JCOIN Research
A national survey of barriers and facilitators to medications for opioid use disorder among legal-involved veterans in the Veterans Health Administration.
Budget Impact Tool for the Incorporation of Medications for Opioid Use Disorder into Jail/Prison Facilities
Given the personal and public consequences of untreated/undertreated OUD among persons involved in the justice system, an increasing number of jails and prisons are incorporating medication for opioid use disorder (MOUD) into their system. Estimating the costs of implementing and sustaining a particular MOUD program is vital to detention facilities, which typically face modest, fixed…
Read MoreAntecedents of Fatal Overdose in an Adult Cohort Identified through Administrative Record Linkage in Indiana, 2015-2022
The United States continues to experience unprecedented rates of overdose mortality and need to identify effective policies or practices that can be implemented. This study aims to measure the prevalence, frequency, timing, and rate of touchpoints that occurred prior to a fatal overdose where communities might intervene. In collaboration with Indiana state government, we conducted…
Read MoreCOVID-19 impact on opioid overdose after jail release in Massachusetts
Release from incarceration is a high-risk period for opioid overdose. Concern about COVID-19 spread in jails led to early releases; it is unknown whether pandemic era releases of persons with opioid use disorder (OUD) contributed to increases in community overdose rates. Observational data compared overdose rates three months after release among jailed persons with OUD…
Read MoreEnding the HIV Epidemic for Persons Who Use Drugs: The Practical Challenges of Meeting People Where They Are
The four-pillar evidence-based EHE plan’s primary goal is to reduce the number of new HIV infections by 90% by 2030 and includes recommendations to (1) test everyone for HIV; (2) treat those who test positive with RAPID antiretrovirals and ensure viral suppression; (3) prevent those who test negative with provision of rapid PrEP and syringe…
Read More“And Then COVID Hits”: A Qualitative Study of How Jails Adapted Services to Treat Opioid Use Disorder During COVID-19
ils in Massachusetts are among the first nationwide to provide correctional populations with medications to treat opioid use disorder (MOUD). The COVID-19 pandemic caused jails to pivot and adapt MOUD programming. To facilitate continued access to MOUD, both during incarceration and also at community reentry, jail staff quickly implemented changes in MOUD regulations and dosing…
Read MoreThe adoption and sustainability of digital therapeutics in justice systems: A pilot feasibility study
This study explored whether participants with substance use disorder (SUD) would adopt and use a smart-phone app with a cognitive behavioral therapy program, weekly Brief Addiction Monitor (BAM) assessments, daily check-ins, tools to track sobriety and treatment, and other patient-centered resources. In addition, participants with SUD could access a social worker and peer support specialists.
Read MoreThe impact of COVID-19 on the treatment of opioid use disorder in carceral facilities: a cross-sectional study
This survey study assessed changes to OUD treatment, telemedicine use, and re-entry support services among carceral and CTPs participating in the National Institute on Drug Abuse (NIDA)-funded study, Long-Acting Buprenorphine vs. Naltrexone Opioid Treatments in Criminal Justice System-Involved Adults (EXIT-CJS) study. During the COVID-19 pandemic, this small sample of carceral and CTP sites innovated to…
Read MoreMedication-Assisted Treatment in Problem-solving Courts: A National Survey of State and Local Court Coordinators
This paper reports on a national survey of PSCs (N = 42 state-wide court coordinators; N = 849 local court coordinators) and examines the structural factors that could explain the likelihood of a local PSC authorizing medication-assisted treatment (MAT) and MAT utilization. Results of the analyses indicate that MAT availability at the county level was…
Read MoreIncreasing availability of COVID-19 vaccine to older adults under community supervision
Vaccinating adults who are involved with the carceral system, particularly those aged 55 or older, is crucial to containing the COVID-19 pandemic in the USA, particularly as variants continue to emerge and spread. Improving access to the Covid-19 vaccine and boosters among those aged 55 or older is critical to mitigating the public health consequences…
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