UGH FAIR (Families Actively Improving Relationships)

Based on Research Conducted at OSLC

Preventing Parental Opioid and/or Methamphetamine Addiction within DHS-Involved
Families: FAIR

Project Overview

These two-phased grants aim to facilitate the adaptation and implementation of
the Families Actively Improving Relationships (FAIR) program for the treatment of parental
opioid and methamphetamine abuse. FAIR will be adapted for the prevention of escalation of
substance abuse for young parents, aged 16-30 years old, involved in the Department of
Human Services, who are at-risk for the development of addiction.

Year Project Began: 2020
Funder: National Institute on Drug Abuse

Principal Investigator

Lisa Saldana, Ph.D.

Senior Research Scientist
Oregon Social Learning Center

Active Research Projects

Primary Research and Clinical Interests

Lisa joined OSLC in 2007. She received her doctorate in clinical psychology from the University of Missouri-Columbia in 2003 with a research and clinical emphasis in child maltreatment and evidence-based practice (EBP). She has been active in the development, evaluation, and implementation of EBPs, with a particular emphasis in services for child welfare populations.

Lisa currently is the PI of a number of federally funded projects related to implementation in child serving systems. Building on her previous work with the Stages of Implementation Completion (SIC) ®, she and the SIC team are extending the SIC into the Sustainment Phase of the implementation process. Moreover, they are conducting a randomized trial of the SIC-Coaching strategy as a method for integrating implementation fidelity with intervention fidelity to increase rates of successful implementation among adolescent substance use treatment EBPs. Lisa and the SIC team have collaborated with a number of EBP developers in different service sectors, serving different populations to operationalize and monitor real-world implementation efforts. Similarly, the SIC team has developed the Cost of Implementing New Strategies (COINS) tool for assessing implementation costs across the three phases of implementation.

Lisa also is the primary developer and evaluator the R3 Supervisor Strategy. Developed in collaboration with child welfare leaders, R3 aims to bring evidence-based strategies into child welfare worker-family interactions. The model has been implemented and evaluated across both state and county driven child welfare systems. R3 has received strong endorsement from supervisors trained in the model and consistently has produced positive organizational change.

Lisa is the developer of the Families Actively Improving Relationships (FAIR) model, an integrative intervention for families referred to the child welfare system for parental substance abuse. FAIR integrates evidence-based techniques targeting four key treatment components including parental substance use, maladaptive parenting, and mental health symptoms as well as their correlated contextual problems such as housing and employment. Families referred to FAIR receive services in their natural environments (e.g., home, school, court) and receive incentives related to healthy households for meeting individualized treatment goals. Currently, Lisa and her team are implementing FAIR, and its adaptation PRE-FAIR, in five Oregon counties, as part of a NIDA-funded HEAL prevention study. FAIR is recognized by the California Evidence-Based Clearinghouse. Lisa oversees FAIR services provided to Lane and Douglas County residents through the ODI Clinic; for more information, visit odiclinic.org/fair.