Preventing Overdose and Promoting Recovery Through Court Navigation

ClinicalTrials.gov ID

NCT07700407

Lead Sponsor

RTI InternationalOTHER

Overall Status

Not yet recruiting

Study Type

Interventional

Phase

Not Applicable

Enrollment

600Estimated

Last Update Posted

Jul 14, 2026Actual

Start Date

Oct 2026Estimated

Primary Completion Date

Dec 2028Estimated

Completion Date

May 2030Estimated

Official Title

Hybrid Type I Trial of a Peer-Led Court Navigation Program to Improve Substance Use Disorder Treatment Receipt and Reduce Overdose and Incarceration Among People Passing Through Courthouses

Brief Summary

This project is a hybrid type I clinical trial to assess the effectiveness and implementation determinants of a peer-led court navigation program for people who use drugs and are passing through county courthouses. Courthouses are a common point of contact for people with behavioral health needs, but outside of specialty court models, they remain underexplored as a setting for connecting people to substance use disorder treatment and related services. This study will test whether court navigation led by peer recovery specialists can increase receipt of substance use disorder treatment and reduce overdose and incarceration. Peer court navigators will meet with participants in courthouse settings, assess their needs, provide information and referrals, and offer follow-up support for up to 3 months. Peer recovery specialists, who have lived experience with substance use recovery, are increasingly being integrated into criminal legal and community-based settings; however, peer-led court navigation remains an innovative and understudied approach.

• Substance Use Disorder (SUD)

• CourtConnect
• Information Only

Ages Eligible for Study

Adult (18-64)Older Adult (65+)

Sexes Eligible for Study

All

Accepts Healthy Volunteers

No

Eligibility Criteria

Inclusion Criteria:

• Aged 18 years or older
• Current resident of Indiana
• Able to complete study procedures in English
• Meets at least one of the following criteria: used heroin, fentanyl, methamphetamine, or cocaine in the past 12 months; is interested in resources or treatment for a substance use disorder; or experienced an opioid-related overdose in the past 12 months

Exclusion Criteria:

• Has been sentenced to incarceration in jail or prison for the next 12 months

Primary Purpose

Health Services Research

Allocation

Randomized

Interventional Model

Parallel Assignment

Masking

None (Open Label)

Lead Sponsor

RTI InternationalOTHER

Collaborators

National Institute on Drug Abuse (NIDA)NIH

bradleyray@rti.org919-324-5492

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