Evidence map›Paper›PMID 36879259›Full record

ArticleBMC public health2023

A legal dispute resolution intervention for patients with substance use disorders: a study protocol for a randomized controlled trial.

Meghan M O'Neil, Rebecca A Johnson, David Córdova, Jenna Pryor, Debra A Pinals

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05665179 (Removing Barriers), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05665179 narecruitingnot on this map

Removing Barriers: Community Partnering for Innovative Solutions to the Opioid Crisis

TypeinterventionalSponsorUniversity of MichiganRan2021 to 2025Enrolled800ConditionsOpioid Use Disorder, Alcohol Use Disorder, Health Risk Behaviors, Criminal BehaviorArmsRemoving Barriers to Recovery
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Meghan M O'NeilInstitute for Social Research, Population Studies Center, University of Michigan, 426 Thompson Street, Ann Arbor, MI, 48104, USA. meghanon@umich.edu.
Rebecca A JohnsonGeorgetown University, McCourt School of Public Policy, 37th and O Streets NW, Washington, DC, 20057, USA.
David CórdovaSchool of Social Work, University of Michigan, 1080 S. University, Ann Arbor, MI, 48109, USA.
Jenna PryorSchool of Social Work, University of Michigan, 1080 S. University, Ann Arbor, MI, 48109, USA.
Debra A PinalsDepartment of Psychiatry, University of Michigan, Rachel Upjohn Building, 4250 Plymouth Rd, Ann Arbor, MI, 48109, USA.

Funding

Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
National Science Foundation 2017068NIH HHS L32NIMH NIH HHS R25 MH067127
6 · The paper itself

Abstract

backgroundSubstance use disorders (SUDs) represent major public health concerns and are linked to enhanced risk of legal consequences. Unresolved legal issues may prevent individuals with SUD from completing treatment. Interventions aimed at improving SUD treatment outcomes are limited. Filling that gap, this randomized controlled trial (RCT) tests the ability of a technology-assisted intervention to increase SUD treatment completion rates and improve post-treatment health, economic, justice-system, and housing outcomes.

methodsA randomized controlled trial with a two-year administrative follow-up period will be conducted. Eight hundred Medicaid eligible and uninsured adults receiving SUD treatment will be recruited at community-based non-profit health care clinics in Southeast, Michigan, USA. Using an algorithm embedded in a community-based case management system, we randomly assign all eligible adults to one of two groups. The treatment/intervention group will receive hands-on assistance with a technology aimed at resolving unaddressed legal issues and the control group receives no treatment. Upon enrollment into the intervention, both treatment (n = 400) and control groups (n = 400) retain traditional options to resolve unaddressed legal issues, such as hiring an attorney, but only the treatment group is targeted the technology and offered personalized assistance in navigating the online legal platform. To develop baseline and historical contexts for participants, we collect life course history reports from all participants and intend to link those in each group to administrative data sources. In addition to the randomized controlled trial (RCT), we used an exploratory sequential mixed methods and participatory-based design to develop, test, and administer our life course history instruments to all participants. The primary objective is to test whether targeting no-cost online legal resources to those experiencing SUD improves their long-term recovery and decreases negative health, economic, justice-system, and housing outcomes. DISCUSSION: Findings from this RCT will improve our understanding of the acute socio-legal needs faced by those experiencing SUD and provide recommendations to help target resources toward the areas that best support long-term recovery. The public health impact includes making publicly available a deidentified, longitudinal dataset of uninsured and Medicaid eligible clients in treatment for SUD. Data include an overrepresentation of understudied groups including African American and American Indian Alaska Native persons documented to experience heightened risk for SUD-related premature mortality and justice-system involvement. Within these data, several intended outcome measures can inform the health policy landscape: (1) health, including substance use, disability, mental health diagnosis, and mortality; (2) financial health, including employment, earnings, public assistance receipt, and financial obligations to the state; (3) justice-system involvement, including civil and criminal legal system encounters; (4) housing, including homelessness, household composition, and homeownership.

trial registrationRetrospectively registered # NCT05665179 on December 27, 2022.

Indexed as

Dissent and DisputesSubstance-Related DisordersAdultCase ManagementHumansPatientsRandomized Controlled Trials as TopicSocial ProblemsUnited StatesAfrican AmericanAlcohol / AlcoholismAmerican Indian Alaska Native (AIAN)CriminalJusticeLegalMedicaidOpioidsPolysubstanceSocial determinants of healthSubstance use disorder

Identifiers

PMID36879259
PMCPMC9990301

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.