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Testing Implementation Strategies to Scale-up a Multicomponent Continuum of Service Intervention for Families Involved in Systems With Parental Opioid and Methamphetamine Use

Who can join

All ages · All sexes

Inclusion Criteria:

* Misuse of opioids and/or stimulants in the last year, including misuse of prescriptions
* parent of a child aged 0-18 with the child living in the home or a reunification plan in place
* residing in one of the nine participating counties
* insured by Medicaid
* access to a computer, smartphone, or wireless/cellular connection if a device were to be provided
* Willing to enroll with the first available Just Care coach

Exclusion Criteria:

\-- Alcohol use disorder

About the study

This study will explore how to expand the Just Care for Families (JCFF) program beyond its current sites in Oregon, while addressing two main challenges: the developer team cannot provide ongoing support to every new program, and rural counties face limits on caseloads and reimbursement because of long travel distances. To overcome these barriers, the trial will test two strategies-using a JCFF mobile app to improve outcomes and efficiency, and relying on trained Experts (instead of the developer team) to guide new counties. With five active counties and four new ones, researchers will study whether parents receiving JCFF with digital support show reduced opioid and stimulant use, better child welfare outcomes like reunification, and more efficient treatment. This study will also compare how well new counties implement JCFF compared to existing ones, and use modeling to see if digital tools help programs sustain themselves by balancing caseloads and reimbursement. This study is supported by and included in the Helping to End Addiction Long-term Initiative (https://heal.nih.gov/).

What is being tested

• Just Care for Families (JCFF) (behavioral)
• Just Care for Families (JCFF) App (behavioral)
• Just Care for Families (JCFF) App Feedback (behavioral)

Sponsor: Chestnut Health Systems · Participants: 254 · Started: Feb 12, 2026

Contact the study team

• Rowan M McClelland-Bishop · Phone: 541-731-3476
• Ryan R Sigh, PhD · Phone: 309-451-7748

Official record on ClinicalTrials.gov — NCT07365293

Locations in the U.S.

Conditions

• Drug Use and Addiction

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.