Table 1 MATICCE protocol activities, subjects, and duration

Phase 1: Pilot and Baseline Data Collection (all sites)

Pilot Testing of Data Collection Methods

Research team

--

Baseline Data Collection – surveys

Corrections agency executives and line staff; treatment agency directors and line staff

2 hours

Baseline Data Collection – interviews

Key informants (decision makers, line staff)

2 hours

Phase 2: Training Intervention (all sites)

KPI Training

Probation and parole officers (line staff)

3 hour session

Presentation and group discussion of science of addiction, available pharmacotherapies, mechanisms of action, evidence base, and appropriateness for criminal justice clients. Delivered by local Addiction Technology Transfer Center (ATTC) staff.

Phase 3: Organizational Linkage Intervention Activities (experimental sites only)

Randomization

Formation of Pharmacotherapy Exchange Council (PEC)

Research team

--

Research team works with CJ and treatment agency leaders to identify and enroll members of the PEC. Includes CJ and treatment co-chairs, a Connections Coordinator, and up to 8 additional individuals from relevant agencies

PEC Kickoff Meeting

PEC members

2 hours

Research team meets with PEC to introduce CJDATS initiative, research aims, MATICCE protocol, timeline, and expectations. Q&A. Higher-ranking agency representatives may also be present.

Organizational Linkage Assessment

PEC members

2 hours, biweekly, 8 weeks

PEC members participate in analyses of agency strengths, weaknesses, opportunities, and threats (SWOT); walkthroughs, and other activities designed to identify areas in which enhanced organizational coordination can better facilitate linkage of drug-involved offenders to treatment programs where MAT is available.

Strategic Plan Development

PEC members

2 hours, biweekly, 8 weeks

PEC uses results of assessment to develop an Organizational Linkage Strategic Plan. Includes identifying high priority process improvement targets, developing action plans, designating responsibilities, establishing timelines. PEC develops a formal written Strategic Plan and submits to agency executives for approval.

Strategic Plan Implementation

PEC members

2 hours, monthly, 7 months

PEC assumes responsibility for implementation of approved Strategic Plan. Assigns roles and tasks to CJ and treatment agency representatives as appropriate; carries out high priority target activities; revises objectives or takes corrective action to ensure objectives are met.

Fidelity Monitoring

Research team

--

Researcher informs/reminds co-chairs of tasks and timelines; observes PEC meetings and records minutes; completes monthly fidelity checklists.

Sustainability Planning

PEC members, Research team

2 hours, 1–2 meetings, 1 month

Researchers convene PEC for formal project wrap-up meeting. PEC assesses relative sustainability of process improvements achieved during implementation phase. Researchers disengage from PEC. PEC may choose to formally disband, meet at less frequent intervals, or maintain current activities.

Phase 4: Sustainability (experimental sites only)

Measuring Sustainability

PEC co-chair, Research team

15 minutes (PEC co-chair)

6 months after disengaging from PEC, research team collects chart abstraction data to identify current rate of client referrals; notes nature and extent of PEC activity (if any) beyond implementation phase. PEC co-chair completes sustainability survey.