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Opioid-use DisorderCHAMPNCT04600414

Collaborating to Heal Addiction and Mental Health in Primary Care

A study testing Collaborative Care for Mental Health Symptoms and Collaborative Care for Opioid Use Disorder and Mental Health Symptoms in people with Opioid-use Disorder and Mental Health Disorder, run by University of Washington at 33 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The gold-standard intervention for Opioid Use Disorder (OUD) is Medication for Opioid Use Disorder (MOUD). Because more patients with OUD need access to MOUD in primary care, the investigators are testing whether the Collaborative Care model (CoCM) is effective at treating both mental health disorders (MHD) and OUD… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Opioid-use Disorder, Mental Health Disorder
What is being tested?
Collaborative Care for Mental Health Symptoms and Collaborative Care for Opioid Use Disorder and Mental Health Symptoms
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
254 participants
Where
33 sitesUnited States
Study dates
16 Nov 2020to 31 Aug 2024
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Screen positive on the NIDA-ASSIST OUD items or referred to the trial by one of the clinic's providers AND
  • Meet clinical criteria for ≥2 symptoms of OUD on the DSM-5 checklist (administered by a clinician) AND
  • Screen positive for depression on the PHQ-9 (≥ 5) OR generalized anxiety on the GAD-7 (≥ 5) OR PTSD on the PC-PTSD-5 (≥ 1) within past 6 months.

Who cannot join

  • Patient is being prescribed psychotropic medication (including MOUD) by a Mental Health Care Specialist (typically practicing in a specialty addiction treatment setting).
  • Patient is receiving or prefers to seek OUD treatment in specialty care setting including opioid treatment programs
  • Patient does not speak English or Spanish
  • Patient is younger than 18 years of age
  • Patient has a diagnosis of dementia
  • Patient lacks the capacity to provide informed consent
  • Patient doesn't plan on getting care at the clinic for the next 6 months.

Trial locations and contacts

33 sites in 1 country.

33 sites in 1 country

United States33 sites
  • Emory University Hospital Midtown-Radiology

    Atlanta, Georgia, 30308

  • Emory Clinic at Saint Joseph's - Primary Care

    Atlanta, Georgia, 30342

  • Beth Israel Lahey Health Primary Care & Specialty Care, Beverly Medical Associates

    Beverly, Massachusetts, 01915

  • Minooka Healthcare Center - Ridge Road Campus

    Channahon, Illinois, 60410

  • Beth Israel Deaconess HealthCare-Chelsea

    Chelsea, Massachusetts, 02150

  • Oak Street Health Madison St.

    Chicago, Illinois, 60624

  • Oak Street Health Hermosa

    Chicago, Illinois, 60639

  • Kootenai Clinic Family Medicine Ironwood

    Coeur d'Alene, Idaho, 83814

  • Kootenai Clinic Family Medicine Residency

    Coeur d'Alene, Idaho, 83814

  • Kootenai Clinic Internal Medicine Coeur d'Alene

    Coeur d'Alene, Idaho, 83814

  • Oak Street Health Pleasant Grove Primary Care Clinic

    Dallas, Texas, 75217

  • Emory at Dunwoody - Family Medicine

    Dunwoody, Georgia, 30338

  • Oak Street Health Meadowbrook Primary Care Clinic

    Fort Worth, Texas, 76103

  • Oak Street Health North Side Primary Care

    Fort Worth, Texas, 76164

  • Gardner Healthcare Center of Morris Hospital

    Gardner, Illinois, 60424

  • Oak Street Health Gary Primary Care Clinic

    Gary, Indiana, 46408

  • Minooka Healthcare Center of Morris Hospital - Mondamin St.

    Minooka, Illinois, 60447

  • UW Health Yahara Clinic

    Monona, Wisconsin, 53716

  • Morris Healthcare Center of Morris Hospital - Dresden Drive

    Morris, Illinois, 60450

  • Oak Street Health Chicago Ave Primary Care Clinic

    Oak Park, Illinois, 60302

  • OneWorld Community Health Centers Livestock Exchange

    Omaha, Nebraska, 68107

  • OneWorld Community Health Centers Northwest

    Omaha, Nebraska, 68134

  • Berkshire Hillcrest Family Health Center

    Pittsfield, Massachusetts, 01201

  • Kootenai Clinic Family Medicine Post Falls

    Post Falls, Idaho, 83854

  • Northshore Medical Group Stevenson

    Stevenson, Washington, 98648

  • Emory at Rockbridge - Primary Care & Nephrology

    Stone Mountain, Georgia, 30087

  • PeaceHealth Family Medicine of Southwest Washington

    Vancouver, Washington, 98663

  • Peace Health Fisher's Landing

    Vancouver, Washington, 98683

  • Unity Health Care Minnesota Avenue Health Center

    Washington D.C., District of Columbia, 20019

  • Unity Health Care Anacostia Health Center

    Washington D.C., District of Columbia, 20020

  • Northshore Medical Group White Salmon

    White Salmon, Washington, 98672

  • Berkshire Williamstown Medical

    Williamstown, Massachusetts, 01267

  • UW Health Deforest-Windsor Clinic

    Windsor, Wisconsin, 53598

Other trials in United States

About this study

The gold-standard intervention for Opioid Use Disorder (OUD) is Medication for Opioid Use Disorder (MOUD). Because more patients with OUD need access to MOUD in primary care, the investigators are testing whether the Collaborative Care model (CoCM) is effective at treating both mental health disorders (MHD) and OUD concurrently in primary care settings. The intervention is CoCM for MHD and OUD. The active control is CoCM for MHD, but not treating OUD. The primary objective is to compare patient-reported outcomes in the intervention and control groups, and will be tested with in an Effectiveness trial. The secondary objective is to compare the detection of OUD pre- versus post-OUD screening implementation, and will be tested using a Pre-Post trial design. The exploratory objective is to compare intervention clinics randomized to a low-intensity sustainability implementation strategy or a high-intensity sustainability strategy, and will be tested in an Implementation trial.

Read the detailed description

This multi-site study involves a sequence of trials (Pre-Post -> Effectiveness -> Implementation 3) to examine our primary, secondary and exploratory objectives.

  1. Pre-Post trial (secondary objective) - Screening for Opioid User Disorder (OUD) will be integrated into Mental Health Disorder (MHD) screening and electronic health record (EHR) data will be used to determine if screening improves the detection of new cases of OUD during the first six months of the trial compared to the six months prior.
  2. Cluster randomized Effectiveness trial (primary objective) - The primary objective of the trial is to test the effectiveness of delivering (Medication for OUD) MOUD in the context of Collaborative Care Management (CoCM) for MHD, hereafter termed the "intervention" compared to CoCM for MHD only hereafter termed the "control". All 24 sites have previously partnered with the AIMS Center to implement CoCM for MHD. After monitoring CoCM for MHD fidelity during a three month "run in" phase, the investigators will categorize clinics into one of two cohorts and then randomize them.
  • Cohort 1 (n=600) - Randomize clinics with high CoCM for MHD fidelity to sequentially adding MOUD for OUD (intervention group) or maintenance CoCM for MHD only (control group).
  • Cohort 2 (n=600) - Randomize clinics with low CoCM for MHD fidelity to simultaneous implementation of CoCM for MHD and OUD (intervention group ) or CoCM for MHD only (control group).
  1. Cluster randomized Implementation trial (exploratory objective) - At the end of the Effectiveness trial, the intervention clinics will be randomized to receive a low-intensity or high-intensity implementation strategy to promote sustainability
Being tested
Collaborative Care for Mental Health Symptoms, Collaborative Care for Opioid Use Disorder and Mental Health Symptoms
Keywords
Primary Care, Collaborative Care
Medical subject headings
Opioid-Related Disorders, Mental Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Collaborative Care for Mental Health SymptomsOther

    CoCM is based on six key principles: 1) evidence-based, 2) measurement-based, 3) team-based, 4) population-based, 5) patient-centered, and 6) accountable. CoCM supports the delivery of evidence-based pharmacological and psychosocial treatments. CoCM is measurement-based with screening and monitoring of patient-reported outcomes over time to assess treatment response and facilitate treatment adjustments. CoCM is team-based led by a primary care provider with support from a care manager in consultation with a psychiatrist who provides treatment recommendations for patients who are not responding. CoCM is population-based whereby a registry is used to monitor treatment engagement and facilitate the identification of patients falling through the cracks. CoCM is patient-centered with proactive outreach to engage and activate patients. Collaborative care is accountable with continuous quality improvement to meet clinic performance benchmarks.

  • Collaborative Care for Opioid Use Disorder and Mental Health SymptomsOther

    Pharmacologic treatment of OUD will rely mainly on transmucosal buprenorphine/naloxone prescribed by primary care providers with DATA 2000 waivers. Measurement-based care and "treat to target" are fundamental principles of CoCM and will be incorporated into the intervention. Care managers will ask four yes/no questions about: 1) opioid withdrawal symptoms, 2) illicit opioid craving, 3) illicit opioid use, 4) medication side effects. If necessary, consulting psychiatrists will then recommend a change to the treatment plan to the primary care provider. In the case of buprenorphine/naloxone, options for changing the treatment plan include: 1) increasing the dosage (max dose 32mg), 2) augmenting with clonidine, 3) switching to injectable buprenorphine, and/or 4) intensifying psychosocial interventions. If the patient is experiencing medication side effects, but not opioid withdrawal symptoms or illicit opioid craving, consideration will be given to lowering the medication dosage.

Study groups in NCT04600414
Study groupRoleWhat they receive
Collaborative Care for Mental Health SymptomsActive comparatorCollaborative Care Management is an integrated care model that operationalizes the principles of the chronic care model to improve access to evidence-based treatments for mental health disorders.
Receives: Other: Collaborative Care for Mental Health Symptoms
Collaborative Care for Opioid Use Disorder and Mental Health SymptomsExperimentalCollaborative Care Management is an integrated care model that operationalizes the principles of the chronic care model to improve access to evidence-based treatments for opioid use disorder.
Receives: Other: Collaborative Care for Mental Health Symptoms; Other: Collaborative Care for Opioid Use Disorder and Mental Health Symptoms

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Opioid Use Other Than As Prescribed

    Illicit opioid use will be measured from self-report using Opioid use will be measured using item 7E from the Brief Addiction Monitor (BAM) with the following preamble: "The next question asks about your use of street opioids and use of prescription opioids that were not prescribed to you by a healthcare provider. In the past 30 days, how many days did you use opiates such as Heroin, Morphine, Dilaudid, Demerol, Oxycontin, oxy, codeine (e.g., Tylenol 2,3,4), Percocet, Vicodin, Fentanyl, etc.? Do not count times you used buprenorphine, suboxone, or methadone as directed by a healthcare provider."

    Measured: 6 months

  2. Mental Health Functioning

    Mental health functioning will be measured from self-report using the Mental Health Component Summary Score from the SF12V (range 0-100, higher scores are better)

    Measured: 6 Months

Secondary outcomes (4)
  1. Depression Symptoms

    Depression symptoms will be measured from self report using the SCL-20 (range 0-4, higher scores are worse)

    Measured: 6 months

  2. Anxiety Symptoms

    Anxiety symptoms will be measured from self report using the PROMIS Measure - Emotional Distress, Anxiety, Short Form 7a (range 0-100, higher scores are worse)

    Measured: 6 months

  3. PTSD Symptoms

    PTSD symptoms will be measured from self-report using the PCL-5 (range 0-80, higher scores are worse)

    Measured: 6 months

  4. Medications for Opioid Use Disorder (MOUD) Persistence

    MOUD persistence will be measured from self report and specified as the proportion of days the study participant reported taking the MOUD medication during the 90 prior to the 6-month follow-up.

    Measured: 90 days prior to the 6-month follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Oct 2020
  2. Study start16 Nov 2020
  3. Primary completion15 Feb 2024
  4. Study completion31 Aug 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Cluster Randomized Trial. Clinics within healthcare systems are paired and randomized to intervention or control.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
254 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04600414
Sponsor's protocol ID
SITE00000376
Other IDs
UF1MH121942
Acronym
CHAMP
Status last verified
Sep 2025
First submitted
9 Oct 2020
Last updated
3 Oct 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The PIs will follow the NIH Healthcare Systems Research Collaboratory recommendations for data sharing. Data from this project will be made as widely and freely available as possible while safeguarding the privacy of participants, and protecting confidential and proprietary data. Data will be shared via the National Database for Clinical Trials (NDCT) related to Mental Illness. Investigators will certify the quality of all data generated by grants funded under this FOA prior to submission to NDCT and review their data for accuracy after submission. Precautions will be made regarding patient confidentiality, including HIPAA-compliant patient de-identification for all patients. Public-use datasets will not include patient identifiers, or health system identifiers, characteristics or prescribing/referral practices of individual providers.

Publications

  • Fortney JC, Ratzliff AD, Blanchard BE, Ferro L, Chase E, Rouvere J, Duncan MH, Merrill JO, Simpson T, Williams EC, Austin EJ, Curran GM, Schoenbaum M, Heagerty PJ, Saxon AJ. Collaborative Care for Opioid Use Disorder in Primary Care: A Hybrid Type 2 Cluster Randomized Clinical Trial. JAMA Psychiatry. 2025 Oct 1;82(10):956-966. doi: 10.1001/jamapsychiatry.2025.2126.

    PubMed 40833733
  • Fortney JC, Ratzliff AD, Blanchard BE, Ferro L, Rouvere J, Chase E, Duncan MH, Merrill JO, Simpson T, Williams EC, Austin EJ, Curran GM, Schoenbaum M, Heagerty PJ, Saxon AJ. Collaborating to heal addiction and mental health in primary care (CHAMP): A protocol for a hybrid type 2a trial. Contemp Clin Trials. 2024 Nov;146:107700. doi: 10.1016/j.cct.2024.107700. Epub 2024 Sep 23.

    PubMed 39322115

Questions about this trial

What is this clinical trial studying?

A study testing Collaborative Care for Mental Health Symptoms and Collaborative Care for Opioid Use Disorder and Mental Health Symptoms in people with Opioid-use Disorder and Mental Health Disorder, run by University of Washington at 33 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Oct 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Opioid Use Other Than As Prescribed (time frame: 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04600414, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Oct 2025.

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