Testing Implementation Strategies to Scale-up a Multicomponent Continuum of Service Intervention for Families Involved in Systems With Parental Opioid and Methamphetamine Use

Conditions

• Substance Related Disorders

Eligibility Criteria

Sex

ALL

Age

N/A - N/A

Healthy Volunteers

Not accepted

Interventions

• Just Care for Families (JCFF) — BEHAVIORAL
  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.
• Just Care for Families (JCFF) App — BEHAVIORAL
  Participants will use a Just Care for Families digital support application (App). App features will include interactive tools modeled after those used for in-person interventions and practice exercises. Parent data will be stored within the App, including entered self-report and usage data.
• Just Care for Families (JCFF) App Feedback — BEHAVIORAL
  Coaches will receive feedback on parent's use of the App. Parent-reported current needs, clinical status (e.g., substance use and mental health symptoms), progress, and goals will be programmed into dashboards accessible to assigned Coaches (i.e., Feedback).

Study Details

This study will explore how to expand the Just Care for Families (JCFF) program beyond its current sites in Oregon, while addressing two main challenges: the developer team cannot provide ongoing support to every new program, and rural counties face limits on caseloads and reimbursement because of long travel distances. To overcome these barriers, the trial will test two strategies-using a JCFF mobile app to improve outcomes and efficiency, and relying on trained Experts (instead of the developer team) to guide new counties. With five active counties and four new ones, researchers will study whether parents receiving JCFF with digital support show reduced opioid and stimulant use, better child welfare outcomes like reunification, and more efficient treatment. This study will also compare how well new counties implement JCFF compared to existing ones, and use modeling to see if digital tools help programs sustain themselves by balancing caseloads and reimbursement. This study is supported by and included in the Helping to End Addiction Long-term Initiative (https://heal.nih.gov/).

Key Dates

Start date

Feb 12, 2026

Status verified

Feb 2026

Primary completion

Feb 1, 2030

Completion

May 31, 2030

Study Design

Enrollment

254 participants (estimated)

Allocation

RANDOMIZED

Intervention model

SEQUENTIAL

Primary purpose

TREATMENT

Arms

• No Intervention: No Intervention
  No services will be offered to participants. Participants are able to engage in any non-Just Care services that they choose, which could include substance use treatment, mental health treatment, child welfare or self-sufficiency case plans that include parenting classes, social services to access basic needs like food stamps, and support to obtain employment. Just Care for Families is not available in the counties during usual services recruitment.
• Experimental: Just Care for Families (JCFF) only
  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.
• Experimental: Just Care for Families (JCFF) plus App
  Participants will receive the Just Care for Families (JCFF) behavioral intervention in addition to using a JCFF digital support application (App).
• Experimental: Just Care for Families (JCFF) plus App plus Feedback
  Participants will receive the Just Care for Families (JCFF) behavioral intervention, use of the App, and the intervention coaches will receive feedback on parent's use of the App.

Primary Outcome Measure

Change in Opioid and/or Stimulant Use from Baseline to 18 months [ Time Frame: Baseline, 4 months, 9 months, 14 months, and 18 months ]

Central Contacts

• Rowan M McClelland-Bishop
  541-731-3476
  [email protected]
• Ryan R Sigh, PhD
  309-451-7748
  [email protected]

Locations (1)

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