Honest, Open, Proud for justice-involved veterans

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Hybrid Type III implementation effectiveness trial conducted at six VA medical centers to compare high-intensity versus low-intensity strategies for implementing the VA-HOP peer-led stigma reduction program among justice-involved veterans with co-occurring mental health and/or substance use disorders. The study includes a 6-month pre-implementation period to assess organizational readiness, followed by a pragmatic pre-post design with features of an interrupted time series to evaluate implementation outcomes, maintenance, and sustainment. The primary focus is on how the intensity of implementation affects reach, adoption, and costs, as well as veteran engagement in care and potential clinical outcomes. The trial seeks to understand whether a more resource-intensive approach yields greater uptake and sustained use of HOP in real-world VA settings.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Veterans who are service-connected and enrolled in a VJP program within six VA Medical Centers:

  * Fresno, Palo Alto, Butler, Coatesville, Pittsburgh, Wilmington, and therefore have justice involvement
* Veterans who meet DSM-5 criteria for a mental health and/or substance use disorder
* Veterans who are willing to participate in VA-HOP

Exclusion Criteria:

* Does not have a history of justice involvement and or not enrolled in a participating site VJP program
* Do not have a mental health and/or substance use disorder diagnosis

Where it's running

• VA Bedford HealthCare System, Bedford, MA
  Bedford, Massachusetts, United States Recruiting

Study contacts

• Principal investigator: David A. Smelson, PsyD — VA Bedford HealthCare System, Bedford, MA
• Study coordinator: David A Smelson, PsyD
• Email: david.smelson@va.gov
• Phone: (781) 687-7778

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.