Testing Implementation Strategies to Scale-up a Multicomponent Continuum of Service Intervention for Families Involved in Systems With Parental Opioid and Methamphetamine Use
2 other identifiers
interventional
254
1 country
1
Brief Summary
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/).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2026
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 22, 2026
CompletedFirst Posted
Study publicly available on registry
January 26, 2026
CompletedStudy Start
First participant enrolled
February 12, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2030
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 31, 2030
April 17, 2026
February 1, 2026
4 years
January 22, 2026
April 14, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Change in Opioid and/or Stimulant Use from Baseline to 18 months
Any opioid or stimulant use in the past 30 days as measured by the Addiction Severity Index.
Baseline, 4 months, 9 months, 14 months, and 18 months
Treatment Engagement
Number of sessions attended as reported by coaches in the Just Portal software used as part of the JCFF delivery and fidelity monitoring.
Up to 18 months
Treatment Retention
Retained in treatment through completion (i.e. mutual decision between client and coach for how to end treatment). Measured only for the first treatment episode.
Up to 18 months
Child Welfare Re-Report
Any new referrals for parent or child as reported in Oregon Department of Human Services Administrative Data.
Up to 18 months
Secondary Outcomes (1)
Child Reunification
Up to 18 months
Study Arms (4)
No Intervention
NO INTERVENTIONNo services will be offered to participants. Participants are able to engage in any non-Just Care services that they choose, which could include substance use treatment, mental health treatment, child welfare or self-sufficiency case plans that include parenting classes, social services to access basic needs like food stamps, and support to obtain employment. Just Care for Families is not available in the counties during usual services recruitment.
Just Care for Families (JCFF) only
EXPERIMENTALJust Care for Families is a behavioral intervention to address the needs of families involved in or at-risk for involvement with the child welfare system.
Just Care for Families (JCFF) plus App
EXPERIMENTALParticipants will receive the Just Care for Families (JCFF) behavioral intervention in addition to using a JCFF digital support application (App).
Just Care for Families (JCFF) plus App plus Feedback
EXPERIMENTALParticipants will receive the Just Care for Families (JCFF) behavioral intervention, use of the App, and the intervention coaches will receive feedback on parent's use of the App.
Interventions
Just Care for Families is a behavioral intervention to address the needs of families involved in or at-risk for involvement with the child welfare system. Just Care involves treatment components, supported by ongoing purposeful engagement: (1) Substance use treatment including contingency management and positive reinforcement, day planning, healthy environments and peer choices, and refusal skills; (2) Mental health treatment including cognitive behavioral therapy, developing healthy coping skills, emotion regulation skills, exposure therapy, and referral for medication management; (3) Parent management training including parenting skills, nurturing and attachment, reinforcement, emotion regulation, supervision, structure, non-harsh discipline, and nutrition; (4) Community building including indigenous and external social supports; (5) Systems navigation; and (6) provision of assistance with basic needs including assistance with housing and employment.
Coaches will receive feedback on parent's use of the App. Parent-reported current needs, clinical status (e.g., substance use and mental health symptoms), progress, and goals will be programmed into dashboards accessible to assigned Coaches (i.e., Feedback).
Participants will use a Just Care for Families digital support application (App). App features will include interactive tools modeled after those used for in-person interventions and practice exercises. Parent data will be stored within the App, including entered self-report and usage data.
Eligibility Criteria
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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Chestnut Health Systemslead
- National Institute on Drug Abuse (NIDA)collaborator
Study Sites (1)
Chestnut Health Systems
Eugene, Oregon, 97401, United States
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lisa Saldana, PhD
Chestnut Health Systems
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Research Scientist
Study Record Dates
First Submitted
January 22, 2026
First Posted
January 26, 2026
Study Start
February 12, 2026
Primary Completion (Estimated)
February 1, 2030
Study Completion (Estimated)
May 31, 2030
Last Updated
April 17, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF
- Time Frame
- Beginning 6 months after closing baseline data collection with no end date
- Access Criteria
- Data will be shared in accordance with the NIH Helping to End Addiction Long-term (HEAL) Initiative Public Access and Data Sharing Policy. All data will be submitted to the NAHDAP repository and will be findable and accessible through the HEAL Initiative Data Ecosystem. All data will also be submitted to the NIDA-funded Methodology and Advanced Analytics Resource Center (MAARC) located at the University of Chicago, a data commons built for the purpose of sharing research data collected by research "hubs" within the NIDA-funded Justice Community Overdose Innovation Network (JCOIN). Data will be shared with investigators working under an institution with Federal Wide Assurance (FWA) and could be used for secondary study purposes. Requested primary study data and metadata (e.g., format and organization) will be made available to investigators according to the policies of the University of Chicago MAARC and the NAHDAP repository.
All collected IPD except for administrative data will be shared. For administrative data, a data use agreement signed by the research team and members of the third party will define the scope of appropriate access and use of the data. While overall or composite scores may be available to share publicly, ethical and legal considerations limit distribution of individual level data.