Testing Implementation Strategies to Scale-up a Multicomponent Continuum of Service Intervention for Families Involved in Systems With Parental Opioid and Methamphetamine Use

Recruiting now · Not applicable

Conditions studied: Substance Related Disorders

In brief

This study will explore how to expand the Just Care for Families (JCFF) program beyond its current sites in Oregon, while addressing two main challenges: the developer team cannot provide ongoing support to every new program, and rural counties face limits on caseloads and reimbursement because of long travel distances. To overcome these barriers, the trial will test two strategies-using a JCFF mobile app to improve outcomes and efficiency, and relying on trained Experts (instead of the developer team) to guide new counties. With five active counties and four new ones, researchers will study whether parents receiving JCFF with digital support show reduced opioid and stimulant use, better child welfare outcomes like reunification, and more efficient treatment. This study will also compare how well new counties implement JCFF compared to existing ones, and use modeling to see if digital tools help programs sustain themselves by balancing caseloads and reimbursement. This study is supported by and included in the Helping to End Addiction Long-term Initiative (https://heal.nih.gov/).

Key facts

Study ID

NCT07365293

Run by

Chestnut Health Systems

People needed

254

Starts

2026-02-12

Expected to finish

2030-05-31

Last updated by the study team

2026-04-17

Who can join

Age: any. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Misuse of opioids and/or stimulants in the last year, including misuse of prescriptions
• parent of a child aged 0-18 with the child living in the home or a reunification plan in place
• residing in one of the nine participating counties
• insured by Medicaid
• access to a computer, smartphone, or wireless/cellular connection if a device were to be provided
• Willing to enroll with the first available Just Care coach

You may not qualify if…

• - Alcohol use disorder

Where it is running

• Chestnut Health Systems — Eugene, Oregon, United States (enrolling)

Full record on ClinicalTrials.gov

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