Supporting Treatment Access and Recovery in Re-Entry (STAR-R)

Study Information

Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking – Criminal Justice (MISSION-CJ) is a new approach to providing comprehensive support for individuals with co-occurring mental health and substance use disorder (COD), offering treatment, recovery services, and proactive outreach. Initial tests showed promising results, such as better treatment engagement and improved mental health, along with reduced rates of returning to jail. “Supporting Treatment Access and Recovery in Re-entry (STAR-R)” compares the effects of MISSION-CJ and peer linkage support (PLS). The study aims to show that MISSION-CJ participants engage more in treatment, decrease their substance use, face lower overdose risks, improve their mental health, and have fewer legal issues. The team is also exploring what factors influence these outcomes, such as reducing ties with negative influences and increasing community connections. The study also involves evaluating the costs of implementing MISSION-CJ versus PLS and measuring how cost-effective MISSION-CJ is compared to traditional support methods.


Grant number: 1R01DA064494

Link to NIH Reporter record: https://reporter.nih.gov/search/7ExTf954uku8zXellYwqvw/project-details/11261346

Study Team

PI: David Smelson, Paige Sheffer

Study Aims

  • Compare those receiving PLS with MISSION-CJ for rates of engagement, substance use, overdose risk, overdoses, mental health symptoms, and criminal legal recidivism
  • Examine mechanisms impacting outcomes
  • Estimate the implementation (start-up and ongoing) costs associated with MISSION-CJ and PLS, and compare the two programs’ cost-effectiveness from healthcare-system and societal perspectives
  • Examine facilitators and challenges of MISSION-CJ implementation via qualitative interviews with participants and staff

Research Type

Hybrid Type 1 Randomized Controlled Trial