Peer coaches may help Justice-Involved youth cut drug use

NCT ID NCT05834881

Completed Disease control Sponsor: Chestnut Health Systems Source: ClinicalTrials.gov ↗

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This pilot study tested whether paraprofessional coaches (with or without their own history of substance use) can help young adults aged 18-26 who have been involved with the justice system reduce their opioid and other drug use. The coaches used a combination of prize-based rewards for staying drug-free and help with education or job goals. The study enrolled 35 participants and measured drug use through urine tests over 6 to 30 months.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance: Contingency management (prizes for staying drug-free) plus vocational/educational coaching
What this could lead to: If it works, this could point toward a low-cost way to help young people in the justice system reduce substance use.
What could go wrong: This is a very small pilot study (35 participants) with no control group, so results may not be reliable or generalizable. The focus is on coach outcomes, not direct client benefits.

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Conditions

The condition(s) this trial relates to.

substance-related disorder

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

SUBSTANCE-RELATED DISORDERS

Contacts and locations

Locations

Chestnut Health Systems

Eugene, Oregon, 97401, United States

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