Recruiting

JCFF with Digital Support

Sponsor:

Chestnut Health Systems

Code:

NCT07365293

Conditions

Substance Related Disorders

Eligibility Criteria

Sex: All

Age: 0+

Healthy Volunteers: Not accepted

Interventions

Just Care for Families (JCFF)

Just Care for Families (JCFF) App

Just Care for Families (JCFF) App Feedback

Study Details

Brief summary:

This study will explore how to expand the Just Care for Families (JCFF) program beyond its current sites in Oregon, while addressing two main challenges: the developer team cannot provide ongoing support to every new program, and rural counties face limits on caseloads and reimbursement because of long travel distances. To overcome these barriers, the trial will test two strategies-using a JCFF mobile app to improve outcomes and efficiency, and relying on trained Experts (instead of the developer team) to guide new counties. With five active counties and four new ones, researchers will study whether parents receiving JCFF with digital support show reduced opioid and stimulant use, better child welfare outcomes like reunification, and more efficient treatment. This study will also compare how well new counties implement JCFF compared to existing ones, and use modeling to see if digital tools help programs sustain themselves by balancing caseloads and reimbursement. This study is supported by and included in the Helping to End Addiction Long-term Initiative (https://heal.nih.gov/).

Conditions

Substance Related Disorders

Study ID

NCT07365293

Start date

Feb 12, 2026

Status verified date

Feb, 2026

Completion date

May 31, 2030

Anticipated

Primary completion date

Feb 1, 2030

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 0+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Misuse of opioids and/or stimulants in the last year, including misuse of prescriptions
  • parent of a child aged 0-18 with the child living in the home or a reunification plan in place
  • residing in one of the nine participating counties
  • insured by Medicaid
  • access to a computer, smartphone, or wireless/cellular connection if a device were to be provided
  • Willing to enroll with the first available Just Care coach

Exclusion Criteria:

\-- Alcohol use disorder

Study Design

Enrollment

254 participants

Anticipated

Allocation

Randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

no intervention: No Intervention

No services will be offered to participants. Participants are able to engage in any non-Just Care services that they choose, which could include substance use treatment, mental health treatment, child welfare or self-sufficiency case plans that include parenting classes, social services to access basic needs like food stamps, and support to obtain employment. Just Care for Families is not available in the counties during usual services recruitment.

experimental: Just Care for Families (JCFF) only

Just Care for Families is a behavioral intervention to address the needs of families involved in or at-risk for involvement with the child welfare system.

experimental: Just Care for Families (JCFF) plus App

Participants will receive the Just Care for Families (JCFF) behavioral intervention in addition to using a JCFF digital support application (App).

experimental: Just Care for Families (JCFF) plus App plus Feedback

Participants will receive the Just Care for Families (JCFF) behavioral intervention, use of the App, and the intervention coaches will receive feedback on parent's use of the App.

Interventions

Just Care for Families (JCFF)

Just Care for Families is a behavioral intervention to address the needs of families involved in or at-risk for involvement with the child welfare system. Just Care involves treatment components, supported by ongoing purposeful engagement: (1) Substance use treatment including contingency management and positive reinforcement, day planning, healthy environments and peer choices, and refusal skills; (2) Mental health treatment including cognitive behavioral therapy, developing healthy coping skills, emotion regulation skills, exposure therapy, and referral for medication management; (3) Parent management training including parenting skills, nurturing and attachment, reinforcement, emotion regulation, supervision, structure, non-harsh discipline, and nutrition; (4) Community building including indigenous and external social supports; (5) Systems navigation; and (6) provision of assistance with basic needs including assistance with housing and employment.

Just Care for Families (JCFF) App

Participants will use a Just Care for Families digital support application (App). App features will include interactive tools modeled after those used for in-person interventions and practice exercises. Parent data will be stored within the App, including entered self-report and usage data.

Just Care for Families (JCFF) App Feedback

Coaches will receive feedback on parent's use of the App. Parent-reported current needs, clinical status (e.g., substance use and mental health symptoms), progress, and goals will be programmed into dashboards accessible to assigned Coaches (i.e., Feedback).

Primary outcome measure

  • Change in Opioid and/or Stimulant Use from Baseline to 18 months [ Time Frame: Baseline, 4 months, 9 months, 14 months, and 18 months ]
  • Treatment Engagement [ Time Frame: Up to 18 months ]
  • Treatment Retention [ Time Frame: Up to 18 months ]
  • Child Welfare Re-Report [ Time Frame: Up to 18 months ]

Central Contacts and Locations

Central contacts

Rowan M McClelland-Bishop

541-731-3476rmmcclellandbishop@chestnut.org

Ryan R Sigh, PhD

309-451-7748rrsingh@chestnut.org

Locations

Chestnut Health Systems

Recruiting

Eugene, Oregon, United States, 97401

Contacts

Melissa Baker, AOR, CRA

309-451-7855mkbaker@chestnut.org

Lisa Saldana, PhD

541-915-6614lsaldana@chestnut.org

More Information

Sponsor

Chestnut Health Systems

Last update posted

Apr 17, 2026

Last verified

Feb, 2026

Keywords

  • opioid
  • child welfare
  • prevention
  • evidence-based
  • implementation
  • stimulants

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Chestnut Health Systems on 2026-04-17.