Improving opioid treatment quality and jail-to-community care connections for people leaving jail
Systems Analysis and Improvement to Optimize Opioid Use Disorder Care Quality and Continuity for Patients Exiting Jail
This project will test whether a package of systems-engineering tools (SAIA) helps jails and community clinics connect people leaving jail to medications for opioid use disorder.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 4165 (estimated) |
| Ages | 18 Years to 110 Years |
| Sex | All |
| Sponsor | University of Washington Academic / other |
| Locations | 1 site (Seattle, Washington) |
| Trial ID | NCT06593353 on ClinicalTrials.gov |
What this trial studies
The study will implement the Systems Analysis and Improvement Approach (SAIA), a bundled set of systems-engineering tools, at one jail-based MOUD program and three community referral clinics in King County, WA over three years (two years intensive, one year sustainment). Outcomes include linkage to community-based MOUD within 30 days of jail release and a secondary measure of early retention (return for a second MOUD pickup within 30 days). Investigators will use de-identified clinical data to measure effectiveness, conduct qualitative interviews with staff guided by CFIR and FRAME-IS to study adoption and adaptations, and estimate costs and cost-effectiveness of the implementation strategy. The study combines quantitative cascade analysis, flow mapping, and continuous quality improvement cycles to optimize service delivery and handoffs between jail and community providers.
Who should consider this trial
Good fit: Ideal participants include adults (18+) receiving MOUD in King County jails who are on Medicaid and are released to the community, plus clinic staff and community patients with recent jail involvement for the implementation evaluations.
Not a fit: People not on Medicaid, those located outside King County, or individuals who do not receive MOUD while incarcerated are unlikely to be included or to receive direct benefit from this project.
Why it matters
Potential benefit: If successful, the approach could increase timely connections to MOUD after jail release and improve short-term treatment retention for people with opioid use disorder.
How similar studies have performed: SAIA is an evidence-based implementation approach that has improved care cascades in other health areas, but applying it specifically to jail-to-community MOUD linkage is a newer application.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: Implementation Outcomes (consented) Group 1: * clinic staff/providers at study clinics (JHS, OBOT, Pathways, Sound) * age 18+ Group 2: * current patients at SAIA clinic in the community (OBOT, Pathways, Sound) with jail involvement in the last 12 months * age 18+ Clinical Outcomes (de-identified data, non consented) Group 3: * receive MOUD treatment while incarcerated in King County Jails (WA). * age 18+ * on Medicaid * released to community Exclusion Criteria: Group 1 \& 2: * do not consent Group 3: * not on Medicaid
Where this trial is running
Seattle, Washington
- University of Washington — Seattle, Washington, United States (Recruiting)
Study contacts
- Principal investigator: Sarah Odell Gimbel-Sherr — University of Washington
- Study coordinator: Sarah Odell Gimbel-Sherr
- Email: sgimbel@uw.edu
- Phone: 206 291 4223
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.