Methadone Expansion in Detention Though the Hospital/Clinic Designation
NCT07707934 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2026-07-16
Summary
The goal of this clinical trial is to improve implementation of hospital/clinic methadone in several carceral systems and study the effects of implementation on patient outcomes.
This study has four Aims:
* Evaluate an intervention for carceral staff that will receive individual coaching and group didactic sessions focused on improving adoption and implementation of hospital/clinic methadone. Effects of this intervention will be measured via qualitative interviews and baseline, midpoint and final surveys of participants.
* Apply a trial emulation approach to electronic health records from three prison systems currently using hospital/clinic methadone to evaluate the effect of implementation on the initiation and retention of medications for opioid use disorder treatment.
* Link Medicaid data to electronic health records from one prison system implementing hospital/clinic methadone to examine the effect of implementation on post-release outcomes, including MOUD use and broader healthcare utilization.
* Examine the cost effectiveness and budgetary impact of implementing hospital/clinic methadone.
Conditions
- Opioid Use Disorder
- Incarcerated Individuals
- Methadone Maintenance
Interventions
- OTHER
-
Learning Collaborative
All participants will receive individual and group coaching sessions to facilitate implementation of the hospital/clinic designation.
Sponsors & Collaborators
-
National Institute on Drug Abuse (NIDA)
collaborator NIH -
Johns Hopkins Bloomberg School of Public Health
collaborator OTHER -
Washington University School of Medicine
collaborator OTHER -
Brown University
collaborator OTHER -
Brendan Saloner
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-09-30
- Primary Completion
- 2028-09-30
- Completion
- 2030-05-31
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