Improving Overdose Prevention and Treatment in the Criminal Legal System
JCOIN supports researchers working in partnership with criminal legal system and behavioral health treatment professionals to build the evidence base for effective SUD service delivery, implementation, and dissemination. Each JCOIN study addresses a specific gap in the SUD care cascade, at one or more intercept points including jails, prisons, community corrections, problem-solving courts, and juvenile justice agencies. The studies evaluate the effectiveness and/or implementation of behavioral interventions, digital therapeutics, comprehensive patient-centered treatments, and medications for opioid use disorder (MOUD) in communities throughout the United States.
JCOIN research projects vary in size, complexity, and duration, from small pilot studies to large multisite clinical trials. JCOIN 1.0 projects were conducted between 2019-2025. JCOIN 2.0 studies were launched beginning in 2025.
Browse all projects, or use the filtering tools below for more information about JCOIN studies.

Feasibility of Collecting Digital Mobility Data for Research (067)
Researchers studying opioid use disorder (OUD), especially among populations who have been arrested or incarcerated, have a difficult time recruiting…
Post-Release Overdose Outcomes in Los Angeles County (066)
The goal of this study is to examine fatal overdoses among people who have experienced incarceration in Los Angeles County…
Testing a Behavioral Health Literacy Intervention (065)
A major knowledge gap is that we do not understand whether incarcerated individuals understand the role of Behavioral Health Disorders…
Pilot Test of a Coach Extender Platform (064)
Coaching is identified as an active ingredient in learning collaboratives and has been one of the more successful implementation strategies…
Health Economics Analyses of JCOIN Clinical Trials (063)
JCOIN will generate real-world evidence to address the unique needs of people with opioid use disorder (OUD) in justice settings….
Analysis of Sublingual vs Injectable Buprenorphine Pre-Release (062)
This study adds a quasi-control arm to JCOIN 034, a clinical trial comparing extended release naltrexone (XR-NTX) to extended release…
Using Narrative and Misinformation Correction to Improve Staff Attitudes toward MOUD in Correctional Settings (061)
This study seeks to inform intervention efforts by examining which communication strategies can improve attitudes toward MOUD among correctional staff…
Testing a Specialized Reproductive Health and Substance Use Intervention for Girls involved in the Juvenile Justice System (060)
Court-involved non-incarcerated (CINI) girls comprise 80% of juvenile justice involved girls and face high sexual health and substance use risk,…
Expanding Access to Methadone Treatment for Justice Involved Individuals through Video Direct Observed Therapy (059)
Patients with Opioid Use Disorder (OUD) who are recently released from prison are at high risk of overdose when they…