Trust-Based Relational Interventions for Opioid Use Disorder
(LeSA Trial)

Recruiting in Palo Alto (17 mi)

+12 other locations

Overseen ByDanica K Knight, Ph.D.

Age: < 65

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Texas Christian University

No Placebo Group

Trial Summary

What is the purpose of this trial?This trial tests TBRI®, a program that helps young people manage emotions and build relationships, for adolescents (15-18) in the juvenile justice system. The program uses trained adults to provide emotional support and guidance, aiming to prevent opioid misuse. Trust-Based Relational Intervention® (TBRI®) is designed to leverage family systems by providing emotional and instrumental guidance, support, and role modeling.

Eligibility Criteria

This trial is for youth aged 15-18 involved in the juvenile justice system who are transitioning to community supervision after at least 2 months in a secure facility. They must have a safe adult willing to participate and no active suicide risk. Staff working with these youths on the project can also join.

Inclusion Criteria

Being disposed to community supervision (i.e., probation) following a minimum of 2 months in the secure residential JJ facility

Being able to identify one safe adult that is willing to participate in the study.

I am between 15 and 18 years old.

+2 more

Exclusion Criteria

You are currently at risk of attempting suicide.

I do not fall within the specified age range for the study.

Participant Groups

The study tests Trust-based Relational Intervention (TBRI) methods, including training for staff and two types of coaching for youth, aimed at preventing opioid misuse as these young individuals move from juvenile facilities back into their communities.

4Treatment groups

Experimental Treatment

Active Control

Group I: TBRI Training onlyExperimental Treatment1 Intervention

Youth/safe adult dyads participate in 9 TBRI caregiver modules (caregivers only), 9 youth modules (youth only), and 4 Nurture Groups (caregiver and youth joint role-play activities) prior to youth's release. After the youth's release, they would receive phone support (only when requested by the caregiver or youth).

Group II: TBRI Training + TBRI In-Home Structured CoachingExperimental Treatment2 Interventions

Youth/safe adult dyads participate in 9 TBRI caregiver modules (caregivers only), 9 youth modules (youth only), and 4 Nurture Groups (caregiver and youth joint role-play activities) prior to youth's release. After youth's release, trained TCU TBRI Practitioners provide coaching sessions to youth/safe adult dyads in which they meet 4 times (once monthly) over the first 4 months following release.

Group III: TBRI Training + TBRI In-Home Responsive CoachingExperimental Treatment2 Interventions

Youth/safe adult dyads participate in 9 TBRI caregiver modules (caregivers only), 9 youth modules (youth only), and 4 Nurture Groups (caregiver and youth joint role-play activities) prior to youth's release. After youth's release, trained TCU TBRI Practitioners provide coaching sessions to youth/safe adult dyads. They meet a minimum of 2 times during the first 2 months after release. Starting from Month 3, TBRI Practitioners would provide additional coaching when requested or when a research assistant (RA) identifies a need for additional coaching sessions.

Group IV: Standard Reentry PracticeActive Control1 Intervention

Youth/safe adult participants only receive assessments (baseline assessment while youth are at the facility; 3, 6, 12, 18 months follow-up assessments after youth are released from the facility).