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Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision

Award Number: U01DA050442
ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE
OPDIV: NIH
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Abstract Individuals who have been previously incarcerated have a significantly higher risk of dying from overdose[4]; particularly in the first two weeks after release. More than 4.5 million people is the US are supervised in the community setting and nearly half have a substance use disorder but few receive services. There is a critical need for linkage to medication for opioid use disorder (MOUD) for individuals on community supervision. Providing medication for opioid use disorder (MOUD) to individuals on probation or parole decreases the rate of relapse and recidivism, and increases retention in substance abuse treatment. In 2016, RIDOC introduced the first correctional system-wide MOUD program in the country to initiate a comprehensive program to offer all three FDA approved medications (in all prison or jail settings) to all eligible individuals. As a result of the RIDOC program, we have expanded MOUD linkage to treatment in the community that is associated with a significant drop in statewide overdose deaths post-release. This work is the foundation from which we have built the current proposal. Our proposed research is to rigorously test a systems-change approach for increasing use of MOUD using a randomized type 1 hybrid implementation-effectiveness design in probation and parole sites. We propose a unique network of 7 geographically distinct community supervision (probation and parole) performance sites from Rhode Island, North Carolina, and Pennsylvania. After a 6-month period of baseline for comparison, the Exploration, Preparation, Implementation, Sustainability framework is used to guide system-change through facilitated local change teams consisting of justice and community service providers. A core set of implementation strategies is provided to all sites. The overall objective is to improve linkage to the continuum of evidence-based care for justice-involved individuals. Organizational assessments are timed with EPIS stages. At the end of Implementation, N=680 probation/parolee clients will be randomly assigned to receive peer support specialists vs. no peer support with follow-up at 3, 6 and 12 months. Implementation outcomes include program acceptability, adoption, penetration, sustainability and costs. Client- level effectiveness outcomes include retention, satisfaction, opioid use, opioid overdoses, recidivism, linkage to OUD treatment, and utilization of recovery services. This research team is uniquely poised to evaluate the implementation and impact of MOUD among justice-involved individuals, to answer questions of urgent public health significance, inform implementation science, and improve service delivery.


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: 2025 ( Subtotal = -$135,613 )
2025	2024	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	000	5	10/1/2024	SUPPLEMENT FOR EXPANSION	-$135,613
														Subtotal = -$135,613

Issue Date FY: 2024 ( Subtotal = $764,780 )
2024	2024	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	001	5	7/11/2024	SUPPLEMENT FOR EXPANSION	$764,780
2024	2024	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	002	5	7/18/2024	SUPPLEMENT FOR EXPANSION	$0
2024	2023	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	000	5	7/10/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $764,780

Issue Date FY: 2023 ( Subtotal = $2,370,411 )
2023	2023	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	002	5	4/28/2023	NON-COMPETING CONTINUATION	$2,032,991
2023	2023	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	003	5	9/19/2023	SUPPLEMENT FOR EXPANSION	$337,420
2023	2022	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	000	4	12/29/2022	NON-COMPETING CONTINUATION	$0
2023	2022	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	001	4	1/31/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $2,370,411

Issue Date FY: 2022 ( Subtotal = $2,251,902 )
2022	2022	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	002	4	4/29/2022	NON-COMPETING CONTINUATION	$2,083,986
2022	2022	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	005	4	9/14/2022	SUPPLEMENT FOR EXPANSION	$67,917
2022	2022	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	004	4	8/26/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2022	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	003	4	8/24/2022	SUPPLEMENT FOR EXPANSION	$99,999
2022	2021	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	001	3	4/15/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2021	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Use and Addiction Research Programs	000	3	1/10/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $2,251,902

Issue Date FY: 2021 ( Subtotal = $2,560,257 )
2021	2021	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Abuse and Addiction Research Programs	002	3	9/20/2021	SUPPLEMENT FOR EXPANSION	$155,500
2021	2021	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Abuse and Addiction Research Programs	001	3	4/6/2021	NON-COMPETING CONTINUATION	$2,404,757
2021	2020	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Abuse and Addiction Research Programs	000	2	11/24/2020	NON-COMPETING CONTINUATION	$0
														Subtotal = $2,560,257

Issue Date FY: 2020 ( Subtotal = $2,463,609 )
2020	2020	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Abuse and Addiction Research Programs	003	2	6/11/2020	NON-COMPETING CONTINUATION	$0
2020	2020	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Abuse and Addiction Research Programs	001	2	4/23/2020	NON-COMPETING CONTINUATION	$2,278,871
2020	2020	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Abuse and Addiction Research Programs	004	2	9/11/2020	SUPPLEMENT FOR EXPANSION	$184,738
2020	2019	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Abuse and Addiction Research Programs	002	1	6/11/2020	NEW	$0
2020	2019	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Abuse and Addiction Research Programs	000	1	1/7/2020	NEW	$0
														Subtotal = $2,463,609

Issue Date FY: 2019 ( Subtotal = $2,214,943 )
2019	2019	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Drug Abuse and Addiction Research Programs	000	1	7/16/2019	NEW	$2,214,943
														Subtotal = $2,214,943

Grand Total All Awards = $12,490,289

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Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision

Award Number: U01DA050442

ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE

OPDIV: NIH

AWARD CLASS: COOPERATIVE AGREEMENT

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

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