Recovery Opportunities Through Ongoing Treatment Sustainment
ROOTS
2 other identifiers
interventional
60
0 countries
N/A
Brief Summary
Adolescents in rural communities face limited access to effective substance use services, increasing their risk for opioid and other substance use disorders. This project will use an adaptive, iterative implementation approach to improve the integration of external substance use service providers into rural school settings. Findings will inform strategies to integrate and scale adolescent substance use services in schools. Support for this trial is provided by the HEAL Initiative (https://heal.nih.gov/).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Aug 2026
Longer than P75 for not_applicable
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
July 29, 2026
CompletedStudy Start
First participant enrolled
August 1, 2026
CompletedFirst Posted
Study publicly available on registry
August 5, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2030
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 1, 2031
August 5, 2026
July 1, 2026
3.8 years
July 29, 2026
July 29, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Reach and Engagement
Reach and Engagement will be tracked through service logs, including the number of students referred, completed referrals, and retention in care.
From enrollment to 90-day follow-up
90-day Substance Use Self Report
The timeline followback will be used to assess self-reported substance use frequency
Measured from baseline to 90-day follow-up
90-Day Substance Use Urinalysis
Substance use will be assessed using urinalysis.
Measured from baseline to 90-day follow-up.
Opioid-related knowledge and likelihood to engage in misuse behaviors
Opioid-related knowledge and likelihood to engage in misuse behaviors will be assessed with the Adolescent Opioid Safety and Learning scale
Assessed from baseline to 90-day follow-up
Secondary Outcomes (3)
Motivation for substance use and problems associated
Assessed between the baseline assessment and 90-day follow-up
Depressive Symptoms
Assessed between the baseline assessment and 90-day follow-up
Anxiety Symptoms
Assessed from baseline to 90-day follow-up.
Study Arms (1)
Youth Substance Use Unit
EXPERIMENTALThe YSU provides adolescents access to several evidence-based interventions, including access to an on-site substance use counselor trained in evidence-based practices for adolescent SUD, peer recovery specialists, and, if indicated, virtual access to an OUD treatment provider and/or clinical psychologist for more acute and co-occurring disorder treatment.
Interventions
The YSU provides adolescents access to several evidence-based interventions, including access to an on-site substance use counselor trained in evidence-based practices for adolescent SUD, peer recovery specialists, and, if indicated, virtual access to an OUD treatment provider and/or clinical psychologist for more acute and co-occurring disorder treatment.
Eligibility Criteria
You may qualify if:
- Are enrolled in one of the participating schools
- Are referred or independently access YSU services;
- Are above age of 13
You may not qualify if:
- Demonstrating active, unstable or untreated psychiatric symptoms, including mania and/or psychosis that would interfere with study participation
- Inability to understand the study and provide informed consent in English
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Noah S Triplett, PhD
University of Maryland, College Park
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 29, 2026
First Posted
August 5, 2026
Study Start
August 1, 2026
Primary Completion (Estimated)
June 1, 2030
Study Completion (Estimated)
June 1, 2031
Last Updated
August 5, 2026
Record last verified: 2026-07
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, ANALYTIC CODE
- Time Frame
- Data will be made available no later than the time of first publication or the end of the performance period, whichever comes first. Data will be retained and available for a minimum of 10 years in accordance with NIH expectations.
- Access Criteria
- Data will be submitted to the National Addiction and Health Data Archive Program in alignment with the HEAL Data Sharing Policy. Within one year of award, the study will be registered on the HEAL platform, including submission of HEAL-specific study-level metadata. Public-facing datasets will be assigned a persistent unique identifier (e.g., DOI) and indexed for searchability. Data will be made available no later than the time of first publication or the end of the performance period, whichever comes first. Data will be retained and available for a minimum of 10 years in accordance with NIH expectations.
De-identified quantitative datasets (adolescent clinical outcomes, implementation metrics), de-identified transcripts, coded qualitative outputs (e.g., theme matrices), and strategy adaptation documentation (FRAME-IS) will be preserved and shared to enable replication, secondary analysis, and transparency in implementation research. Data will be submitted to the National Addiction and Health Data Archive Program in alignment with the HEAL Data Sharing Policy.