DA064492

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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