Table 1.
MATICCE protocol activities, subjects, and duration
| Project phase | Subjects | Participant burden |
|---|---|---|
| Phase 1: Pilot and Baseline Data Collection (all sites) | ||
| Pilot Testing of Data Collection Methods | Research team | -- |
| Baseline Data Collection – surveys | Corrections agency executives and line staff; treatment agency directors and line staff | 2 hours |
| Baseline Data Collection – interviews | Key informants (decision makers, line staff) | 2 hours |
| Phase 2: Training Intervention (all sites) | ||
| KPI Training | Probation and parole officers (line staff) | 3 hour session |
| Presentation and group discussion of science of addiction, available pharmacotherapies, mechanisms of action, evidence base, and appropriateness for criminal justice clients. Delivered by local Addiction Technology Transfer Center (ATTC) staff. | ||
| Phase 3: Organizational Linkage Intervention Activities (experimental sites only) | ||
| Randomization | ||
| Formation of Pharmacotherapy Exchange Council (PEC) | Research team | -- |
| Research team works with CJ and treatment agency leaders to identify and enroll members of the PEC. Includes CJ and treatment co-chairs, a Connections Coordinator, and up to 8 additional individuals from relevant agencies | ||
| PEC Kickoff Meeting | PEC members | 2 hours |
| Research team meets with PEC to introduce CJDATS initiative, research aims, MATICCE protocol, timeline, and expectations. Q&A. Higher-ranking agency representatives may also be present. | ||
| Organizational Linkage Assessment | PEC members | 2 hours, biweekly, 8 weeks |
| PEC members participate in analyses of agency strengths, weaknesses, opportunities, and threats (SWOT); walkthroughs, and other activities designed to identify areas in which enhanced organizational coordination can better facilitate linkage of drug-involved offenders to treatment programs where MAT is available. | ||
| Strategic Plan Development | PEC members | 2 hours, biweekly, 8 weeks |
| PEC uses results of assessment to develop an Organizational Linkage Strategic Plan. Includes identifying high priority process improvement targets, developing action plans, designating responsibilities, establishing timelines. PEC develops a formal written Strategic Plan and submits to agency executives for approval. | ||
| Strategic Plan Implementation | PEC members | 2 hours, monthly, 7 months |
| PEC assumes responsibility for implementation of approved Strategic Plan. Assigns roles and tasks to CJ and treatment agency representatives as appropriate; carries out high priority target activities; revises objectives or takes corrective action to ensure objectives are met. | ||
| Fidelity Monitoring | Research team | -- |
| Researcher informs/reminds co-chairs of tasks and timelines; observes PEC meetings and records minutes; completes monthly fidelity checklists. | ||
| Sustainability Planning | PEC members, Research team | 2 hours, 1–2 meetings, 1 month |
| Researchers convene PEC for formal project wrap-up meeting. PEC assesses relative sustainability of process improvements achieved during implementation phase. Researchers disengage from PEC. PEC may choose to formally disband, meet at less frequent intervals, or maintain current activities. | ||
| Phase 4: Sustainability (experimental sites only) | ||
| Measuring Sustainability | PEC co-chair, Research team | 15 minutes (PEC co-chair) |
| 6 months after disengaging from PEC, research team collects chart abstraction data to identify current rate of client referrals; notes nature and extent of PEC activity (if any) beyond implementation phase. PEC co-chair completes sustainability survey. | ||