The study will evaluate the effectiveness of the Just Care for Families program in preventing Oregon Department of Human Services (ODHS)-involved parents in rural communities from escalating opioid and/or methamphetamine use and mental health disorders by disrupting the associated social risk factors of health (SRFOH). In addition, investigators will examine the impacts of SRFOH on Just Care treatment and the associated costs from the perspective of provider clinics delivering Just Care. Just Care is a behavioral intervention for the treatment of parental substance abuse and child neglect for families involved in the child welfare system. Just Care involves treatment components, supported by ongoing purposeful engagement: (1) Substance use treatment; (2) Mental health treatment; (3) Parent management training; (4) Community building; (5) Systems Navigation; and (6) Addressing basic needs. This study is supported by and included in the Helping to End Addiction Long-term Initiative (https://heal.nih.gov/).
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Change in opioid use
Timeframe: baseline, 9 months, and 18 months
Change in methamphetamine use
Timeframe: baseline, 9 months, 18 months
Change in depression severity
Timeframe: Baseline, 9 months and 18 months
Change in anxiety
Timeframe: baseline, 9 months, 18 months
Change in Social Risk Factors Needs
Timeframe: Baseline through 18 months (weekly)