Supportive Treatment With Enhanced Post-Incarceration Services

This study aims to improve health outcomes for people who use drugs after release from incarceration, a period of high risk for overdose and other adverse outcomes. It will examine an individually tailored behavioral activation (IT-BA) intervention integrated into a reentry primary care program with peer support. The goal is to reduce substance use, improve mental health, and increase engagement in healthcare.

Inclusion Criteria: * Be aged 18 years or older * Have recent illicit drug use, defined as use of any illegal drug in the past week * Meet DSM-5 criteria for a current (past 12 months) substance use disorder associated with any illegal drug * Have been released from jail or prison (at least 30 consecutive days incarcerated) within the past year Exclusion Criteria: * Currently engaged in psychosocial treatment for drug use * Unable to speak and understand English * Unable to provide informed consent, including people with severe mental illness requiring immediate treatment or with mental illness limiting their ability to participate (e.g., dementia)