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N/A N=9 Health Services Research

Collaborating to Implement Cross-System Interventions in Child Welfare and Substance Use

Substance Use · Implementation · Child Maltreatment · System Fragmentation

Enrolled (actual)
9
Serious AEs
Results posted
Apr 2026
Primary outcome: Primary: Perceived Acceptability — 4.3 Scale points

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Collaboration Decision Support Guide (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Ohio State University
Primary completion
May 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Perceived Acceptability
4.3
PRIMARY
Perceived Appropriateness
4.1
PRIMARY
Perceived Feasibility
4.1

Summary

As a result of the opiate crisis, child welfare agencies have experienced an increase in the number of children in foster care as parental substance use puts children at greater risk of maltreatment. To facilitate implementation of the Sobriety Treatment and Recovery Team (START) model, this study (1) identifies collaborative strategies associated with effective implementation and service outcomes given system and organizational context, (2) uses this evidence to specify strategies and develop a decision support guide to help agency leaders select collaborative strategies, and (3) assesses the feasibility, acceptability, and appropriateness of the decision support guide.

Eligibility Criteria

Inclusion Criteria

  • Our participants included implementation support professionals who provide training and technical assistance to child welfare agencies in Ohio that are implementing Ohio START. All individuals will be adults and recruited based on their employment/position.

Exclusion Criteria

  • Individuals who do not provide implementation support.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03931005). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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