Justice Community Overdose Innovation Network II TCU Hub Study

This study is looking at how different community engagement approaches, called "Core-interagency community engagement approach" and "Enhanced-Core plus community engagement specialist," can improve public health and safety related to substance use disorder (SUD), drug overdose, and criminal behavior. The goal is to better understand how these approaches affect things like overdose incidents, emergency medical service (EMS) calls for substance use, and drug-related arrests. We are looking for staff members who are directly involved in Deflection services, such as law enforcement, first responders, case managers, or peer specialists, who are 18 years or older and can complete surveys in English. The study aims to enroll 1620 participants.

Study design
This is an interventional study with a planned enrollment of 1620 participants. It is looking at two different community engagement approaches.
What's involved
Participants will be involved in Deflection services and will need to complete surveys at specific time points over several months.
Compensation
Not stated in the trial record.
Follow-up
Participants' public health and safety collaboration, citizen awareness, and referrals will be measured at Month 10, 26, and 38 for Wave 1, and Month 14, 30, and 42 for Wave 2.

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NCT07528846

Justice Community Overdose Innovation Network II TCU Hub

Not Yet Recruiting
NAAges 18+Interventional
Texas Christian University
~1,620 participants
Updated 2026-04-14 on ClinicalTrials.gov
What's tested:Core-interagency community engagement approachEnhanced-Core plus community engagement specialist

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
public health and safety collaboration
Measured over Month 10, 26, and 38 for Wave1; Month 14, 30, and 42 forWave 2
+4 more outcomes measured
Substance Use Disorder (SUD)
Drug Overdose
Criminal Behavior
1 sites across 1 states
Texas1
  • Jennifer E Becan, Ph.D. · PRINCIPAL_INVESTIGATOR · Texas Christian University
  • Kevin Knight, Ph.D. · PRINCIPAL_INVESTIGATOR · Texas Christian University

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Eligibility criteria

Inclusion

Directly involved in Deflection services, including:
Making referrals (e.g., law enforcement, first responders, community agencies) \& Providing services to participants (e.g., case managers, peer specialists, coordinators);
Aged 18 years or older;
Able to complete surveys in English;
Willing to provide informed consent
Aged 18 years or older;
Enrolled in a Deflection program within a participating community;
Between 1 and 12 months post-enrollment at time of recruitment;
Documented history of substance use disorder (SUD) or risk for SUD;
Priority for individuals reporting opioid and/or stimulant use within the past year;
Able to complete survey and/or interview; Willing to provide informed consent
Aged 18 years or older;
Resident of a participating community;
Represents general community population (including individuals with or without lived experience of SUD/CLS involvement);
Able to participate in: Surveys and/or Community Listening Sessions;
Willing to provide informed consent
Aged 18 years or older;
Identified as a community or agency leader/stakeholder involved in Deflection programming;
Member of a DAG within a participating community;
Represents one of the required stakeholder roles: Law enforcement leadership or staff, Behavioral health leadership or staff Health professional, Community representative (citizen);
Able to participate in meetings, surveys, and/or focus groups;
Willing to provide informed consent

Exclusion

Not affiliated with a participating Deflection agency;
No role in Deflection referral or service delivery;
Under age 18;
Unable or unwilling to provide informed consent
Under age 18;
Not enrolled in a Deflection program;
Insufficient exposure to Deflection (\<1 month);
Unable or unwilling to provide informed consent
Under age 18;
Not residing in a participating community;
Unable or unwilling to provide informed consent
Not part of a DAG in a participating community;
Does not hold a role relevant to Deflection leadership or decision-making;
Under age 18;
Unable or unwilling to provide informed consent
  • public health and safety collaborationMonth 10, 26, and 38 for Wave1; Month 14, 30, and 42 forWave 2

    Is there a change in public health and safety collaboration? Measured using the Brewer et al., 2018 survey on aligning strategy (e.g., work together to identify unmet needs in the community) and coordinating current work (e.g., share information that helps the system of care work better). The Brewer et al. (2018) Aligning Strategy and Coordinating Work Survey is measured on a 5-point Likert scale, and scores are computed by averaging all items within each scale to yield a mean. Higher scores = stronger collaboration / alignment / coordination

  • citizen awareness and perceived utility of DeflectionMonth 10, 26, and 38 for Wave1; Month 14, 30, and 42 forWave 2

    Is there a change in citizen awareness and perceived utility of Deflection? Measured using several survey measures on attitudes toward deflection efforts and law enforcement within their community, including awareness, acceptability, appropriateness, and feasibility. Survey measures are scored via averaging scale items together to yield a mean, with higher scores indicating higher levels of awareness, acceptability, appropriateness, and feasibility.

  • deflection workforce referrals and citizen enrollments in DeflectionMonth 10, 26, and 38 for Wave1; Month 14, 30, and 42 for Wave 2

    Is there a change in workforce referrals and citizen enrollments in Deflection? Measured using existing data collected by the deflection program on referral and enrollments to deflection services including adoption (e.g., proportion of workforce and agencies referring clients to deflection), penetration (e.g., count of deflection referrals and enrollments), equity (e.g., proportion of referrals and enrollments of minority representation), and sustainment (e.g., continued adoption and penetration). Scores for each will be represented by a count/number.

  • overdose and SU related mortalityMonth 4-38 for Wave 1; Month8-42 for Wave 2

    Is there a change in overdose and SU related mortality rates? Measured using the National Association of State EMS Officials (NAEMSSO) harmonized data as collected from EMS agencies within the 5 participating states, as well as through coroner/vital statistics records on cause of death information for the communities. Rates are represented by a count/number of overdoses and SU related mortality rates, before and after implementation.

  • service access along the full substance use cascadeMonth 4-38 for Wave 1; Month8-42 for Wave 2

    Is there a change in service access along the full substance use cascade and complex needs? Measured through data sharing of existing records from deflection programs. Numbers/counts will be used to measure each step of the substance use cascade.