In response to the opioid crisis in New York State (NYS), where the propose project will take place, the Unified Court System (UCS) developed a new treatment court model - the opioid court model (OCM) - designed around 10 practice guidelines to address the flaws of existing drug courts and reduce overdose (OD), opioid use disorder (OUD), and recidivism via rapid screening and linkage to medication for opioid use disorder (MOUD). In 2018, NYS began to expand the OCM across NYS. Yet, given the innovation of the OCM, the exact barriers to implementation in disparate counties with a range of resources - and the strategies to overcome them - are largely unknown. The research team proposes to integrate evidence-based implementation strategies to refine and evaluate the Opioid Court Model Rigorous Implementation Science for Effectiveness (OCM RISE) intervention, an implementation intervention that will allow the OCM, as framed by the 10 practice guidelines, to be scaled up across NYS.
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Number of participants who are retained in treatment for at least 60 days
Timeframe: Through study completion, an average of 30 months
Number of participants who graduate from court
Timeframe: Through study completion, an average of 30 months
Number of participants who are abstinent from opioid use
Timeframe: Through study completion, an average of 30 months
Number of participants who recidivate within 12 months following court completion
Timeframe: Through study completion, an average of 30 months