RECRUITINGINTERVENTIONAL

Disrupting SRFOH to Improve Substance Use and Mental Health Outcomes for Parents in Rural Regions

Disrupting Social Risk Factors of Health to Improve Substance Use and Mental Health Outcomes for Parents in Rural Regions

About This Trial

The study will evaluate the effectiveness of the Just Care for Families program in preventing Oregon Department of Human Services (ODHS)-involved parents in rural communities from escalating opioid and/or methamphetamine use and mental health disorders by disrupting the associated social risk factors of health (SRFOH). In addition, investigators will examine the impacts of SRFOH on Just Care treatment and the associated costs from the perspective of provider clinics delivering Just Care. Just Care is a behavioral intervention for the treatment of parental substance abuse and child neglect for families involved in the child welfare system. Just Care involves treatment components, supported by ongoing purposeful engagement: (1) Substance use treatment; (2) Mental health treatment; (3) Parent management training; (4) Community building; (5) Systems Navigation; and (6) Addressing basic needs. This study is supported by and included in the Helping to End Addiction Long-term Initiative (https://heal.nih.gov/).

Who May Be Eligible (Plain English)

Who May Qualify: Parents: - Any substance misuse in the last year - Parent of a child, age 0-18 - Resident of participating county (Lane, Linn, Benton, Douglas, Lincoln) - Insured by Oregon Health Plan (Medicaid) - Access to a computer or smartphone; or wireless/cellular connection if a device were to be provided; or reliable access to a landline to receive a brief weekly phone assessment in place of the digital assessment Clinical Staff: - clinician at a participating clinic - Providing Just Care for Families services to parents in the study at any point during study Who Should NOT Join This Trial: - Alcohol use disorder Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

Inclusion Criteria: Parents: * Any substance misuse in the last year * Parent of a child, age 0-18 * Resident of participating county (Lane, Linn, Benton, Douglas, Lincoln) * Insured by Oregon Health Plan (Medicaid) * Access to a computer or smartphone; or wireless/cellular connection if a device were to be provided; or reliable access to a landline to receive a brief weekly phone assessment in place of the digital assessment Clinical Staff: * clinician at a participating clinic * Providing Just Care for Families services to parents in the study at any point during study Exclusion Criteria: * Alcohol use disorder

Treatments Being Tested

BEHAVIORAL

Just Care for Families

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.

Locations (1)

Chestnut Health Systems

Eugene, Oregon, United States