Disrupting SRFOH to Improve Substance Use and Mental Health Outcomes for Parents in Rural Regions

Chestnut Health Systems

Status

Enrolling

Conditions

Substance-Related Disorders

Social Risk Factors of Health

Treatments

Behavioral: Just Care for Families

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT06560866

R01DA057556 (U.S. NIH Grant/Contract)

1172-0623

Details and patient eligibility

About

The study will evaluate the effectiveness of the Just Care for Families program in preventing Oregon Department of Human Services (ODHS)-involved parents in rural communities from escalating opioid and/or methamphetamine use and mental health disorders by disrupting the associated social risk factors of health (SRFOH). In addition, investigators will examine the impacts of SRFOH on Just Care treatment and the associated costs from the perspective of provider clinics delivering Just Care. Just Care is a behavioral intervention for the treatment of parental substance abuse and child neglect for families involved in the child welfare system. Just Care involves treatment components, supported by ongoing purposeful engagement: (1) Substance use treatment; (2) Mental health treatment; (3) Parent management training; (4) Community building; (5) Systems Navigation; and (6) Addressing basic needs.

Full description

This study provides multiple tests of the mechanisms by which Just Care for Families disrupts the effects of lifetime social risk factors of health (SRFOH) on ultimate outcomes of preventing escalation of opioid and/or methamphetamine use and suicide (ideation, intention, attempts). Just Care for Families 's effect on these outcomes is hypothesized to occur through two mechanisms of action: (1) improvement in malleable SRFOH (direct targets of intervention) and (2) improvement in substance use and mental health problems (intermediate prevention outcomes). Analyses will examine whether the effects vary as a function of non-malleable external, structural SRFOH, such as community poverty and healthcare service availability. Additionally, system dynamics will be used to examine patterns of influence between SRFOH and Just Care for Families intervention targets, case outcomes, and associated costs.

Enrollment

266 estimated patients

Sex

All

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Parents:

Any substance misuse in the last year
Parent of a child, age 0-18
Resident of participating county (Lane, Linn, Benton, Douglas, Lincoln)
Insured by Oregon Health Plan (Medicaid)
Access to a computer or smartphone; or wireless/cellular connection if a device were to be provided; or reliable access to a landline to receive a brief weekly phone assessment in place of the digital assessment

Clinical Staff: