Alcohol-Related Disorders, Opioid-Related Disorders
Conditions
Brief summary
The goal of this study is to see whether or not a strategic planning process is able to introduce and sustain improvements in the working relationship between probation/parole departments and community-based addiction treatment agencies that provide medication assisted therapy (MAT) for individuals with opioid or alcohol dependence. In addition, this study seeks to improve probation/parole agency personnel's knowledge and perceptions about MAT, and increase the number of appropriate referrals to community treatment agencies that provide MAT. There are three phases to this study. Phase 1 includes a pilot study to determine the quality and availability of client level records and the collection of baseline data (the pilot study protocol was previously submitted to TMH IRB). Phase 2 will consist of a Knowledge, Perceptions and Information (KPI) intervention during which probation/parole agencies will undergo training to increase knowledge about the effectiveness of MAT, and complete a post training assessment to evaluate the effectiveness of the KPI intervention. During Phase 3, probation/parole agencies will be randomly assigned to a 12-month Organizational Linkage Intervention (OLI) condition or to control (no further intervention). Agencies assigned to the OLI will establish a Pharmacotherapy Exchange Council (PEC) that consists of staff from both the probation/parole and community treatment agencies. The PEC will undergo a strategic planning process to increase the availability of MAT for opiate and/or alcohol dependent individuals who are on probation/parole.
Interventions
See comparison arm description.
See experimental arm description.
Sponsors
Study design
Eligibility
Inclusion criteria
Probation/parole or community treatment agency staff.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Opinions About MAT | 6-month follow-up | Measures knowledge, perceptions, and intentions regarding the use of pharmacotherapy for the treatment of opioid and alcohol dependence. Will be assessed at baseline, post-training, post intervention, and 6-month follow-up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Interorganizational Relationships | 6-month follow-up | Will be assessed at baseline, and post intervention (6-month follow-up). |
| Referrals to Medication Assisted Treatment (MAT) | 6-Month Follow-up | Estimated numbers of alcohol- and opiate-dependent offenders on Probation/Parole |