Examine the preliminary effect of the MPACT intervention on methadone treatment retention, in treatment overdose and patient trauma symptoms. The study will also explore the relationship between staff trauma symptoms and MPACT implementation.
Specific AIMS: AIM 1: Develop MPACT through multilevel, iterative planning with OTP staff and people with recent MMT experience. AIM 2: Conduct a 4-month MPACT pilot test in two AZ OTPs: Mesa (urban) with 50 patients and 22 staff, and Sierra Vista (rural-serving) with 50 patients and 8 staff to: 1. Determine MPACT implementation feasibility, acceptability, and preliminary effect on MMT practice change and culture. 2. Determine MPACT preliminary effect on MMT retention, in-MMT overdose, and patient PTSS. 3. Characterize staff trauma history, PTSS and vicarious trauma, and explore their relationship with MPACT acceptability and implementation fidelity. AIM 3: Characterize MPACT acceptability, likely adoption, and recruitment feasibility among directors, case managers and counselors from a national random sample of 500 OTPs.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
102
MPACT has 4 components: accredited training about patient centered, trauma informed methadone treatment, staff education about trauma symptoms with navigation to self screening and treatment or stress management, clinic self assessment tools for trauma informed, patient centered care, and reflective supervision for counselors, case managers and peer staff.
University of Arizona College of Medicine
Tucson, Arizona, United States
methadone treatment retention
Retention in methadone treatment (measured by 3 different indicators)
Time frame: 4 months (pilot study period)
In treatment overdose
Reported overdoses during methadone treatment (measured by study constructed algorithm)
Time frame: 4 months (pilot study period)
Trauma symptoms among patients and staff
Post traumatic stress symptoms (measured by 8-item Post Traumatic Stress Disorder Checklist or, PCL-5). Scores are 0-80. Higher scores mean greater PTSD symptom severity.
Time frame: pilot period of 4 months
Vicarious Trauma symptoms among staff
Vicarious trauma symptoms (measured by the Vicarious Trauma Scale (VTS). Scores are 0-190. Higher scores indicate more vicarious (work related) traumatization.
Time frame: pilot period of 4 months
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