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Improving Jail Response to the Overdose Crisis: A Hybrid Trial of Jail ECHO to Improve MOUD Implementation and Public Health Outcomes

Sponsor: University of Massachusetts, Worcester • ClinicalTrials.gov ID: NCT07637994

Registry updated: 2026-10-19
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Description

This project tests a training strategy to help rural jails start or increase their use of medications to treat opioid use disorder (MOUD - methadone, buprenorphine, naltrexone). Staff from participating jails will attend a series of training sessions, called Project ECHO, that include online learning sessions with skilled experts, case-based discussions (real-world examples), and peer-to-peer learning opportunities. Project ECHO is well-studied in healthcare settings but has rarely been used in correctional systems. Staff from 40 rural jails and local treatment programs will participate in 6 months of core sessions (all participants attend the same sessions), followed by 12 months of continuing sessions (where content is tailored to participants' needs). Staff will complete surveys about their knowledge and experience, and jails will provide data about their services. Researchers will measure changes in MOUD services offered by the jails over time, as well as the impact these changes have on staff's work environment. If Project ECHO helps expand MOUD services, it will offer a blueprint for expanding these life-saving services in other jails nationwide.

Interventions

  • Project ECHO (Behavioral)
    Virtual learning sessions, case-based discussions, and peer-to-peer learning

Eligibility criteria

Inclusion Criteria: * Administrative, security, or healthcare staff in participating jails * Employed at the facility a minimum of 3 months Exclusion Criteria: * Ongoing or recent participation in similar organizational improvement project * Inability to read or understand English or Spanish

Conditions

Opioid Abuse (Disorder)

Locations

  • UMass Chan Medical School — Worcester, Massachusetts, United States
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record