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Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support
Sponsor: Yale University
Summary
TCN PATHS will recruit an anticipated 400 participants who are prescribed MOUD who are released from detention facilities. Each individual will be randomized to either 1) standard primary care (SPC) or 2) a Transitions Clinic Network (TCN) program primary care. Participants will be followed for a year and complete surveys at baseline and at month 1, 3, 6, 9, and 12. At each of these points research staff will confirm MOUD status. Urine drug screenings will be completed at baseline, month 1, 6, and 12 if the participant is not incarcerated. When possible, research staff will collect electronic health records.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
400
Start Date
2021-04-21
Completion Date
2025-12-30
Last Updated
2025-02-11
Healthy Volunteers
No
Conditions
Interventions
Transitions Clinic Network Primary Care
Transitions Clinic Network (TCN)- participants in this arm will be referred to a TCN program for primary care and community Opioid Treatment Program (OTP). All TCN programs have the ability to prescribe buprenorphine and Extended-release naltrexone (XR-NTX) and assist with referrals to methadone. The primary features of the TCN include (1) primary care and onsite MOUD or referral to community treatment when indicated, (2) addressing social determinants of OUD and care coordination through a Community Health Worker (CHW), and (3) addressing the discrimination and stigma that exist based on incarceration.
Standard Primary Care
Those randomized to the standard primary care arm will be referred to primary care and community Opioid Treatment Program (OTP). Participants may receive buprenorphine or Extended-release naltrexone (XR-NTX) through primary care or with a community addiction treatment provider.
Locations (5)
Yale
New Haven, Connecticut, United States
Hennepin Healthcare
Minneapolis, Minnesota, United States
Albert Einstein College of Medicine
The Bronx, New York, United States
UNC Chapel Hill
Chapel Hill, North Carolina, United States
University of Puerto Rico
San Juan, Puerto Rico