Research Summaries

Current Research Projects

MAP-IT    Project Period: 9/31/18 – 8/31/20

Mapping Approaches to Prepare for Implementation Transfer

Principal Investigator: Jennifer Becan, Ph.D.

Objective: MAP-IT would provide a low-cost (agency-driven opportunity for deliberate implementation preparedness, without ongoing external coaching) and sustainable (skill development for multiple individuals within the organization that can be applied to future implementation efforts) alternative to promoting organizational adoption of new practices.

MAP-IT components:

  • Proposes to develop and pilot test Mapping Approaches to Prepare for Implementation Transfer (MAP-IT), an organizational intervention that includes four key elements:
    • Guidelines on forming an implementation workgroup to inform and promote implementation efforts.
    • Instruction on mechanisms known to impact implementation.
    • Tools and instruction for conducting an agency-driven diagnosis of potential implementation barriers.
    • Tools for developing an implementation blueprint to address identified barriers.

Specific study aims:

  • Develop a comprehensive implementation intervention to promote deliberate agency

implementation preparation, MAP-IT, that builds on our previous work by adapting and integrating

three established lines of research – organizational assessment and feedback; taxonomy of

implementation strategies; and visual-spatial decision making techniques.

  • Conduct a 2-arm cluster randomized efficacy trial of the MAP-IT intervention with 12

substance abuse treatment agencies randomized to either MAP-IT (EBP and MAP-IT trainings) or the

non-intervention control condition.

JCOIN    Project Period: 7/15/19 – 4/30/24

Justice Community Opioid Innovations Network

Principal Investigators: Kevin Knight, Ph.D., Danica Knight, Ph.D.

Objective: Improve local community public health and safety outcomes for reentering justice-involved individuals who have a history of (or are at risk for) using opioids.

JCOIN components:

  • Explore positive outcomes associated with a multi-level hybrid implementation approach.
  • Capitalizes on facilitated collaboration (coaching), training, and cross-system data sharing in an effort to leverage improvements in criminal justice and community behavioral health (CBH) interagency collaboration.
  • Examines both Implementation and Implementation-Effectiveness, seeking to answer the questions of which implementation strategy (bottom up versus horizontal cascading) is most effective for rapid uptake of evidence-based practices within justice settings.

Specific study aims:

  • Increase access to and retention in appropriate CBH and medical (MAT) services for reentering justice-involved individuals who use or are at risk for using opioids.
  • Improve outcomes associated with public health and public safety.
  • Compare the two implementation approaches on systems-level outcomes designed to increase service initiation and receipt.
  • Examine the impact of these two approaches on justice-involved individual outcomes.

FAMLI    Project Period: 6/15/19 – 4/30/22

Family Assessment, Motivation, and Linkage Intervention

Principal Investigator: Danica Knight, Ph.D.

Objective: Integrate existing evidence-based tools for use with Juvenile Justice (JJ) populations and examine the feasibility, acceptability, and preliminary efficacy of a caregiver-youth intervention aimed at increasing substance use treatment initiation.

FAMLI components:

  • Addresses two primary barriers to family engagement in treatment: low motivation and logistical challenges.
  • Develops a customizable, adaptive approach designed to assess and address family involvement among youth and substance use.

Specific study aims:

  • Reduce the sizeable gap in service initiation and receipt among JJ youth by addressing family engagement.
  • Improving motivation to change, linkage to services, and treatment engagement.

T-CAP    Project Period: 8/1/19 – 7/31/21

Telehealth Clinical Advocacy Project

Principal Investigator: Jennifer Pankow, Ph.D., CADC

Objective: T-CAP is a development and feasibility study to examine the impact of integrating clinical telehealth services within a police opioid diversion program in Illinois. TCU in partnership with Mundelein Police Department and Chief Eric Guenther are collaborating to integrate T-CAP with the existing A Way Out program in Lake County.

T-CAP components:

  • Development and testing proposed multidisciplinary telehealth intervention integrated within a state-supported police opioid diversion program.
  • Use of telehealth technology to link A Way Out clients to clinical staff (study: Clinical Advocate or “CA”).
  • Linking police and CA expertise aimed at connecting opioid-involved individuals with community services.
  • Expanding and strengthening available service infrastructure including pain management alternatives to the use of potentially addictive medications by having the CA reach out to new and underutilized providers in local communities.

Specific study aims:

  • Demonstrate intervention feasibility by measuring study participant receptivity and utilization of the telehealth approach.
  • Evaluate T-CAP measures to assess their performance in gauging the impact of telehealth on access, initiation, and short-term retention in substance use treatment.

LeSA    Project Period: 9/30/19 – 8/31/22

Preventing Opioid Use Among Justice-Involved Youth as They Transition to Adulthood: Leveraging Safe Adults

Principal Investigator: Danica Knight, Ph.D.

Objective: Prevent initial and escalation of opioid use by leveraging relationships amongst youth and safe adults within their communities.

LeSA components:

  • Adapt and test an intervention for preventing initiation and/or escalation of opioid misuse among older Juvenile justice involved adolescents. The target enrollment group will be youth aging out of the juvenile justice system (16-18 years at study enrollment) who are transitioning to their communities after a period of detainment in a secure treatment or correctional facility.
  • Trust-based Relational Intervention (TBRI) will be adapted as a prevention intervention targeting youth at risk for substance use.
  • Safe adults (e.g., parent/guardian, extended family member) will be trained in behavior management techniques for empowering youth to appropriately express their needs, connecting them with others in pro-social ways, and correcting or reshaping undesirable behavior.

Specific study aims:

  • Provides a test of the adapted intervention and will facilitate sustainment by providing training and implementation support to participating facilities

SUHRI    Project Period: 9/30/19 – 8/31/22

The Substance Use and Health Risk Intervention for Justice-involved Youth

Principal Investigators: Jennifer Becan, Ph.D., Danica Knight, Ph.D.

Objective: Adapt and pilot test an integrated health risk-reduction and motivational enhancement intervention for Juvenile Justice (JJ) youth that will ultimately be a sustainable intervention implemented within a JJ supervision/case management context to teach and facilitate positive, prosocial, and expected behaviors.

SUHRI components:

  • Use graphical approaches to encourage introspection and problem identification, enhance self-regulation, improve analytical problem-solving skills, and promote healthy behaviors in two inter-related target areas: substance use and risky sex practices.
  • Existing evidence-based intervention materials will be incorporated and delivered through a web-based application.
  • Sessions will be self-directed (require minimal instruction/interaction assistance), and also include a service referral piece whereby youth are provided with a list of treatment and health agencies at the end of sessions that address specific topics.

Specific study aims:

  • Examine intervention feasibility and acceptability, test the feasibility of the study protocol (adherence, subject retention, instrumentation) with JJ-involved youth, and examine the preliminary efficacy of the intervention for addressing health-related behavior change.