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

项目摘要 运用法律来支持而不是阻碍获得治疗，需要有证据表明哪些法律的杠杆有所帮助 以及每一个适用司法管辖区的法律状况的清晰地图。法律的流行病学 - 对作为疾病的起因、分布和预防因素的法律的科学研究和运用 和伤害-提供了一个创新的框架，以了解积极的，消极的， 这些政策变化对人口健康的附带影响。没有比这两个更好的例子了 代表法律对公共卫生影响的相关性，而不是COVID-19的融合 大流行和阿片类药物在美国的流行。COVID-19加剧了许多现有的弱点， 阿片类药物治疗模式，特别是那些为我们最脆弱的人群服务的模式，如刑事司法， 参与人口。在布朗大学研究中心寻求改善 阿片类药物使用障碍（MOUD）的循证药物治疗的连续性， 坦普尔大学比斯利学院公共卫生法研究中心的研究人员 法律使用法律的流行病学和政策监测措施，以科学的法律的数据，对COVID-19的法律 以及影响阿片类药物使用障碍患者的政策。除了布朗号捕获的结果数据外， 大学研究中心和其他JCOIN研究人员，CPCOIN的法律的数据旨在帮助 评估COVID-19期间法律对涉及司法的个人中MOUD治疗的影响。虽然这 法律的数据已公布，可供研究人员免费下载，以评估这些措施的影响。 随着时间的推移，关于健康结果的法律的措施不断演变，需要做更多的工作，以确保这一至关重要的 法律的数据是公平的--可查找、可访问、可互操作和可重用。 依靠这些法律的数据和研究团队在基于云的平台技术方面的集体专业知识， 该项目将对一种创新的对等（P2P）网络体系结构进行负载测试，并将现有的法律的 将数据集转换为更有组织的集中式数据索引。这反过来又将带来新的和创新的功能， 大幅降低托管成本，缩短数据调用时间，并提供更简单的数据协调工具， 研究人员都与公平的原则保持一致。

Project Summary 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. There are no two greater examples representing the pertinence of the impact of law on public health than the confluence of the COVID-19 pandemic and the opioid epidemic in the United States. COVID-19 exacerbated many existing weaknesses in opioid treatment models, especially those serving our most vulnerable populations like the criminal justice- involved population. Following the lead of the Brown University research hub’s project seeking to improve the continuum of evidence-based medications for opioid use disorder (MOUD) care for justice involved individuals, researchers at the Center for Public Health Law Research (CPHLR) at the Temple University Beasley School of Law used legal epidemiology and policy surveillance measures, to scientific legal data on COVID-19 laws and policies impacting the individuals with opioid use disorder. Alongside outcome data captured by the Brown University research hub and other JCOIN researchers, the CPHLR legal data is intended to be used to help evaluate the impact of law on MOUD treatment among justice-involved individuals during COVID-19. While this legal data is published and freely available for download for researchers to evaluate the impact of these evolving legal measures on health outcomes over time, more work needs to be done to ensure that this crucial legal data is FAIR – findable, accessible, interoperable, and reusable. By relying on this legal data and the research team’s collective expertise in cloud-based platform technology, this project will load-test an innovative Peer-to-Peer (P2P) network architecture and move the existing legal datasets to a more organized centralized data index. This will in turn bring new and innovative functionalities to drastically reduce hosting costs, improve call times for data, and supply easier data harmonization tools for researchers all while aligning with the FAIR principles.