This Hybrid Type II effectiveness-implementation trial examines the effectiveness of an evidence-based program – Families Actively Improving Relationships (FAIR) when adapted for upstream prevention (PRE-FAIR) of opioid and or methamphetamine use disorder. This study looks at how well PRE-FAIR helps young parents in Oregon—ages 16 to 30—who are at risk of getting involved with the child welfare system compared to parents randomized to standard services. The research also focuses on how FAIR is implemented within the county child welfare systems and what it costs to implement the PRE-FAIR program. https://heal.nih.gov/news/stories/embedding-opioid-use-disorder-prevention-everyday-life
