Vertical vs Horizontal Implementation of O-TLM (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.

Update: The TCU Hub Opioid-Treatment Linkage Model Resources were developed as part of the NIH/NIDA funded JCOIN 1.0 TCU Hub project. The materials offer best practices and innovative solutions for delivering substance use (SU) and opioid use (OU) treatment to support an optimal continuum of services. The strategies and resources presented in the guide and webinar are informed by knowledge generated from pilot studies, local community initiatives, and state and federally-funded programs; to help community corrections staff, community behavioral health (CBH) providers, and medications for opioid use disorder (MOUD) clinicians expand and enhance SU and OU treatment services for individuals reintegrating into communities upon release from correctional facilities. For more information, go to https://ibr.tcu.edu/projects/current-projects/jcoin/


Study Settings: 

  • Community Corrections

Study Locations:

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

Grant number:  UG1DA050074

Link to NIH Reporter record:  https://reporter.nih.gov/project-details/9882684

Study Team

PI: Danica Knight, David Olson, Kevin Knight, Noah Painter-Davis

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