[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100633604":3},{"organization":4,"armGroups":7,"interventions":18,"overallOfficials":26,"centralContacts":32,"locations":38,"responsibleParty":51,"collaborators":54,"id":58,"slug":59,"hasResults":60,"nctId":61,"briefTitle":62,"officialTitle":63,"acronym":64,"eligibilityCriteria":65,"healthyVolunteers":66,"sex":67,"minAge":68,"maxAge":22,"enrollmentInfo":69,"targetDuration":22,"studyType":72,"phases":73,"briefSummary":75,"conditions":76,"keywords":80,"overallStatus":83,"whyStopped":22,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":88,"completionDateStruct":90,"leadSponsor":92,"locationsCount":93},{"fullName":5,"class":6},"Texas Christian University","OTHER",[8,13],{"label":9,"type":6,"description":10,"interventionNames":11},"Core-interagency community engagement approach","facilitated public health-public safety interagency collaboration, best practices on building community engagement, and cross-system data driven learning",[12],"Other: Core-interagency community engagement approach",{"label":14,"type":6,"description":15,"interventionNames":16},"Enhanced-Core plus community engagement specialist","core plus strategic role development and coaching of known and trusted citizens to serve as Community Advocates in promoting community support of deflection efforts and fully engage in deflection leadership decisions",[17],"Other: Enhanced-Core plus community engagement specialist",[19,23],{"type":6,"name":9,"description":20,"armGroupLabels":21,"otherNames":22},"community engagement approaches that including building interagency collaboration, strategic planning, advocacy",[9],null,{"type":6,"name":14,"description":24,"armGroupLabels":25,"otherNames":22},"community engagement approaches that include the core, plus promoting identification and full integration of community citizens in community engagement practices",[14],[27,30],{"name":28,"affiliation":5,"role":29},"Jennifer E Becan, Ph.D.","PRINCIPAL_INVESTIGATOR",{"name":31,"affiliation":5,"role":29},"Kevin Knight, Ph.D.",[33],{"name":34,"role":35,"phone":36,"phoneExt":22,"email":37},"Amanda W Sease, Ph.D.","CONTACT","817-257-5841","a.wiese@tcu.edu",[39],{"facility":5,"status":22,"city":40,"state":41,"zip":42,"country":43,"countryCode":44,"cosmosGeoPoint":45,"geoPoint":50,"contacts":22},"Fort Worth","Texas","76109","United States","US",{"type":46,"coordinates":47},"Point",[48,49],-97.32085,32.72541,{"lat":49,"lon":48},{"type":29,"investigatorFullName":52,"investigatorTitle":53,"investigatorAffiliation":5,"oldNameTitle":22,"oldOrganization":22},"Jennifer Becan","Multiple Principal Investigator",[55],{"name":56,"class":57},"National Institute on Drug Abuse (NIDA)","NIH","100633604","justice-community-overdose-innovation-network-ii-tcu-hub-100633604",false,"NCT07528846","Justice Community Overdose Innovation Network II TCU Hub","Justice Community Overdose Innovation Network II TCU Hub: TCU Building Resilient Initiatives for Deflection Through Greater Engagement Project (TCU BRIDGE to Deflection Project)","JCOIN II TCU","Staff\n\nInclusion Criteria:\n\n* Directly involved in Deflection services, including:\n* Making referrals (e.g., law enforcement, first responders, community agencies) \\& Providing services to participants (e.g., case managers, peer specialists, coordinators);\n* Aged 18 years or older;\n* Able to complete surveys in English;\n* Willing to provide informed consent\n\nExclusion Criteria:\n\n* Not affiliated with a participating Deflection agency;\n* No role in Deflection referral or service delivery;\n* Under age 18;\n* Unable or unwilling to provide informed consent\n\nClients\n\nInclusion Criteria:\n\n* Aged 18 years or older;\n* Enrolled in a Deflection program within a participating community;\n* Between 1 and 12 months post-enrollment at time of recruitment;\n* Documented history of substance use disorder (SUD) or risk for SUD;\n* Priority for individuals reporting opioid and\u002For stimulant use within the past year;\n* Able to complete survey and\u002For interview; Willing to provide informed consent\n\nExclusion Criteria:\n\n* Under age 18;\n* Not enrolled in a Deflection program;\n* Insufficient exposure to Deflection (\\\u003C1 month);\n* Unable or unwilling to provide informed consent\n\nCitizens\n\nInclusion Criteria:\n\n* Aged 18 years or older;\n* Resident of a participating community;\n* Represents general community population (including individuals with or without lived experience of SUD\u002FCLS involvement);\n* Able to participate in: Surveys and\u002For Community Listening Sessions;\n* Willing to provide informed consent\n\nExclusion Criteria:\n\n* Under age 18;\n* Not residing in a participating community;\n* Unable or unwilling to provide informed consent\n\nWorkgroup\n\nInclusion Criteria:\n\n* Aged 18 years or older;\n* Identified as a community or agency leader\u002Fstakeholder involved in Deflection programming;\n* Member of a DAG within a participating community;\n* Represents one of the required stakeholder roles: Law enforcement leadership or staff, Behavioral health leadership or staff Health professional, Community representative (citizen);\n* Able to participate in meetings, surveys, and\u002For focus groups;\n* Willing to provide informed consent\n\nExclusion Criteria:\n\n* Not part of a DAG in a participating community;\n* Does not hold a role relevant to Deflection leadership or decision-making;\n* Under age 18;\n* Unable or unwilling to provide informed consent",true,"ALL","18 Years",{"count":70,"type":71},1620,"ESTIMATED","INTERVENTIONAL",[74],"NA","The current study proposes to use a Hybrid Type 3 implementation research strategy to: 1) Significantly enhance our understanding of public health outcomes \\[e.g., overdose incidents and substance-use (SU)-related Emergency Medical Service (EMS) contacts\\] and public safety outcomes (e.g., drug-related arrests) associated with Deflection and Pre-Arrest Diversion initiatives (DPAD, hereafter referred to as Deflection); and 2) Create a lasting contribution to the fields of research focused on SU and the criminal legal system (CLS) by advancing knowledge of effective implementation strategies involving the critical role of community engagement in Deflection. The highly experienced team of Multiple PIs, senior-level collaborators from both Deflection and Community Behavioral Health (CBH), state-level evaluation partners, a national stakeholder advisory group, and CLS and behavioral health partners within each community have teamed up to carry out the proposed project. The study approach uses a hybrid implementation-effectiveness design to examine strategies to improve opioid and stimulant relevant outcomes, and specifically proposes to test the implementation-effectiveness of 2 strategy bundles to promote Deflection models through a CORE community engagement bundle (designed to facilitate community stakeholder engagement) and ENHANCED community engagement bundle (CORE plus a component to systematically involve community advocates) on improving implementation as well as public safety and health outcomes. The proposed randomized control trial includes a total of 20 geographically distinct clinical research performance sites (i.e., 20 communities spanning 5 states; New Mexico, Illinois, Wisconsin, Colorado, and Pennsylvania), with 3-5 communities per state and the inclusion of key CLS and CBH stakeholders within each site. The large scope of the project will maximize potential generalizability of study results and sustainability of implementation strategies.",[77,78,79],"Substance Use Disorder (SUD)","Drug Overdose","Criminal Behavior",[81,82],"deflection","pre-arrest diversion","NOT_YET_RECRUITING","2026-04-07",{"date":86,"type":87},"2026-04-14","ACTUAL",{"date":89,"type":71},"2026-07",{"date":91,"type":71},"2029-05",{"name":5,"class":6},1]