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

项目摘要 运用法律支持而不是阻碍获得治疗，需要有证据表明哪些法律杠杆起到了帮助作用 以及哪些伤害，以及每个适用司法管辖区的法律状况的清晰映射。法律流行病学 -科学地研究和部署法律作为疾病的起因、分布和预防的一个因素 和人群中的伤害-提供了一个创新的框架来理解积极、消极和 这些政策变化对人口健康的附带影响。没有比这更好的例子了 比起新冠肺炎的汇合，更能体现法律对公共健康影响的针对性 美国的大流行和阿片类药物流行。新冠肺炎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- 涉及的人口。在布朗大学研究中心的项目的领导下，寻求改善 阿片类药物使用障碍(MOUD)正义关怀循证药物的连续使用涉及个人， 坦普尔大学比斯利学院公共卫生法研究中心的研究人员 法律部利用法律流行病学和政策监测手段，科学提供新冠肺炎法律数据 以及影响阿片类药物使用障碍个人的政策。以及布朗捕获的结果数据 大学研究中心和其他JCOIN研究人员，CPHLR的法律数据旨在帮助 评估新冠肺炎期间法律对涉正义个人穆德待遇的影响。虽然这件事 法律数据已发布并可免费下载，供研究人员评估这些数据的影响 随着时间的推移，关于健康结果的法律措施不断演变，需要做更多的工作来确保这一至关重要的 法律数据是公平查找的、可访问的、可互操作的和可重复使用的。 依靠这些法律数据和研究团队在云平台技术方面的集体专业知识， 该项目将对创新的对等(P2P)网络架构进行负载测试，并将现有的合法 数据集到更有组织的集中式数据索引。这将反过来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，并提供更轻松的数据协调工具 研究人员在与公平原则保持一致的同时。

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.