Advancing D&I Science in Addiction Treatment

The C-DIAS Research Core integrates three teams of experts led by top research scientists to increase equity in the delivery and sustainment of the best available treatments for everyone.

A major challenge to closing the identified gaps is advancing our knowledge of not just what treatments to implement—but how to implement and sustain them.

Implementation strategies are the activities necessary to install and maintain the best available treatments so that people who need care can get high-quality care. Leading advanced implementation research design and development via four large studies across the United States, the C-DIAS Research Core strives to unpack the black box of Implementation Strategies (Figure 1).

Unlike the prevailing, expensive, and inefficient practice of widespread provider training and one-size-fits-all technical assistance, greater evidence-based precision is needed to optimize the return on investment of national, public, and private health systems efforts to address the national addiction problem—particularly the opioid overdose epidemic.

Figure 1

Research Core

The Research Core is divided into three sections that synergize to advance implementation research in addiction:

Methods & Measures

This section focuses on developing practical, standardized methods and measures of contextual factors to guide implementation strategies selection. Matching implementation strategies to contextual factors to produce effective implementation and sustainment will significantly change the status quo.

Design & Modeling

The Design & Modeling section produces agent-based models (computer simulations) to prospectively help decision- and policymakers in the selection and anticipated cost of interventions and the strategies needed to implement them.

Policy & Financing

The Policy & Financing section focuses on identifying policy and financing strategies to support the sustainment of proven interventions for addiction in public and private health systems. This section also develops practical strategy tool kits and briefs for policymakers and payers.

updated-research-core

Research Core

The Research Core supports 3 innovative research projects and is organized into 3 sections:

Methods & Measures

This section focuses on developing practical, standardized methods and measures of contextual factors to guide implementation strategies selection. Matching implementation strategies to contextual factors to produce effective implementation and sustainment will significantly change the status quo.

Design & Modeling

The Design & Modeling section produces agent-based models (computer simulations) to prospectively help decision- and policymakers in the selection and anticipated cost of interventions and the strategies needed to implement them.

Policy & Financing

The Policy & Financing section focuses on identifying policy and financing strategies to support the sustainment of proven interventions for addiction in public and private health systems. This section also develops practical strategy tool kits and briefs for policymakers and payers.

Research Core Figures (5)

Research Projects

C-DIAS includes 4 Research Projects that together advance D&I science and improve equitable access to high-quality addiction treatment. The use of common instruments and standard methods across projects optimizes the opportunity to advance implementation science beyond C-DIAS. These projects will have an immediate public health impact while serving as open field-testing laboratories for the methods and tools developed by the C-DIAS Research Core.

The projects are:

County-level model-driven approach to reduce overdose death (PI: C. Hendricks Brown)

This project engages three counties across the United States—Pinellas County, Florida; Vermillion County, Illinois; Santa Clara County, California— to model the impact of interventions and implementation strategies to reduce overdose death from opioids and stimulants.

Implementing contingency management for stimulant use in specialty addiction treatment organizations (PI: Sara Becker)

This project in the states of Rhode Island and Massachusetts evaluates a multi-level implementation strategy to install contingency management for stimulant use in public addiction treatment programs.

Promoting equitable access to substance use treatment in private health systems (PI: Joe Glass)

This is a hybrid effectiveness-implementation trial within the Kaiser Permanente Washington health care system that evaluates the benefits of a patient navigator to improve equitable linkage to addiction treatment.

Expanding statewide access to medications for addiction treatment (SITT-MAT) (PI: Mark McGovern & Jay Ford)

This project aims to expand access to medications for opioid use disorder in addiction treatment programs and primary care clinics across the state of Washington.