Co-occurring mental health and substance use disorder, mental health, substance use disorders, recidivism, criminal legal involvement in Veterans enrolled in Veterans Treatment Courts Mental and Behavioural Disorders
Conditions
Interventions
This will be a hybrid type III effectiveness-implementation trial utilizing an adaptive design. First, all sites will be trained on MISSION-CJ. Second, a low intensity educational outreach baseline im
Sponsors
VA Bedford Health Care
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Veterans Justice Outreach Specialists and Peer Support Specialists working with Veterans Treatment Courts (VTC) Veteran inclusion criteria: 1. VA service-connected and enrolled in a VTC affiliated with a VA site within one of the four VISNs; 2. Meets Diagnostic and Statistical Manual of Mental Disorders, 5th Edition diagnostic criteria of International Classification of Diseases, 10th Revision for a current substance use disorder(s) (mild – severe) and a co-occurring mental health disorder(s) (including anxiety, mood, or a psychotic spectrum disorders); and 3. Is willing to participate in MISSION-CJ services. VTC enrollment varies and can be as high as 45 veterans per VTC.
Exclusion criteria
Exclusion criteria: Ineligible for VA healthcare
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fidelity is measured using the MISSION-CJ fidelity tool which is embedded within the VA's computerized patient record system. which tracks several features of MISSION-CJ (e.g., How many and what type of MISSION-CJ sessions were given by case managers and peer specialists) across all mental health, substance use disorder and social services domains for each Veteran who participates in the Veterans Treatment Court after each MISSION-CJ contact with a case manager or peer specialist. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Overdose rate, which is measured as percent of Veterans with an overdose event, each quarter after enrollment in MISSION-CJ services. 2. Linkage to VA and non-VA mental health, measured by mental health care linkage is measured by any mental health care visit (identified in the VA’s electronic medical record system), each quarter after enrollment in MISSION-CJ services. 3. Linkage to VA and non-VA substance use disorder care, measured by linkage to substance use treatment is measured by any substance use visit (identified in the VA’s electronic medical record system), each quarter after enrollment in MISSION-CJ services 4. Criminal recidivism, measured using the number of jail/prison days which will be monitored by searching statewide and federal inmate locator systems and databases, each quarter after enrollment in MISSION-CJ services. | — |
Countries
United States of America
Outcome results
None listed