National Institute on Drug Abuse (NIDA)

The aim of this project is to study the effectiveness of the modified SBIRT, where instead of offsite psychiatric referral, depression is treated onsite using SSRIs. Also, we will use ECHO (Extension for Community Healthcare Outcomes), a collaborative learning process, to facilitate mSBIRT activities and reinforce integration of COD services in OAT clinics.To enhance ECHO implementation, evidence-based pay-forperformance (P4P) intervention, aligned with Ukraine’s health reform, will be added to determine if incremental benefits are derived from this EBP, in an effort to strengthen and support ongoing healthcare reform efforts in Ukraine.

1. To compare both service-level (screening and brief intervention adoption and penetration) and patient-level (SSRI initiation, OAT drop-out and psychiatric quality of life) outcomes in 1,350 patients with opioid use disorders receiving OAT from 4 regions (clusters) and 12 clinical settings using a randomized, cluster-controlled design over 24 months. Before site randomization, all OAT clients at each participating site will have baseline assessments followed by site randomization to receive standard of care (N=450) versus integrated care using ECHO-COD facilitation with (N=450) or without (N=450) P4P incentives;

2. Using a multi-level implementation science framework, to examine the contribution of client, clinician and organizational factors that contribute to the primary and secondary outcomes;

3. To conduct a cost-effectiveness analysis (CEA) of integrating COD services into OAT clinics, with or without P4P, compared to a control group of OAT sites.

10/04/2019 “Integrating Treatment for Mental Disorders in Methadone Clinics in Ukraine”: Project Staff Training

Fogarty International Center

The aim of the project is to build capacity in conducting implementation science research that will address gaps in the HIV care cascade in Ukraine through a research training collaboration with the School of Public Health of National Ukraine Kyiv- Mohyla Academy and The State University of New York.

National Institute on Drug Abuse (NIDA)

The aim of this project is to study the effectiveness of the integrated model of health care services in primary care clinics and the interventions for quality improvement of health care services by means of training of physicians and their financial motivation

07/06/2019 Training on the Improvement of Quality of Services Provided at the Primary Health Care Centers

11/01/2019 ECHO Distance Learning: first results and plans for the future

01/12/2018 National Meeting “Problems of Public Health and the HIV Epidemic in Ukraine”

29/11/2018 Training on “Motivation of Medical Staff under the Health Reform in Ukraine”