CLARO Implementation Manual

Strategies and Supports for Successful Implementation of the CLARO Intervention

Alex R. Dopp, Miriam Komaromy, Laura Brown, Karen Chan Osilla, Grace Hindmarch, Shreyas Bharadwaj, Lisa S. Meredith, Virginia Chitwood-Sedore, Mallika Bhandarkar, Sapna J. Mendon-Plasek, et al.

ToolPublished Nov 13, 2023

This manual describes the implementation of the Collaboration Leading to Addiction Treatment and Recovery from Other Stresses (CLARO) intervention, as part of a clinical trial that adapted and then tested the Collaborative Care Model for adults with opioid use disorder co-occurring with depression and/or posttraumatic stress disorder. Implementation took place at 19 primary care clinic sites in New Mexico and California: First Choice Community Healthcare (eight clinics), Hidalgo Medical Services (three clinics), University of New Mexico (three clinics), and Los Angeles County Department of Health Services (five clinics).

Through this intervention, clinical members of the collaborative care team — primary care providers, behavioral health providers, and behavioral health consultants — work closely with a care coordinator to manage the patient's overall care and ensure that they get high-quality, effective, and patient-centered care. By offering concurrent treatment for both opioid use disorder and mental illness, the CLARO intervention aims to improve patient outcomes for this vulnerable and underserved population.

This manual describes the strategies and team roles used to support successful implementation of the CLARO intervention. This manual is meant for use by implementation teams and other decisionmakers to support clinical teams' adoption and use of the CLARO intervention in a clinic(s) or health system(s).

Topics

Document Details

Citation

RAND Style Manual
Dopp, Alex R., Miriam Komaromy, Laura Brown, Karen Chan Osilla, Grace Hindmarch, Shreyas Bharadwaj, Lisa S. Meredith, Virginia Chitwood-Sedore, Mallika Bhandarkar, Sapna J. Mendon-Plasek, Valerie Carrejo, and Katherine E. Watkins, CLARO Implementation Manual: Strategies and Supports for Successful Implementation of the CLARO Intervention, RAND Corporation, TL-A618-2, 2023. As of September 20, 2024: https://www.rand.org/pubs/tools/TLA618-2.html
Chicago Manual of Style
Dopp, Alex R., Miriam Komaromy, Laura Brown, Karen Chan Osilla, Grace Hindmarch, Shreyas Bharadwaj, Lisa S. Meredith, Virginia Chitwood-Sedore, Mallika Bhandarkar, Sapna J. Mendon-Plasek, Valerie Carrejo, and Katherine E. Watkins, CLARO Implementation Manual: Strategies and Supports for Successful Implementation of the CLARO Intervention. Santa Monica, CA: RAND Corporation, 2023. https://www.rand.org/pubs/tools/TLA618-2.html.
BibTeX RIS

Research conducted by

This research was funded by a grant from the National Institute of Mental Health and conducted jointly by the Access and Delivery Program in RAND Health Care, the University of New Mexico (UNM) Health Sciences Center, and Boston Medical Center, in collaboration with 14 clinics in New Mexico and five in California.

This publication is part of the RAND tool series. RAND tools include models, databases, calculators, computer code, GIS mapping tools, practitioner guidelines, web applications, and various other toolkits and applied research products. All RAND tools undergo rigorous peer review to ensure both high data standards and appropriate methodology in keeping with RAND's commitment to quality and objectivity.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.