Clinical trial NCT03048552: Family Engagement, Cross-System Linkage to Substance Use Treatment for Juvenile Probationers -- Phase 3
Official title: Family Engagement, Cross-System Linkage to Substance Use Treatment for Juvenile Probationers -- Phase 3
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Substance Use
Substance Abuse
Substance Use Disorders
Substance-Related Disorders
Substance Dependence
Substance Related Problem
Keywords: drug use
drug addiction
drug habituation
drug use disorders
organic mental disorders
substance-induced
substance abuse
substance addiction
substance dependence
substance use disorders
Lead sponsor: New York State Psychiatric Institute
Sponsor class: OTHER
Collaborators: name: National Institute on Drug Abuse (NIDA)
First posted: 2017-02-09
Enrollment: 22
Sex: ALL
Minimum age (years): 10
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This study is a randomized control trial. Caregiver-youth dyads are randomized to either the control (standard of care) or experimental (Family CONNECT) group based on the youth's probation officer (randomization occurs at the level of the youth's probation officer). If randomized to the control (standard of care) group, caregiver-youth dyads will work with their probation officer as usual to link to substance use services. If randomized to the experimental (Family CONNECT) group, caregiver-youth dyads will work with a linkage specialist to link to substance use services. Youth in both groups will be compared to a baseline stand of care collected during the pre-implementation period.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Developed from adapting and combining two evidence-based programs, Project CONNECT (a linkage-to-services program that targets barriers within the probation and substance abuse treatment systems) and TIES (a program that teaches family engagement skills to providers), Family CONNECT is a linkage-to-services program that targets both family and system-level factors to increase youth use of and retention in substance use services. Using Linkage Specialists embedded within probation departments, Family CONNECT will be implemented in two NYS probation departments. This proposed study will evaluate the impact of Family CONNECT on (1) youth referral from probation to substance abuse treatment, (2) youth and family engagement in substance abuse treatment, (3) youth enrollment/retention in substance abuse treatment, and (4) youth substance use and recidivism. Counts of youth referred, youth who start treatment, and youth retained in treatment will be obtained from the juvenile justice agency for 6-months pre-implementation of Family Connect (i.e. baseline) and during the implementation period of e-Connect; counts of youth recidivism will be obtained 6 months following the completion of Family Connect. This study will also identify family and probation organizational factors influencing Family CONNECT implementation in probation settings. 50 caregiver-youth dyads and up to 36 probation officers will be recruited as participants in the study. Caregiver-youth dyads will be evaluated at baseline, 2 and 6 months; probation officers at baseline, 6, 12, and 18 months; linkage specialists at baseline, 6, 12, and 18 months.


Eligibility criteria: Youth:

Inclusion Criteria

1. Between 10-18 years of age
2. English speaking
3. A caregiver who will participate in the study
4. MAYSI-2 score of ≥ 4 on any MAYSI-2 subscale; YASI mental health and substance use screen items; or other documented evidence of mental health or substance use problem
5. Currently on probation

Exclusion Criteria 1. Cognitively unable to complete the interview

Caregiver:

Inclusion criteria

1. Youth's legal guardian (or permission from legal guardian)
2. Youth who will participate
3. English speaking

Exclusion criteria:

1. Cognitively unable to complete the interview

Probation staff:

Inclusion criteria:

1. Currently employed at probation department

Exclusion criterion:

1. None

Primary outcomes:
measure: Youth Enrolled in Substance Use Treatment
timeFrame: Two years (study implementation period)
measure: Youth Enrolled in Any Behavioral Health Treatment
timeFrame: Two years (study implementation period)
Secondary outcomes:
measure: Youth Referred for Substance Use Treatment
timeFrame: Two years (study implementation period)
measure: Youth Referred for Any Behavioral Health Treatment
timeFrame: two years (implementation period)
Other outcomes:
measure: Youth Initiated Substance Use Treatment
timeFrame: Two years (study implementation period)
measure: Youth Initiated Any Behavioral Health Treatment
timeFrame: two years (study implementation period)
Locations:
Study officials:
affiliation: New York State Psychiatric Institute
name: Katherine S Elkington, PhD
role: PRINCIPAL_INVESTIGATOR
References: