N/A
Completed N=9
Collaborating to Implement Cross-System Interventions in Child Welfare and Substance Use
Substance Use Disorder · Implementation · Child Maltreatment · System Fragmentation
Source: ClinicalTrials.gov NCT03931005 ↗
Enrolled (actual)
9
Serious AEs
—
Results posted
Apr 2026
Primary outcomePrimary: Perceived Acceptability — 4.3 Scale points
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.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Perceived Acceptability |
4.3 | — |
| PRIMARY Perceived Appropriateness |
4.1 | — |
| PRIMARY Perceived Feasibility |
4.1 | — |
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.
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. Informational only — not medical advice.