ResearchProjects

This is a two-phased project to develop then test a multidimensional opioid treatment program (OTP) intervention to address clinical decision making, regulatory confusion, legal liability concerns, capacity for clinical practice change, and financial barriers to take-home dosing (THD) of methadone. The intervention includes OTP THD specific dashboards drawn from multiple New York State databases.

In phase 1, an explanatory sequential mixed method design will combine analysis of large state administrative databases—Medicaid, treatment registry, THD reporting—with qualitative interviews to refine the intervention. In phase 2, a stepped-wedge trial with 36 OTPs (~10,800 Medicaid clients/year) randomized to 6 cohorts of a six-month long clinic-level intervention over three years. The trial will test the effects of the intervention on: 1) THD; 2) retention in care; and 3) adverse healthcare events. In addition, it will examine the effects of the intervention for Black/African American and Latinx clients.