This 3-year Hybrid Type 1 study will randomize 208 people with co-occurring substance use and mental health disorders (COD) referred from the Worcester Hub. This study seeks to evaluate the effectiveness of MISSION, a multi-component team approach, versus linkage with a Peer Specialist on improving outcomes among individuals with CODs. We expect that individuals receiving MISSION versus linkage only will show greater improvement in treatment engagement, substance use, and mental health outcomes. This study will also concurrently conduct a process evaluation to inform sustainability and future implementation of such interventions.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Self-report opioid use and other substance use
Timeframe: Baseline
Self-report opioid use and other substance use
Timeframe: 3-months
Self-report opioid use and other substance use
Timeframe: 6-months
Self-report opioid use and other substance use
Timeframe: 9-months
Mental Health Functioning
Timeframe: Baseline
Mental Health Functioning
Timeframe: 3-months
Mental Health Functioning
Timeframe: 6-months
Mental Health Functioning
Timeframe: 9-months
PTSD Symptoms
Timeframe: Baseline
PTSD Symptoms
Timeframe: 3-months
PTSD Symptoms
Timeframe: 6-months
PTSD Symptoms
Timeframe: 9-months
Mental Health Impairment
Timeframe: Baseline
Mental Health Impairment
Timeframe: 3-months
Mental Health Impairment
Timeframe: 6-months
Mental Health Impairment
Timeframe: 9-months
Psychiatric Severity
Timeframe: Screening
Psychiatric Severity
Timeframe: Baseline
Psychiatric Severity
Timeframe: 3-months
Psychiatric Severity
Timeframe: 6-months
Psychiatric Severity
Timeframe: 9-months
Health functioning
Timeframe: Baseline
Health functioning
Timeframe: 3-months
Health functioning
Timeframe: 6-months
Health functioning
Timeframe: 9-months
Therapeutic Alliance Client
Timeframe: Baseline
Therapeutic Alliance Client
Timeframe: 3-months
Therapeutic Alliance Client
Timeframe: 6-months
Therapeutic Alliance Client
Timeframe: 9-months
Therapeutic Alliance Therapist
Timeframe: Baseline
Therapeutic Alliance Therapist
Timeframe: 3-months
Therapeutic Alliance Therapist
Timeframe: 6-months
Therapeutic Alliance Therapist
Timeframe: 9-months
Recovery Capital
Timeframe: Baseline
Recovery Capital
Timeframe: 3-months
Recovery Capital
Timeframe: 6-months
Recovery Capital
Timeframe: 9-months
Alcohol or other drug 12-Step Participation
Timeframe: Baseline
Alcohol or other drug 12-Step Participation
Timeframe: 3-months
Alcohol or other drug 12-Step Participation
Timeframe: 6-months
Alcohol or other drug 12-Step Participation
Timeframe: 9-months
Overdose Risk
Timeframe: Baseline
Overdose Risk
Timeframe: 3-months
Overdose Risk
Timeframe: 6-months
Overdose Risk
Timeframe: 9-months
Number of Outreach and Linkage Sessions
Timeframe: Baseline
Number of Outreach and Linkage Sessions
Timeframe: 3-months
Number of Outreach and Linkage Sessions
Timeframe: 6-months
Number of Outreach and Linkage Sessions
Timeframe: 9-months
Baseline Demographics
Timeframe: Baseline
Suicide Severity
Timeframe: Screening
Community Health & Social Needs
Timeframe: Baseline
Fidelity to Intervention
Timeframe: Weekly
Acceptability & Appropriateness
Timeframe: 6-months
Feasibility of Intervention
Timeframe: 6-months
Satisfaction with Care
Timeframe: 6-months