Implementation of an Opioid Treatment Linkage Model to Improve Cross-System Coordination in Community Supervision Settings (037)


Study Information

The Texas Christian University (TCU) JCOIN Research Center is testing two different strategies to implement an Opioid Treatment Linkage Model (O-TLM). The model is designed to link individuals under community supervision with appropriate community-based treatment services. O-TLM seeks to improve interagency collaboration through staff training and cross-system data sharing.

The study examines how best to implement this model, by engaging 18 sites in Illinois, New Mexico, and Texas. In half of the sites, a “vertical implementation” approach will train all program personnel within each unit simultaneously. In the remaining sites, a “horizontal implementation” approach will train one “lead-off” unit, which will test and refine its procedures, and then it will train other units until the model is adopted agency-wide.

The goal of the study is to learn how best to implement new models of service delivery, and whether individual treatment outcomes vary depending on the model used.

Study Settings: 

  • Community Corrections

Study Locations:

  • Illinois (IL)
  • New Mexico (NM)
  • Texas (TX)

Study Team


Kevin Knight, PhD
Texas Christian University

Danica Knight, PhD
Texas Christian University

Noah Painter-Davis, PhD
University of New Mexico

David Olsen, PhD
Loyola University Chicago

Health Agency Partner:

Dona Howell

Justice Agency Partners:

Rene Hinojosa
Texas Department of Criminal Justice

Pam Carey, MA, ICCJP

Logo of Texas Christian University

Study Aims

• Compare vertical and horizontal strategies for implementing organizational changes

• Increase access to behavioral health and MOUD services for individuals under community supervision

• Increase retention in community-based treatment services

• Improve outcomes associated with public health and safety

Research Type

Clinical Trial, Organizational Implementation, Linkage Strategies