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

NCT ID: NCT05665179

Last Updated: 2024-11-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

800 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-23

Study Completion Date

2025-07-31

Brief Summary

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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.

Detailed Description

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Conditions

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Opioid Use Disorder Alcohol Use Disorder Health Risk Behaviors Criminal Behavior Housing Problems Overdose of Opiate

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Treatment

Receives tutorial for free online legal resolution at treatment center

Group Type EXPERIMENTAL

Removing Barriers to Recovery

Intervention Type BEHAVIORAL

Experimental patients are provided no-cost legal services in-person at addiction treatment centers using an online platform

Control

The control group is not provided the experimental intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Removing Barriers to Recovery

Experimental patients are provided no-cost legal services in-person at addiction treatment centers using an online platform

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

\*Receiving substance use disorder treatment services

Exclusion Criteria

\*Not receiving substance use disorder treatment services
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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U.S. National Science Foundation

FED

Sponsor Role collaborator

University of Michigan

OTHER

Sponsor Role lead

Responsible Party

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David Cordova

Associate Professor of Social Work, School of Social Work

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David Cordva, PhD

Role: PRINCIPAL_INVESTIGATOR

Associate Professor

Locations

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Home of New Vision

Ann Arbor, Michigan, United States

Site Status RECRUITING

Dawn Farm

Ypsilanti, Michigan, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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David Cordova, PhD

Role: CONTACT

734-763-6201

Facility Contacts

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Glynis Anderson, LMSW, ACSW

Role: primary

734-975-1602

David Cordova, PhD

Role: backup

Raymond Dalton

Role: primary

(734) 485-8725

Stacey Hayes

Role: backup

(734) 485-8725

David Cordova, PhD

Role: backup

References

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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.

Reference Type DERIVED
PMID: 36879259 (View on PubMed)

Other Identifiers

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HUM00152102

Identifier Type: -

Identifier Source: org_study_id