Facilitating Opioid Care Connections

Summary

In response to the opioid crisis in New York State (NYS), where the propose project will take place, the Unified Court System (UCS) developed a new treatment court model - the opioid court model (OCM) - designed around 10 practice guidelines to address the flaws of existing drug courts and reduce overdose (OD), opioid use disorder (OUD), and recidivism via rapid screening and linkage to medication for opioid use disorder (MOUD). In 2018, NYS began to expand the OCM across NYS. Yet, given the innovation of the OCM, the exact barriers to implementation in disparate counties with a range of resources - and the strategies to overcome them - are largely unknown. The research team proposes to integrate evidence-based implementation strategies to refine and evaluate the Opioid Court Model Rigorous Implementation Science for Effectiveness (OCM RISE) intervention, an implementation intervention that will allow the OCM, as framed by the 10 practice guidelines, to be scaled up across NYS.

Conditions

• Opioid Court Model
• Medication to Treat Opioid Use Disorder
• Opioid Use

Interventions

BEHAVIORAL

OCM-RISE

OCM RISE will comprise four phases (Exploratory, Preparation, Implementation, and Sustainment). During Exploration, staff will conduct readiness surveys, interviews and system mapping exercises to assess county context. In the Preparation Phase, the needs assessment data will inform county-specific action plans. Guided facilitation during this phase includes court development planning, practice/process improvement strategies, and training on data-driven decision-making to help IACTs operationalize the 10 OCM guidelines, assess performance, and fit the guideline to the local context. In the Implementation Phase, counties will roll out the OCM for 18 months with data feedback, support, and facilitation. Each IACT will receive reports on the performance of its OCM and complete two plan-do-study-act cycles. In the Sustainment Phase, implementation and feedback reports will continue for 6-18 months, but without other external facilitation.

Sponsors & Collaborators

• Center for Court Innovation

  collaborator OTHER

• New York State Unified Court System

  collaborator UNKNOWN

• Center on Addiction

  collaborator UNKNOWN

• Columbia University

  collaborator OTHER

• Weill Medical College of Cornell University

  collaborator OTHER

• National Institute on Drug Abuse (NIDA)

  collaborator NIH

• New York State Psychiatric Institute

  lead OTHER

Principal Investigators

• Katherine S Elkington, PhD · Columbia University/NYSPI

• Edward Nunes, MD · Columbia University/NYSPI

• Milton L Wainberg, MD · Columbia University/NYSPI

Study Design

Allocation

NA

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SEQUENTIAL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2020-03-18

Primary Completion

2026-12-30

Completion

2027-04-01

Countries

• United States

Study Locations