Transitions Clinic Network vs Standard Care at Re-Entry (038)
Study Information
The Yale University JCOIN Research Center is studying whether the Transitions Clinic Network (TCN) program, which provides enhanced primary care and OUD treatment for people recently released from incarceration, improves services along the opioid treatment cascade. In TCN, formerly incarcerated community health workers are embedded within primary care teams and address social determinants of OUD, provide social support, help patients build trust in the health system, and advocate in interactions with the criminal justice system.
The intervention provides both a primary care home and support for a variety of important social needs (including housing, food access, and social support) as individuals re-enter the community. Individuals will be recruited from six jails in Connecticut, Minnesota, New York, North Carolina, and Puerto Rico.
Study Settings: Jails/Prisons, Treatment/Healthcare Settings
Study Locations: Connecticut, Minnesota, New York, North Carolina, Puerto Rico
Publications:
- COVID-19 in Puerto Rico: Preliminary observations on social distancing and societal response toward a novel health stressor (2020)
- Association of census tract-level incarceration rate and life expectancy in New York State (2021)
- COVID-19 in corrections: Quarantine of incarcerated people (2021)
- The Transitions Clinic Network: Post Incarceration Addiction Treatment, Healthcare, and Social Support (TCN-PATHS): A hybrid type-1 effectiveness trial of enhanced primary care to improve opioid use disorder treatment outcomes following release from jail (2021)
- Effectiveness of interventions to reduce COVID-19 transmission in a large urban jail: a model-based analysis (2021)
- Cultural adaptation and psychometric properties of the Substance Abuse Self-Stigma Scale among Latinos with substance use disorders: An effective screening tool for correctional and community settings (2022)
- Measuring Psychological Flexibility: The Cultural Adaptation and Psychometric Properties of the AAQ for Substance Abuse among Spanish Speaking Population in Correctional and Community settings (2022)
- Paths to Improving Pandemic Preparedness in Jails and Prisons: Perspectives of Incarcerated People and Correctional Staff (2022)
- COVID-19 vaccine deliberation in individuals directly impacted by incarceration (2023)
- Medication Access in Prisons and Jails: Some Answers, More Questions (2023)
- Community Corrections Officers’ Perspectives of the Impact of Hurricane Maria on the Participants’ Mental Health and Substance Use (2023)
- Predicting COVID-19 Outbreaks in Correctional Facilities Using Machine Learning (2024)
Study Team
PI: Emily Wang
• Compare the effectiveness of TCN to standard primary care for individuals with OUD
• Measure impacts on MOUD initiation, engagement, and retention
• Measure outcomes including opioid use, overdose, healthcare utilization, and recidivism
• Estimate the cost and cost effectiveness of the TCN model
• Identify barriers and facilitators to helping individuals transition into TCN services
Clinical Trial, Linkage Strategies