FAIR Program for Substance Use Disorders
(PRE-FAIR Trial)

Recruiting in Palo Alto (17 mi)

+1 other location

Overseen ByLisa Saldana, PhD

Age: < 65

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Chestnut Health Systems

Stay on your current meds

No Placebo Group

Trial Summary

What is the purpose of this trial?Young parents aged 16 to 30, involved in the DHS system for child welfare or self-sufficiency needs are at risk for opioid use disorder and/or methamphetamine use disorder (OUD; MUD). Those identified as engaging in opioid or methamphetamine misuse are at high risk for escalation. Children of parents with OUD and MUD are at-risk for entering into foster care. Oregon is one state particularly affected by this challenge. The proposed UG3/UH3 offers one potential solution by adapting and evaluating a recently developed treatment for parental OUD and MUD, for prevention. This study seeks to collaborate with Oregon Department of Humans Services (DHS) leadership to deliver a new outpatient prevention program to high-risk, young, parents. The Families Actively Improving Relationships (FAIR) program will include community-based mental health, parent management, and ancillary needs treatment, and ongoing monitoring and prevention services for opioid and methamphetamine use. This study will randomize 240 parents, aged 16 to 30, to receive FAIR or standard case management and referral, in two counties in Oregon. Outcomes will include an evaluation of the effectiveness of FAIR in addressing risk factors associated with substance use disorders in DHS-involved populations, OUD and MUD outcomes, and implementation outcomes including implementation process and milestones, and program delivery outcomes. Intervention and Implementation costs will be assessed, and the benefit of FAIR will be evaluated in relation to standard services, but also in relation to capacity and population needs. Study hypotheses are: (1) Parents randomized to FAIR will be less likely to escalate opioid and/or methamphetamine use, and to receive a diagnosis of OUD and/or MUD; (2) Parents randomized to FAIR will experience significant reductions in mental health, parent skills, and ancillary needs compared to those receiving standard services; (3) Counties will follow the implementation plan developed in collaboration between study team members and state leadership, and that doing so will yield successful implementation of FAIR; and (4) Implementation and intervention costs for FAIR will demonstrate a benefit for offering FAIR compared to standard services, particularly in rural communities where capacity influences service delivery decisions.

Eligibility Criteria

This trial is for young parents aged 16 to 30 in Oregon who are at risk for opioid or methamphetamine addiction and have a child or a plan to reunite with their child. They must not have misused opioids or used meth more than three times last year, be involved with DHS, and live in a participating county.

Inclusion Criteria

I am between 16 and 30 years old.

Enrolled in Oregon Health Plan

Lives in a participating Oregon county

+4 more

Exclusion Criteria

Greater than 3 uses of methamphetamine or opioids in the past year

Participant Groups

The study compares the FAIR program—a community-based prevention service including mental health and parenting support—with standard case management for preventing substance misuse among high-risk parents. It will involve 240 participants randomized into two groups across two counties.

2Treatment groups

Experimental Treatment

Active Control

Group I: Pre-FAIRExperimental Treatment1 Intervention

Participants in this arm will receive the FAIR intervention.

Group II: ControlActive Control1 Intervention

Participants in this arm will receive services standard case management and services .