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Engaging Criminal Legal System-involved Young Adults Through Supportive Employment: Cross-system Referral And Linkage To Address Overdose Risk, Suicide, And Behavioral Health Problems

Award Number: R33DA065192
ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 03/01/2026
PERIOD OF PERFORMANCE END DATE: 01/31/2031

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Engaging Criminal Legal System-involved Young Adults Through Supportive Employment: Cross-system Referral And Linkage To Address Overdose Risk, Suicide, And Behavioral Health Problems - Rates of overdose (OD), suicide, substance use (SU) and mental health (MH) problems are elevated among young adults involved in the criminal legal system (YACL). The majority of YACL are under community supervision (probation or parole) and live in communities where risk for OD post-release is substantial, and SU and MH treatment must be obtained from resource-limited behavioral health systems. Although many YACL would benefit from treatment, both structural and individual-level obstacles limit treatment uptake. Indeed, YACL frequently deny a need for treatment and prioritize employment over treatment/recovery. As such, 80- 90% of YACL needing treatment do not receive community-based services. Interventions that address treatment access and reduce YACL’s OD and suicide risk and SU/MH problems are urgently needed. Therefore, we propose to tailor e-Connect -- our efficacious system-level intervention designed to improve identification of suicide risk, SU and MH problems, increase referrals and increase treatment uptake for adolescents on probation -- for YACL by integrating OD risk screening and integrating peer support for YACL to create e-ConnectYA. We will capitalize on an established, nationwide, evidence-based employment training program designed specifically for criminal-legal system involved individuals, to deliver e-ConnectYA, accessing an otherwise hard-to-reach and disengaged population and harnessing the motivation associated with employment program participation to engage YACL with unmet treatment needs in services. Guided by the GPM and EPIS frameworks, this 5-year study will first tailor e-Connect to accommodate the needs of YACL to create e-ConnectYA (Aim 1). In Aims 2 and 3, we will use a type 1 hybrid effectiveness-implementation stepped-wedge trial design in n=6 CEO sites across 6 states to examine the effectiveness of e-ConnectYA. Sites will be randomized to one of 3 waves of active intervention. We will compare at the site-level e- ConnectYA with care-as-usual (baseline) CEO staff practice on (i) YACL SU/MH treatment initiation (any, MOUD, stimulant; primary outcome); (ii) employment; (iii) recidivism; and (iv) OD/SIB mortality risk (exploratory outcome). In Aim 3, we will examine e-ConnectYA implementation (uptake, feasibility, fidelity, acceptability, sustainability). We will document the process of implementation, comparing advancement through implementation stages across the 6 sites, and we will explore the role of site differences and other EPIS and GPM derived factors on implementation completion to inform scale-up of e-ConnectYA beyond CEO to other supportive employment programs/models.


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 = $1,091,599 )
2026	2026	RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC.	1051 RIVERSIDE DR	NEW YORK	NY	10032	NEW YORK	USA	Drug Use and Addiction Research Programs	000	1	2/17/2026	NEW	$1,091,599
														Subtotal = $1,091,599

Grand Total All Awards = $1,091,599

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Engaging Criminal Legal System-involved Young Adults Through Supportive Employment: Cross-system Referral And Linkage To Address Overdose Risk, Suicide, And Behavioral Health Problems

Award Number: R33DA065192

ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 03/01/2026

PERIOD OF PERFORMANCE END DATE: 01/31/2031

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