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

项目摘要 COVID-19有可能加剧美国持续的阿片类药物流行，但 大流行还提供了一个机会，可以尝试改变阿片类药物治疗的方式， 在全国各地提供服务。目前的大流行导致了一系列的 前所未有的政策措施，关键是要了解快速变化的影响， 法律、法规和政策对阿片类药物使用障碍（OUD）患者的影响，特别是 那些与刑事司法系统有关的人 运用法律来支持而不是阻碍获得治疗，需要有证据表明 法律的杠杆帮助和伤害，并在每一个适用的法律状态的清晰映射 辖区法律的流行病学-法律作为一个因素的科学研究和部署， 疾病和伤害的原因，分布和预防-提供了一个创新的 理解这些政策的积极、消极和附带影响的框架 人口健康的变化。 研究小组将使用法律的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- 于2019冠状病毒病大流行期间与刑事司法系统有关的相关政策。法律的 数据将被公布，并免费提供给所有用户下载，包括JCOIN网络 评估这些不断演变的法律的措施对健康结果的影响， 时间 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