Organizational Strategy for Substance Abuse Care Improvement
(LOCI-SL Trial)
Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: University of California, San Diego
No Placebo Group
Trial Summary
What is the purpose of this trial?This project will test an implementation strategy that seeks to align system, organization, and clinic leadership strategies to implement and sustain the Lyssn artificial intelligence (AI) quality assurance platform to support implementation of Motivational Interviewing (MI) and evidence-based practice (EBP) for substance use disorders. The Leadership and Organizational Change for Implementation - System Level (LOCI-SL) strategy seeks to engage policymakers and funders at the system level to improve implementation leadership, climate, provider attitudes and behaviors at the provider organization level to enhance implementation climate for EBP. LOCI-SL will be tested in a statewide addiction service system through clinics in community based behavioral health organizations.
Do I need to stop my current medications for this trial?
The trial information does not specify whether participants need to stop taking their current medications.
What data supports the effectiveness of the treatment Leadership and Organizational Change for Implementation (LOCI) for substance abuse care improvement?
Research shows that the LOCI intervention, which focuses on improving leadership and organizational strategies, has been effective in implementing evidence-based practices in various settings, including mental health clinics and correctional facilities. These studies suggest that improving leadership and organizational processes can enhance the implementation of treatments, potentially benefiting substance abuse care.
12345How is the LOCI-SL treatment different from other treatments for substance abuse?
The LOCI-SL treatment is unique because it focuses on improving leadership and organizational strategies to implement evidence-based practices effectively, rather than directly targeting the substance abuse itself. This approach aims to enhance the overall functioning and capacity of treatment organizations, making it different from traditional treatments that focus solely on the individual receiving care.
12567Eligibility Criteria
This trial is for staff at provider or payer advocacy organizations, executives and managers at substance use disorder/mental health treatment agencies, clinic supervisors, counselors providing such treatments in Oregon and Indiana. It includes stakeholders from relevant state authorities and managed care organizations.Inclusion Criteria
Stakeholders from Oregon Alcohol and Drug Policy Commission (ADPC)
Indiana Department of Mental Health and Addiction (DMHA)
Indiana Department of Child Services (DCS)
+6 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Preparation
Engagement with state policy and funding stakeholders to align strategies for EBP implementation
4 weeks
Implementation
Implementation of the Lyssn AI platform and Motivational Interviewing using the LOCI-SL strategy
9 months
Sustainment
Ongoing support and evaluation of EBP implementation and sustainment
Ongoing
Follow-up
Participants are monitored for changes in implementation leadership and climate
4 weeks
Participant Groups
The trial tests a strategy called LOCI-SL that aligns leadership across systems to implement the Lyssn AI platform for Motivational Interviewing (MI) and evidence-based practices in treating substance use disorders.
2Treatment groups
Experimental Treatment
Active Control
Group I: LOCIExperimental Treatment1 Intervention
Leadership and Organizational Change for Implementation strategy
Group II: ControlActive Control1 Intervention
assessment only through online survey
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
UC San DiegoLa Jolla, CA
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Who Is Running the Clinical Trial?
University of California, San DiegoLead Sponsor
Pacific Institute for Research and EvaluationCollaborator
Oregon Social Learning CenterCollaborator
Indiana UniversityCollaborator
Chestnut Health SystemsCollaborator
University of Central FloridaCollaborator
References
Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. [2022]Leadership is important in the implementation of innovation in business, health, and allied health care settings. Yet there is a need for empirically validated organizational interventions for coordinated leadership and organizational development strategies to facilitate effective evidence-based practice (EBP) implementation. This paper describes the initial feasibility, acceptability, and perceived utility of the Leadership and Organizational Change for Implementation (LOCI) intervention. A transdisciplinary team of investigators and community stakeholders worked together to develop and test a leadership and organizational strategy to promote effective leadership for implementing EBPs.
Building Bridges in New Jersey. [2018]This article describes the experience and outcomes of the National Institute on Drug Abuse-funded Criminal Justice Drug Abuse Treatment Studies 2 Improving Best Practices in Assessment and Case Planning for Offenders protocol in the state of New Jersey. The protocol was designed to test the effectiveness of an Organizational Process Improvement Intervention in improving four assessment and case planning domains for drug-involved offenders in correctional settings transferring to community treatment based agencies. This article describes the protocol and the change team model process through which correctional and community agency staff collaborated to improve assessment and case planning for offenders with substance abuse problems. The primary goal of these collaborative efforts was to link information across stages of the treatment continuum to improve service coordination. Data taken from qualitative interviews with agency participants are used to illustrate the common themes that emerged relating to the intervention process, barriers to implementing developed goals, and facilitative factors that contributed to successes. The findings from the current study provide indication that organizational process improvement strategies can be implemented within a correctional setting to reduce interorganizational barriers and to facilitate improvements in the continuum of care involved in the treatment of offenders with histories of substance abuse.
Testing the leadership and organizational change for implementation (LOCI) intervention in Norwegian mental health clinics: a stepped-wedge cluster randomized design study protocol. [2023]Alignment across levels of leadership within an organization is needed for successful implementation of evidence-based practice. The leadership and organizational change for implementation (LOCI) intervention is a multi-faceted multilevel implementation strategy focusing on enhancing first-level general and implementation leadership while also engaging with organization upper management to develop an organizational climate for implementation. The aim of the project is to evaluate the effectiveness of LOCI in supporting the implementation of evidence-based treatment for PTSD in child- and adult-specialized mental health clinics in health trusts in Norway.
Applying and advancing best practices in opioid use disorder and addiction treatment: Introduction to the special issue on implementation science and quality improvement scholarship. [2019]To help realize the promise of evidence-based practices to stem the opioid crisis, there is a glaring need for descriptions of how practices are effectively disseminated and implemented. Unfortunately, addiction journals do not often publish addiction implementation science and non-research descriptions of quality improvement projects. This is unfortunate as these projects are more representative of how research is translated into practice in the real-world and offer guidance and practical information to help speed implementation of evidence-based practices. To support translation of research into practice, primary, secondary, and tertiary intervention implementation science and quality improvement projects should be disseminated. We are excited to again partner with the Providers' Clinical Support System for Opioid Therapies in presenting implementation and quality improvement demonstration projects in this special issue: "Implementation and Quality Improvement: Applying and Advancing Best Practices in Opioid Use Disorder and Addiction Treatment."
Improving client engagement and retention in treatment: the Los Angeles County experience. [2010]This article discusses a two-phase demonstration project focused on the implementation of the Network for the Improvement of Addiction Treatment model of process improvement among substance abuse treatment providers in Los Angeles County, California. A total of 30 Change Teams from 12 county-contracted treatment agencies planned and executed one or more rapid-cycle change projects to reduce wait time to treatment, reduce no-shows to scheduled appointments, increase admissions, or improve continuation in treatment. The findings and lessons learned illustrate the importance of a concrete and straightforward methodology and consistent peer-to-peer interaction provided in a learning collaborative environment. In addition, both ongoing technical assistance and coaching are essential for successful implementation of this innovative, low-cost, evidence-based process improvement strategy.
Implementation of Network for the Improvement of Addiction Treatment (NIATx) Processes in Substance Use Disorder Treatment Centers. [2018]Internal process improvements embedded within the Network for Improvement of Addiction Treatment (NIATx) program are promising innovations for improving substance use disorder (SUD) treatment performance, such as engagement and retention. To date, few studies have examined the variables that may increase diffusion and implementation of NIATx innovations. This study investigates organizational characteristics associated with SUD treatment center utilization of NIATx process improvements in a sample of 458 treatment programs. Overall, 19% had utilized NIATx process improvements. After statistically controlling environmental factors, five organizational variables were associated with the likelihood that treatment centers used NIATx processes. Organization size, administrative intensity, membership in a provider association, and participation in National Institute on Drug Abuse's Clinical Trials Network were positively associated with the odds of utilizing NIATx processes, while the association for the level of slack resources was negative. The findings suggest that policies and related supportive efforts may be required to facilitate diffusion and implementation of NIATx processes to affect SUD treatment center performance and capacity.
Using organizational assessment as a tool for program change. [2023]Organizational functioning within substance abuse treatment organizations is important to the transfer of research innovations into practice. Programs should be performing well for new interventions to be implemented successfully. This study examined the characteristics of treatment programs that participated in an assessment and training workshop designed to improve organizational functioning. The workshop was attended by directors and clinical supervisors from 53 community-based treatment units in a single state in the Southwest. Logistic regression analysis was used to examine attributes related to program-level decisions to engage in a structured process for making organizational changes. Findings showed that programs with higher needs and pressures, more limited institutional resources, and poorer ratings on staff attributes and organizational climate were the most likely to engage in a change strategy. Furthermore, organizations with greater staff consensus (i.e., smaller standard deviations) on ratings of organizational climate were also more likely to engage in change.