Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision

项目摘要 新冠肺炎威胁加剧美国正在进行的阿片类药物流行，但 大流行也提供了一个机会来试验如何改变阿片类药物的治疗 服务在全国各地提供。目前的大流行导致了一系列 史无前例的政策措施，理解快速变化对 法律、法规和政策正在对阿片类药物使用障碍(OUD)患者产生影响，特别是 那些参与刑事司法系统的人。 运用法律支持而不是阻碍获得治疗需要有证据证明 法律杠杆的帮助和伤害，以及在每个适用的法律状态的清晰映射 司法管辖权。法律流行病学--将法律作为一个因素进行科学研究和部署。 人群中疾病和伤害的原因、分布和预防-提供创新的 理解这些政策的积极、消极和附带影响的框架 人口健康方面的变化。 研究小组将使用法律流行病学和政策监测方法收集和 系统地编码法律、法规、行政命令、医疗补助豁免和其他阿片类药物- 新冠肺炎疫情期间刑事司法系统的相关政策。法律上的 数据将发布并免费供所有用户下载，包括JCOIN网络 成员们，评估这些不断演变的法律措施对健康结果的影响 时间到了。 1

Project Summary COVID-19 threatens to exacerbate the ongoing opioid epidemic in the United States, but the pandemic has also provided an opportunity to experiment with changes in how opioid treatment services are delivered around the country. The current pandemic has resulted in a flurry of unprecedented policy measures, and it is crucial to understand the impact that rapid changes in law, regulation, and policy are having on individuals with opioid use disorder (OUD), particularly those involved with the criminal justice system. Deploying law to support, rather than hinder access to treatment requires evidence of which legal levers help and which hurt, and a clear mapping of the state of the law in every applicable jurisdiction. Legal epidemiology – the scientific study and deployment of law as a factor in the cause, distribution, and prevention of disease and injury in a population – provides an innovative framework to understanding the positive, negative, and incidental effects of these policy changes on population health. The research team will use legal epidemiology and policy surveillance methods to collect and systematically code laws, regulations, executive orders, Medicaid waivers, and other opioid- related policies relevant to the criminal justice system during the COVID-19 pandemic. The legal data will be published and freely available for download for all users, including JCOIN network members, to evaluate the impact of these evolving legal measures on health outcomes over time. 1