Justice Community Overdose Innovation Network II TCU Hub
Starting soon · Not applicable
Conditions studied: Substance Use Disorder (SUD), Drug Overdose, Criminal Behavior
In brief
The current study proposes to use a Hybrid Type 3 implementation research strategy to: 1) Significantly enhance our understanding of public health outcomes \[e.g., overdose incidents and substance-use (SU)-related Emergency Medical Service (EMS) contacts\] and public safety outcomes (e.g., drug-related arrests) associated with Deflection and Pre-Arrest Diversion initiatives (DPAD, hereafter referred to as Deflection); and 2) Create a lasting contribution to the fields of research focused on SU and the criminal legal system (CLS) by advancing knowledge of effective implementation strategies involving the critical role of community engagement in Deflection. The highly experienced team of Multiple PIs, senior-level collaborators from both Deflection and Community Behavioral Health (CBH), state-level evaluation partners, a national stakeholder advisory group, and CLS and behavioral health partners within each community have teamed up to carry out the proposed project. The study approach uses a hybrid implementation-effectiveness design to examine strategies to improve opioid and stimulant relevant outcomes, and specifically proposes to test the implementation-effectiveness of 2 strategy bundles to promote Deflection models through a CORE community engagement bundle (designed to facilitate community stakeholder engagement) and ENHANCED community engagement bundle (CORE plus a component to systematically involve community advocates) on improving implementation as well as public safety and health outcomes. The proposed randomized control trial includes a total of 20 geographically distinct clinical research performance sites (i.e., 20 communities spanning 5 states; New Mexico, Illinois, Wisconsin, Colorado, and Pennsylvania), with 3-5 communities per state and the inclusion of key CLS and CBH stakeholders within each site. The large scope of the project will maximize potential generalizability of study results and sustainability of implementation strategies.
Key facts
- Study ID
- NCT07528846
- Run by
- Texas Christian University
- People needed
- 1620
- Starts
- 2026-07-01
- Expected to finish
- 2029-05-01
- Last updated by the study team
- 2026-04-14
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Directly involved in Deflection services, including:
- Making referrals (e.g., law enforcement, first responders, community agencies) \& Providing services to participants (e.g., case managers, peer specialists, coordinators);
- Aged 18 years or older;
- Able to complete surveys in English;
- Willing to provide informed consent
You may not qualify if…
- Not affiliated with a participating Deflection agency;
- No role in Deflection referral or service delivery;
- Under age 18;
- Unable or unwilling to provide informed consent
- Clients
- Inclusion Criteria:
- Aged 18 years or older;
- Enrolled in a Deflection program within a participating community;
- Between 1 and 12 months post-enrollment at time of recruitment;
- Documented history of substance use disorder (SUD) or risk for SUD;
- Priority for individuals reporting opioid and/or stimulant use within the past year;
- Able to complete survey and/or interview; Willing to provide informed consent
- Exclusion Criteria:
- Under age 18;
- Not enrolled in a Deflection program;
- Insufficient exposure to Deflection (<1 month);
- Unable or unwilling to provide informed consent
- Citizens
- Inclusion Criteria:
- Aged 18 years or older;
- Resident of a participating community;
- Represents general community population (including individuals with or without lived experience of SUD/CLS involvement);
- Able to participate in: Surveys and/or Community Listening Sessions;
- Willing to provide informed consent
- Exclusion Criteria:
Where it is running
- Texas Christian University — Fort Worth, Texas, United States
Full record on ClinicalTrials.gov
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