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| ID | Type | Description | Link |
|---|---|---|---|
| R01CE003513-01-00 | Other Grant/Funding Number | CDC | |
| R01CE003513-01 | U.S. NIH Grant/Contract | View source |
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Evaluate the long-term effectiveness of implementing vouchers as a linkage strategy in a population requiring recovery support services (RSS) when no other funding sources are available. A within-subjects study design will be used to test the effectiveness of the Kentucky Access to Recovery (KATR) last resort voucher linkage approach to reduce the risk of nonfatal and fatal overdoses by (a) increasing an individual's recovery capital; (b) reducing resumption of illicit substance use; and (c) promoting relinking to RSSs if illicit substance use is resumed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| KATR Clients | participants in the early stages of recovery and in substance use disorder (SUD) treatment; or those that have completed within the past year SUD treatment for opioid use disorder or stimulant use disorder or have a history of overdose from opioid use. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KATR Linkage Strategy | Behavioral | The Kentucky ATR (KATR) strategy is a 25-county program that links county residents at or below the 200% national poverty level who have an illicit SUD and are in treatment or early recovery to evidence-based RSSs such as recovery housing, and to other RSSs. The KATR linkage approach uses vouchers as a linkage strategy for individuals in SUD treatment who have no other funding options to acquire critical RSSs. As such, KATR's linkage through vouchers is a "last resort" approach for linking to RSSs. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Recovery Capital per person | Recovery capital will be assessed using the Brief Assessment of Recovery Capital-10 (BARC-10); 10 item survey unidimensional measure of recovery capital, scores may range from 6-60 at any given time. Evaluation of the measure suggests that individuals who have a higher score are likely to reach or sustain a year or longer of recovery from substance use disorder. | Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment |
| Change in number of drug overdoses per person | Number of drug overdoses will be assessed with the following survey question: In the past 30 days, did you experience an overdose or take too much of a substance that resulted in needing supervision or medical attention? | Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment |
| Change in number of days of illicit substance use per person | Number of days illicit substance use will be assessed with the following survey question: During the past 30 days, how many days have you used any substance | Enrollment, Up to 6 months, 3 months post discharge, and 12 months post enrollment |
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Inclusion Criteria:
Exclusion Criteria:
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individuals in underserved areas with incomes at or below the 200% poverty level, individuals with prior criminal-justice involvement, veterans, and pregnant and parenting populations, with illicit SUD
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| Name | Affiliation | Role |
|---|---|---|
| Terry Bunn, PhD | University of Kentucky | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| FAHE | Berea | Kentucky | 40403 | United States | ||
| University of Kentucky |
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| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| D000074822 | Treatment Adherence and Compliance |
| D000083682 | Opiate Overdose |
| D016739 | Behavior, Addictive |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
| D015438 | Health Behavior |
| D001519 | Behavior |
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|
| Lexington |
| Kentucky |
| 40506 |
| United States |
| D062787 |
| Drug Overdose |
| D063487 | Prescription Drug Misuse |
| D000076064 | Drug Misuse |
| D009293 | Opioid-Related Disorders |
| D000079524 | Narcotic-Related Disorders |
| D003192 | Compulsive Behavior |
| D007175 | Impulsive Behavior |