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Improving In-Reach Reentry Care Coordination for Opioid Use Disorder through Digital Intervention

Award Number: K23DA065050
ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 09/01/2026
PERIOD OF PERFORMANCE END DATE: 08/31/2031

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Improving In-Reach Reentry Care Coordination for Opioid Use Disorder through Digital Intervention - PROJECT SUMMARY/ABSTRACT This NIDA K23 Mentored Career Development Award will equip Dr. Milan Satcher with the training and research experiences needed to become a high-impact independent clinician-investigator specializing in digital interventions to improve linkage to evidence-based treatments and resources for adults with criminal legal involvement and opioid use disorder (CL-OUD). The proposal outlines a comprehensive plan for mentored career development training and research needed to achieve her career goals. Dr. Satcher's mentorship team includes experts in addiction, health services research, digital health, implementation science and dissemination, engineering, community-engaged research, and ethics, along with advisors with lived experience of substance use and incarceration. This experienced team will cohesively support Dr. Satcher’s training in: (1) ethical digital health design and evaluation, (2) implementation science and intervention adaptation, (3) integrated mixed-methods research for hybrid trials, and (4) professional development skills for research independence. Dr. Satcher will achieve these training aims through individualized mentoring, formal coursework, seminars, national conference participation, and a proposed research project to develop and assess a digital adaptation of the in-reach reentry care coordination model. Reentry poses a high-risk transition for individuals with OUD, with fatal opioid overdose rates up to 129 times greater than the general population’s during the first two weeks post-release. The in-reach care coordination model, which connects community providers directly with reentry staff and incarcerated individuals pre-release, has shown effectiveness in facilitating post-release linkages to care and social resources. Although digital tools enhance care coordination in community settings, many carceral facilities still rely on outdated methods for reentry planning, resulting in poor communication and inefficient coordination. To scale in-reach care coordination and improve reentry outcomes for adults with CL-OUD, the proposed research aims to adapt the evidence-based in-reach care coordination model into a digital intervention using the ADAPT-ITT framework. The central hypothesis posits that a digital platform can effectively address workflow inefficiencies and enhance collaboration between carceral and community staff while engaging patients. Specific aims include: (1) Identify barriers and facilitators for digital adaptation of in-reach reentry care coordination; (2) Co-design the digital adaptation to address barriers and facilitate linkage to office-based opioid treatment (OBOT) and social services; and (3) Assess usability, acceptability, and feasibility of the digital adaptation. Data and skills gained through this K23 training will support Dr. Satcher’s first phased R proposal (e.g., R61/R33) to conduct a type 2 hybrid trial of the digital intervention. Dr. Satcher’s K23 training will occur at Dartmouth Health and Dartmouth College, ensuring access to excellent research centers (e.g., Center for Technology & Behavioral Health) and resources to develop into an independent researcher improving health services and outcomes for populations with CL-OUD.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $181,164 )
2026	2026	DARTMOUTH-HITCHCOCK CLINIC	1 MEDICAL CENTER DR	LEBANON	NH	03756	GRAFTON	USA	Drug Use and Addiction Research Programs	000	1	8/6/2026	NEW	$181,164
														Subtotal = $181,164

Grand Total All Awards = $181,164

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Improving In-Reach Reentry Care Coordination for Opioid Use Disorder through Digital Intervention

Award Number: K23DA065050

ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 09/01/2026

PERIOD OF PERFORMANCE END DATE: 08/31/2031

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