Effect of the Communities that HEAL intervention on receipt of behavioral therapies for opioid use disorder: A cluster randomized wait-list controlled trial

LaShawn Glasgow; Christian Douglas; Joel G Sprunger; Aimee N C Campbell; Redonna Chandler; Anindita Dasgupta; JaNae Holloway; Katherine R Marks; Sara M Roberts; Linda Sprague Martinez; Katherine Thompson; Roger D Weiss; Arnie Aldridge; Kat Asman; Carolina Barbosa; Derek Blevins; Deborah Chassler; Lindsay Cogan; Laura Fanucchi; Megan E Hall; Timothy Hunt; Elizabeth Jadovich; Frances R Levin; Patricia Lincourt; Michelle R Lofwall; Vanessa Loukas; Ann Scheck McAlearney; Edward Nunes; Emmanuel Oga; Devin Oller; Maria Rudorf; Ann Marie Sullivan; Jeffery Talbert; Angela Taylor; Julie Teater; Nathan Vandergrift; Kristin Woodlock; Gary A Zarkin; Bridget Freisthler; Jeffrey H Samet; Sharon L Walsh; Nabila El-Bassel

doi:10.1016/j.drugalcdep.2024.111286

Effect of the Communities that HEAL intervention on receipt of behavioral therapies for opioid use disorder: A cluster randomized wait-list controlled trial

LaShawn Glasgow, Christian Douglas, Joel G Sprunger, Aimee N C Campbell, Redonna Chandler, Anindita Dasgupta, JaNae Holloway, Katherine R Marks, Sara M Roberts, Linda Sprague Martinez, Katherine Thompson, Roger D Weiss, Arnie Aldridge, Kat Asman, Carolina Barbosa, Derek Blevins, Deborah Chassler, Lindsay Cogan, Laura Fanucchi, Megan E HallTimothy Hunt, Elizabeth Jadovich, Frances R Levin, Patricia Lincourt, Michelle R Lofwall, Vanessa Loukas, Ann Scheck McAlearney, Edward Nunes, Emmanuel Oga, Devin Oller, Maria Rudorf, Ann Marie Sullivan, Jeffery Talbert, Angela Taylor, Julie Teater, Nathan Vandergrift, Kristin Woodlock, Gary A Zarkin, Bridget Freisthler, Jeffrey H Samet, Sharon L Walsh, Nabila El-Bassel

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: The U.S. opioid overdose crisis persists. Outpatient behavioral health services (BHS) are essential components of a comprehensive response to opioid use disorder and overdose fatalities. The Helping to End Addiction Long-Term® (HEALing) Communities Study developed the Communities That HEAL (CTH) intervention to reduce opioid overdose deaths in 67 communities in Kentucky, Ohio, New York, and Massachusetts through the implementation of evidence-based practices (EBPs), including BHS. This paper compares the rate of individuals receiving outpatient BHS in Wave 1 intervention communities (n = 34) to waitlisted Wave 2 communities (n = 33).

METHODS: Medicaid data included individuals ≥18 years of age receiving any of five BHS categories: intensive outpatient, outpatient, case management, peer support, and case management or peer support. Negative binomial regression models estimated the rate of receiving each BHS for Wave 1 and Wave 2. Effect modification analyses evaluated changes in the effect of the CTH intervention between Wave 1 and Wave 2 by research site, rurality, age, sex, and race/ethnicity.

RESULTS: No significant differences were detected between intervention and waitlisted communities in the rate of individuals receiving any of the five BHS categories. None of the interaction effects used to test the effect modification were significant.

CONCLUSIONS: Several factors should be considered when interpreting results-no significant intervention effects were observed through Medicaid claims data, the best available data source but limited in terms of capturing individuals reached by the intervention. Also, the 12-month evaluation window may have been too brief to see improved outcomes considering the time required to stand-up BHS.

TRIAL REGISTRATION: Clinical Trials.gov http://www.

CLINICALTRIALS: gov: Identifier: NCT04111939.

Original language	English
Pages (from-to)	111286
Journal	Drug and Alcohol Dependence
Volume	259
DOIs	https://doi.org/10.1016/j.drugalcdep.2024.111286
State	E-pub ahead of print - Apr 5 2024

Bibliographical note

Access to Document

10.1016/j.drugalcdep.2024.111286

Cite this

Glasgow, L., Douglas, C., Sprunger, J. G., Campbell, A. N. C., Chandler, R., Dasgupta, A., Holloway, J., Marks, K. R., Roberts, S. M., Martinez, L. S., Thompson, K., Weiss, R. D., Aldridge, A., Asman, K., Barbosa, C., Blevins, D., Chassler, D., Cogan, L., Fanucchi, L., ... El-Bassel, N. (2024). Effect of the Communities that HEAL intervention on receipt of behavioral therapies for opioid use disorder: A cluster randomized wait-list controlled trial. Drug and Alcohol Dependence, 259, 111286. Advance online publication. https://doi.org/10.1016/j.drugalcdep.2024.111286

@article{4c726c2fa59741b488d2d34e8d8da427,

title = "Effect of the Communities that HEAL intervention on receipt of behavioral therapies for opioid use disorder: A cluster randomized wait-list controlled trial",

abstract = "BACKGROUND: The U.S. opioid overdose crisis persists. Outpatient behavioral health services (BHS) are essential components of a comprehensive response to opioid use disorder and overdose fatalities. The Helping to End Addiction Long-Term{\textregistered} (HEALing) Communities Study developed the Communities That HEAL (CTH) intervention to reduce opioid overdose deaths in 67 communities in Kentucky, Ohio, New York, and Massachusetts through the implementation of evidence-based practices (EBPs), including BHS. This paper compares the rate of individuals receiving outpatient BHS in Wave 1 intervention communities (n = 34) to waitlisted Wave 2 communities (n = 33).METHODS: Medicaid data included individuals ≥18 years of age receiving any of five BHS categories: intensive outpatient, outpatient, case management, peer support, and case management or peer support. Negative binomial regression models estimated the rate of receiving each BHS for Wave 1 and Wave 2. Effect modification analyses evaluated changes in the effect of the CTH intervention between Wave 1 and Wave 2 by research site, rurality, age, sex, and race/ethnicity.RESULTS: No significant differences were detected between intervention and waitlisted communities in the rate of individuals receiving any of the five BHS categories. None of the interaction effects used to test the effect modification were significant.CONCLUSIONS: Several factors should be considered when interpreting results-no significant intervention effects were observed through Medicaid claims data, the best available data source but limited in terms of capturing individuals reached by the intervention. Also, the 12-month evaluation window may have been too brief to see improved outcomes considering the time required to stand-up BHS.TRIAL REGISTRATION: Clinical Trials.gov http://www.CLINICALTRIALS: gov: Identifier: NCT04111939.",

author = "LaShawn Glasgow and Christian Douglas and Sprunger, {Joel G} and Campbell, {Aimee N C} and Redonna Chandler and Anindita Dasgupta and JaNae Holloway and Marks, {Katherine R} and Roberts, {Sara M} and Martinez, {Linda Sprague} and Katherine Thompson and Weiss, {Roger D} and Arnie Aldridge and Kat Asman and Carolina Barbosa and Derek Blevins and Deborah Chassler and Lindsay Cogan and Laura Fanucchi and Hall, {Megan E} and Timothy Hunt and Elizabeth Jadovich and Levin, {Frances R} and Patricia Lincourt and Lofwall, {Michelle R} and Vanessa Loukas and McAlearney, {Ann Scheck} and Edward Nunes and Emmanuel Oga and Devin Oller and Maria Rudorf and Sullivan, {Ann Marie} and Jeffery Talbert and Angela Taylor and Julie Teater and Nathan Vandergrift and Kristin Woodlock and Zarkin, {Gary A} and Bridget Freisthler and Samet, {Jeffrey H} and Walsh, {Sharon L} and Nabila El-Bassel",

note = "Copyright {\textcopyright} 2024. Published by Elsevier B.V.",

year = "2024",

month = apr,

day = "5",

doi = "10.1016/j.drugalcdep.2024.111286",

language = "English",

volume = "259",

pages = "111286",

}

Glasgow, L, Douglas, C, Sprunger, JG, Campbell, ANC, Chandler, R, Dasgupta, A, Holloway, J, Marks, KR, Roberts, SM, Martinez, LS, Thompson, K, Weiss, RD, Aldridge, A, Asman, K, Barbosa, C, Blevins, D, Chassler, D, Cogan, L, Fanucchi, L, Hall, ME, Hunt, T, Jadovich, E, Levin, FR, Lincourt, P, Lofwall, MR, Loukas, V, McAlearney, AS, Nunes, E, Oga, E, Oller, D, Rudorf, M, Sullivan, AM, Talbert, J, Taylor, A, Teater, J, Vandergrift, N, Woodlock, K, Zarkin, GA, Freisthler, B, Samet, JH, Walsh, SL & El-Bassel, N 2024, 'Effect of the Communities that HEAL intervention on receipt of behavioral therapies for opioid use disorder: A cluster randomized wait-list controlled trial', Drug and Alcohol Dependence, vol. 259, pp. 111286. https://doi.org/10.1016/j.drugalcdep.2024.111286

TY - JOUR

T1 - Effect of the Communities that HEAL intervention on receipt of behavioral therapies for opioid use disorder

T2 - A cluster randomized wait-list controlled trial

AU - Glasgow, LaShawn

AU - Douglas, Christian

AU - Sprunger, Joel G

AU - Campbell, Aimee N C

AU - Chandler, Redonna

AU - Dasgupta, Anindita

AU - Holloway, JaNae

AU - Marks, Katherine R

AU - Roberts, Sara M

AU - Martinez, Linda Sprague

AU - Thompson, Katherine

AU - Weiss, Roger D

AU - Aldridge, Arnie

AU - Asman, Kat

AU - Barbosa, Carolina

AU - Blevins, Derek

AU - Chassler, Deborah

AU - Cogan, Lindsay

AU - Fanucchi, Laura

AU - Hall, Megan E

AU - Hunt, Timothy

AU - Jadovich, Elizabeth

AU - Levin, Frances R

AU - Lincourt, Patricia

AU - Lofwall, Michelle R

AU - Loukas, Vanessa

AU - McAlearney, Ann Scheck

AU - Nunes, Edward

AU - Oga, Emmanuel

AU - Oller, Devin

AU - Rudorf, Maria

AU - Sullivan, Ann Marie

AU - Talbert, Jeffery

AU - Taylor, Angela

AU - Teater, Julie

AU - Vandergrift, Nathan

AU - Woodlock, Kristin

AU - Zarkin, Gary A

AU - Freisthler, Bridget

AU - Samet, Jeffrey H

AU - Walsh, Sharon L

AU - El-Bassel, Nabila

PY - 2024/4/5

Y1 - 2024/4/5

N2 - BACKGROUND: The U.S. opioid overdose crisis persists. Outpatient behavioral health services (BHS) are essential components of a comprehensive response to opioid use disorder and overdose fatalities. The Helping to End Addiction Long-Term® (HEALing) Communities Study developed the Communities That HEAL (CTH) intervention to reduce opioid overdose deaths in 67 communities in Kentucky, Ohio, New York, and Massachusetts through the implementation of evidence-based practices (EBPs), including BHS. This paper compares the rate of individuals receiving outpatient BHS in Wave 1 intervention communities (n = 34) to waitlisted Wave 2 communities (n = 33).METHODS: Medicaid data included individuals ≥18 years of age receiving any of five BHS categories: intensive outpatient, outpatient, case management, peer support, and case management or peer support. Negative binomial regression models estimated the rate of receiving each BHS for Wave 1 and Wave 2. Effect modification analyses evaluated changes in the effect of the CTH intervention between Wave 1 and Wave 2 by research site, rurality, age, sex, and race/ethnicity.RESULTS: No significant differences were detected between intervention and waitlisted communities in the rate of individuals receiving any of the five BHS categories. None of the interaction effects used to test the effect modification were significant.CONCLUSIONS: Several factors should be considered when interpreting results-no significant intervention effects were observed through Medicaid claims data, the best available data source but limited in terms of capturing individuals reached by the intervention. Also, the 12-month evaluation window may have been too brief to see improved outcomes considering the time required to stand-up BHS.TRIAL REGISTRATION: Clinical Trials.gov http://www.CLINICALTRIALS: gov: Identifier: NCT04111939.

AB - BACKGROUND: The U.S. opioid overdose crisis persists. Outpatient behavioral health services (BHS) are essential components of a comprehensive response to opioid use disorder and overdose fatalities. The Helping to End Addiction Long-Term® (HEALing) Communities Study developed the Communities That HEAL (CTH) intervention to reduce opioid overdose deaths in 67 communities in Kentucky, Ohio, New York, and Massachusetts through the implementation of evidence-based practices (EBPs), including BHS. This paper compares the rate of individuals receiving outpatient BHS in Wave 1 intervention communities (n = 34) to waitlisted Wave 2 communities (n = 33).METHODS: Medicaid data included individuals ≥18 years of age receiving any of five BHS categories: intensive outpatient, outpatient, case management, peer support, and case management or peer support. Negative binomial regression models estimated the rate of receiving each BHS for Wave 1 and Wave 2. Effect modification analyses evaluated changes in the effect of the CTH intervention between Wave 1 and Wave 2 by research site, rurality, age, sex, and race/ethnicity.RESULTS: No significant differences were detected between intervention and waitlisted communities in the rate of individuals receiving any of the five BHS categories. None of the interaction effects used to test the effect modification were significant.CONCLUSIONS: Several factors should be considered when interpreting results-no significant intervention effects were observed through Medicaid claims data, the best available data source but limited in terms of capturing individuals reached by the intervention. Also, the 12-month evaluation window may have been too brief to see improved outcomes considering the time required to stand-up BHS.TRIAL REGISTRATION: Clinical Trials.gov http://www.CLINICALTRIALS: gov: Identifier: NCT04111939.

U2 - 10.1016/j.drugalcdep.2024.111286

DO - 10.1016/j.drugalcdep.2024.111286

M3 - Article

C2 - 38626553

SN - 0376-8716

VL - 259

SP - 111286

JO - Drug and Alcohol Dependence

JF - Drug and Alcohol Dependence

ER -

Effect of the Communities that HEAL intervention on receipt of behavioral therapies for opioid use disorder: A cluster randomized wait-list controlled trial

Abstract

Bibliographical note

Access to Document

Fingerprint

Cite this