Community Paramedic Response and Overdose Outreach Study

This study is testing an intervention called CROSSROADS for people who have recently survived an opioid and/or stimulant overdose and received care from a Community Paramedic (CP) program. You would be randomly placed into one of two groups: either receiving the standard care from the CP program, or receiving CROSSROADS. CROSSROADS adds a Medical-Legal Partnership (MLP) to the standard CP care. An MLP helps with legal issues that can affect your health, like housing or public benefits. Researchers want to see if CROSSROADS can reduce drug use and involvement with the criminal legal system. The study plans to enroll 400 participants.

Study design
This is a randomized study comparing two groups: standard Community Paramedic care versus CROSSROADS. It plans to enroll 400 participants.
What's involved
Participants will have follow-up appointments at 1, 6, and 12 months.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 12 months after starting the study.

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NCT07216963

The Community Paramedic Response and Overdose Outreach With Supportive Medical-Legal Services Study

Not Yet Recruiting
NAAges 18+InterventionalHealth services
Duke University
~400 participants
Updated 2026-04-13 on ClinicalTrials.gov
What's tested:Community Paramedic Standard of Care (CP SOC)CROSSROADS

At a glance

Recruiting sites
0 of 4 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Frequency of opioid and/or stimulant use
Measured over 12 months
+2 more outcomes measured
Opioid Use Disorder
Overdose, Drug
Overdose
Substance Use (Drugs, Alcohol)
4 sites across 4 states
Florida1
Massachusetts1
North Carolina1
Pennsylvania1
  • Lauren Brinkley-Rubinstein, PhD · PRINCIPAL_INVESTIGATOR · Duke Health

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Eligibility criteria

Inclusion

18 years old or older;
Has interacted with a CP team (and, thus, experienced a non-fatal opioid and/or stimulant overdose) in the last 30 days;
Has independent legal agency
Able to independently provide informed consent; and
Able to speak and understand English.
  • Frequency of opioid and/or stimulant use12 months

    As measured by the number of days of use per month per participant.

  • Number of participants with opioid and/or stimulant use12 months

    As measured by Urine Drug Screen (UDS).

  • Number of participants with Criminal Legal System Involvement12 months

    Measured by the number of participants with criminal legal system involvement. Criminal legal system involvement includes all intercepts of the Sequential Intercept Model: police/arrest, jail, court, prison, and community supervision.