System of Care Evaluation

Principal Investigator(s): Gregory Aarons, Ph.D. UC San Diego, Todd Gilmer, Ph.D. UC San Diego

Co-Investigator(s): Emily Trask, Ph.D. UC San Diego and Kate McDonald, DrPH, UC San Diego

Policy Dissemination Strategies to Improve the Use of Research Evidence in Medicaid Benefits for Opioid Use Disorder Treatment

Principal Investigator: Erika Crable, Ph.D. UC San Diego

More than one-third of Americans living with an opioid use disorder are publicly insured by state Medicaid or Children’s Health Insurance Plan (CHIP), but many of these state programs fail to provide sufficient access to lifesaving medications for opioid use disorder (MOUD). Research is critically needed to understand how policymakers overseeing Medicaid/CHIP benefit arrays solicit, receive, and use evidence to define their benefit and utilization management policies for MOUD.

This study will advance policy dissemination science methods to:

1. Develop and administer a national survey to Medicaid/CHIP agency and MCO policymakers to identify determinants, mechanisms, and intermediaries that influence their evidence use behaviors.
2. Empirically identify and describe distinct subgroups of Medicaid/CHIP agencies and MCOs based on their evidence use behaviors when designing MOUD benefits.
3. Design and pilot test the acceptability, appropriateness and feasibility of dissemination strategies, tailored to each latent class, for promoting policymakers’ evidence-based decision-making regarding MOUD benefits.

Funding Information: NIDA, K01, 1K01DA056838-01

Study time period: 2022-2027

NIH RePORTER

Study Protocol Citation

Expanding Care Coordination and Developing Organizational Implementation Supports to Improve Disparity Reduction Efforts

Principal Investigator(s): Kelsey Dickson, Ph.D. San Diego State University

Co- Prinicpal Investigator(s): Elva Arredondo, Ph.D. San Diego State University

Apply implementation science methods to expand a care coordinator model to include an evidence-based mental health intervention and corresponding implementation strategies to address care disparities for underserved minority individuals served by a Federally Qualified Health Center.

Funding Information: NIMHD, U54 Awarded to SDSU, U54 MD012397

Study time period: 2021 - 2023

NIH RePORTER

Project Website

Personalizing Parent Training Interventions for Culturally Diverse Families

Principal Investigator(s): Kristen McCabe, Ph.D. University of San Diego, May Yeh, Ph.D., San Diego State University

Co-Investigator(s): Argero Zerr, Ph.D. California State University Channel Islands

Behavioral Parent Training (BPT) interventions have been shown to be effective treatments for young children with behavior problems. However, not all families benefit, and ethnic minority families in particular are less likely to enroll, engage, and improve in BPT, in part because some aspects of these treatments may not fit with culturally influenced beliefs and attitudes about child mental health and its treatment. One way of improving engagement and outcomes in BPT for culturally diverse families may be to personalize the delivery of treatments by enhancing or modifying aspects of their delivery to increase the cultural fit of the treatment to the family when research suggests this might be helpful. In this project, we developed a personalization approach (PersIn) that utilizes cultural assessment results to tailor a BPT called Parent-Child Interaction Therapy (PCIT) to individual families in order maximize cultural responsiveness to a specific family while still being deliverable to a culturally diverse population. We then pilot tested this intervention, called MY PCIT, with 32 families from a range of racial/ethnic groups (African American, Asian American, Latinx, and Non-Hispanic White) that were seeking treatment for their child’s clinically significant behavior problems.

Funding Information: NIMH, R34, R34MH109561

Study time period: 2016 - 2021

NIH RePORTER