JCOIN Research
The Community Paramedic Response and Overdose Outreach with Supportive Medical-Legal Services (CROSSROADS) Study
Community paramedic (CP) programs offer an alternative to traditional policing by deploying medical responders after a behavioral health crisis, providing follow-up care, and connecting people to other community health services. CP programs build trust with those affected, offering ongoing support rather than just one-time help. CROSSROADS aims to enhance CP programs by including medical legal…
Read MoreLinking Individuals Needing Care for Substance Use Disorders to Peer Coaches and Across Incarceration Settings (LINCS UP and IN)
This study aims to improve access to treatment for substance use disorders (SUD) in southern jails, focusing on groups that are overrepresented in jails and lack access to important medications for opioid addiction, like methadone and buprenorphine. The study addresses individual needs and types of substance use by implementing and evaluating a Peer Recovery Coaches…
Read MoreKentucky Women’s Justice Community Overdose Innovation Network (WJCOIN-II)
This study targets women with a history of opioid and/or stimulant use disorders who are transitioning from three jails in rural Appalachian Kentucky to the community. Investigators are comparing two approaches to support the women’s recovery before they are released from jail: Recovery Coaching (RC) alone and Recovery Coaching with Support Person Engagement (RC+SPE). These…
Read MoreImproving Access to MOUD in Drug Courts Through Interagency Collaboration: COLAAB study
While medications for opioid use disorder (MOUD) can reduce the chance of overdose death by up to 50%, only around 15% of drug court participants receive these medications. This study aims to address barriers to MOUD such as negative attitudes, poor communication, lack of knowledge about MOUD providers, and inefficient referral processes. Clinical Organization and…
Read MoreSupporting Treatment Access and Recovery in Re-Entry (STAR-R)
Maintaining Independence and Sobriety through Systems Integration, Outreach, and Networking – Criminal Justice (MISSION-CJ) is a new approach to providing comprehensive support for individuals with co-occurring mental health and substance use disorder (COD), offering treatment, recovery services, and proactive outreach. Initial tests showed promising results, such as better treatment engagement and improved mental health, along…
Read MorePreventing Overdose and Promoting Recovery through Court Navigation
This study team is implementing a peer-led court navigator program inside county courthouse settings, which are rarely used for interventions. Researchers are the effectiveness of peer recovery specialists acting as court navigators in linking individuals to substance use treatment. The study aims to determine how well the court navigation improves connections to treatment and affects…
Read MorePathways to Treatment: Assessing Effectiveness and Implementation of Oregon’s Deflection Programs for People who Use Drugs
This study evaluates Oregon’s new deflection programs, which aim to steer people with substance use disorders (SUD) away from the criminal justice system and into treatment and support services. These partnerships between public safety and health agencies include interventions by officers only (OI), a combination of mobile crisis/community response teams with officers (MCCR+OI), and interventions…
Read MoreTCU Bridge to Deflection
This study aims to better understand the impact of deflection initiatives, meant to turn individuals away from initial or further involvement with the criminal legal system and toward substance use care services in the community, and how these programs affect public health and safety. The study team is examining outcomes like overdose incidents, emergency medical…
Read MoreTesting MOUD Scale-Up Strategies in Criminal Legal Settings
This three-arm comparative effectiveness cluster randomized controlled trial evaluates a systems change approach to scaling medications for opioid use disorder (MOUD) across 120 prisons in 12 states. The research team will test two promising cost-effective, scale-up implementation approaches for their effectiveness in implementing MOUD in prison settings, policy levers and multisite learning collaboratives. These approaches…
Read MoreOptimizing Opioid Use Disorder Treatment in Prisons: Strategies for Diagnosis and Shared Decision-Making
This study takes place in the largely rural Washington state prison system. This project tests two distinct strategies: first, a practical approach for screening for and diagnosing OUD.: Diagnosing OUD is a prerequisite to offering treatment, but identification of OUD in prisons is more challenging than in jails and non-carceral medical settings. This project is…
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