JCOIN Research

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…

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…

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…

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…