Recruiting

MISSION-CJ

Sponsor:

University of Massachusetts, Worcester

Code:

NCT07555145

Conditions

Mental Health

Substance Use Disorders

Co-occurring Mental and Substance Use Disorders

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Full MISSION-CJ

Peer Linkage Support

Study Details

Brief summary:

This application is aimed at testing a multicomponent intervention called "Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking-Criminal Justice (MISSION-CJ) or Peer Linkage Support post-release from two jails in Massachusetts for individuals with co-occurring substance use and mental health disorders (COD), given high rates of COD among incarcerated populations. The research will examine engagement in treatment, behavioral health outcomes, mediators and moderators, an economic analysis, and facilitators and barriers of MISSION-CJ implementation.

Conditions

Mental Health

Substance Use Disorders

Co-occurring Mental and Substance Use Disorders

Study ID

NCT07555145

Start date

Oct 29, 2026

Status verified date

Nov, 2026

Completion date

Aug 31, 2030

Anticipated

Primary completion date

May 31, 2030

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • 18 years or older;
  • Proficient in reading and writing in the English language;
  • Are released from one of the participating jail/s; and
  • Have a current co-occurring substance use and mental health disorder, which includes both any substance use disorder (including alcohol) and mental health disorder (including depression, anxiety, trauma related disorders, bipolar, and/or schizophrenia) as documented by the participating jails.

Exclusion Criteria:

  • Are acutely suicidal based on the CSSRS; or
  • Are acutely psychotic (as this would require a higher level of care) based on SCID-5-RV.

Study Design

Enrollment

240 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Full MISSION-CJ

Participants assigned to this condition will receive full MISSION-CJ services. MISSION-CJ services include 6-months of integrated mental health and substance use treatment and treatment planning with the MISSION-CJ Case Manager (13 session curriculum) and Peer Support Specialist (11 session curriculum). Content of these sessions will be directed using the MISSION-CJ Treatment Manual and Consumer Workbooks. MISSION-CJ teams will also provide linkages and supports to treatment services within the participant's community throughout the duration of the study.

active comparator: Peer Linkage Support

Our Linkage only arm delivered by a Peer Specialist will act as the comparison group to the MISSION-CJ arm. Participants randomized to the linkage only arm will receive 6-months of linkage care from a Peer Specialist. The Peer Specialist will provide informal treatment planning as well as linkages and support to community services, but will not provide integrated dual disorders treatment, nor will this arm utilize any MISSION-CJ materials or offer Peer led groups.

Interventions

Full MISSION-CJ

MISSION-CJ is a time-limited, cross disciplinary, team-based wraparound approach that provides 6 months of psychosocial treatment combined with assertive outreach, empowering clients to access and engage in care and community services to promote recovery and address criminogenic risk. The MISSION-CJ treatment curriculum integrates 3 evidence-based practices: 1) Critical Time Intervention (CTI), a time-limited form of assertive community treatment; 2) Dual Recovery Therapy (DRT), which is integrated mental health and substance use group therapy; and 3) Peer Support (PS), offering support for people in recovery by people in recovery.

Peer Linkage Support

Linkage only is provided via Peer Specialists whom have lived experiences similar to that of our participants. Linkage only includes informal treatment planning and linkages and supports to needed community services.

Primary outcome measure

  • Engagement in Treatment [ Time Frame: Measured weekly through 6-months post enrollment ]
  • Engagement in Treatment [ Time Frame: 6-months post enrollment ]
  • Engagement in Treatment [ Time Frame: Measured at baseline, 3, 6, 9, 12-months post enrollment ]

Central Contacts and Locations

Central contacts

David Smelson, PsyD

508-713-5420David.Smelson@umassmed.edu

Michael Andre, MPH

413-433-7866michael.andre@umassmed.edu

Locations

Hampshire County Jail and House of Correction

Recruiting

Northampton, Massachusetts, United States, 01060

Contacts

Patrick Cahillane

413-582-7703patrick.cahillane@hsd.state.ma.us

Worceseter County Jail and House of Correction

Recruiting

West Boylston, Massachusetts, United States, 01583

Contacts

Jason Butland

508-854-1800jbutland@sdw.state.ma.us

More Information

Sponsor

University of Massachusetts, Worcester

Last update posted

Nov 9, 2026

Last verified

Nov, 2026

Keywords

  • MISSION-CJ
  • co-occurring disorders
  • peer linkage support
  • mental health
  • substance use disorders

Trial information was received from ClinicalTrials.gov and was last updated on 2026-11-10. This information was provided to ClinicalTrials.gov by University of Massachusetts, Worcester on 2026-11-09. Recruitment status is synced daily from ClinicalTrials.gov and may not reflect the sponsor's current status. Confirm during your call.