Justice Community Opioid Innovation Network (JCOIN): TCU Clinical Research Center

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Project Summary/Abstract The aims of the Parent Grant are to (1) Increase access to (referral rate increase) and retention in (appointments kept) in appropriate community behavioral health and medical services for reentering criminal legal system involved individuals who use or are at risk for using opioids, (2) Improve outcomes associated with public health (decreases in days and amount of illicit drug use, including opioids) and public safety (e.g., reductions in rearrest rates), (3) Compare 2 implementation approaches on systems-level outcomes designed to increase service initiation and receipt with respect to implementation (e.g., costs, attitudes of acceptability) and service outcomes (e.g., referral rates), and (4) Examine the relative impact of these two approaches on criminal legal system involved individual outcomes (e.g., services linkage, initiation and receipt, opioid use, other substance use, overdose, death, rearrest). Based on our proposed study, we will be able to identify which implementation strategy is most effective for rapid uptake and sustained use of EBPs based on the Opioid Treatment Linkage Model. The specific aims of the Administrative Supplement are to (1) Measure the prevalence rates of multilevel stigmas among correctional staff and clients. (2) Examine the impact of multilevel stigma on cascade of care and public health outcomes among clients reentering society, and (3) examine the impact of multilevel stigma on public safety outcomes among clients reentering society.