Research

Explore our library of research products including academic publications, reports on research and outcomes, policy briefs, videos of webinars, animations, and more. Research products are organized by initiative and/or by type, with the most recent items at the top of the list. Search by topic with the search bar at the top of the page.
 
  • January 2023
    CareConnect 360: Enhancing safety for jails and justice-involved patients
    CareConnect360 (CC360) is a web application that contains Medicaid data for physical and behavioral health services created with the goal of improving coordination of care for Medicaid beneficiaries by providing a platform for cross-system information to be accessed. This brief describes how to use CC360 within a jail, what types of data are available, and future system improvements.
    Diversion
    Policy brief
  • November 2022
    Assessing County Level Behavioral Health and Justice Systems with the Sequential Intercept Model Practices, Leadership, and Expertise Scorecard
    The Sequential Intercept Model has helped conceptualize interventions for people with serious mental illness in the criminal/legal system. This paper operationalizes the Sequential Intercept Model into a 35-item scorecard of behavioral health and legal practices. Using interviews, survey, and observational methods, the scorecard assesses an exploratory sample of 19 counties over 27 independent data collections. A series of ordinary least squares regression models assessed the predictor scores on four jail outcomes: prevalence of serious mental illness, length of stay, connections to treatment, and recidivism. Increases in pre-booking scores showed significant decreases in jail prevalence of serious mental illness at the p < 0.05 level, and post-booking scores and overall scores showed significant positive associations with connections to treatment at the p < 0.05 level, though these were non-significant after correcting for multiple comparisons. Preliminary findings suggest a combination of practices across the Sequential Intercept Model could have synergistic impacts on key jail diversion outcomes.
    Diversion
    Publication
  • September 2022
    Prevalence and correlates of incarceration following emergency medical services response to overdose
    Administrative records on 192,113 EMS incidents and 70,409 jail booking events occurring between January 1, 2019 and December 31, 2020 in Indianapolis, Indiana were record-linked at the event level. Incarceration in county jail followed one in ten overdose-involved EMS responses. As illicit drug consumption increasingly involves stimulants, the frequency of incarceration following these events is likely to increase. Policy changes and interventions are needed to reduce incarceration after overdose emergencies.
    Harm reduction
    Publication
  • September 2022
    Client attitudes toward virtual treatment court
    As a response to the COVID-19 pandemic, many treatment courts shifted to offering teleservices. Even though virtual experiences were more comfortable than in-person experiences for clients, the results are nuanced and show preference for some in-person connections as they transitioned to virtual connections. Future research should examine how to improve client connections with staff/group members during virtual court or treatment sessions, particularly as courts and treatment providers are likely to continue some services virtually into the future.
    Harm reduction
    Publication
  • July 2022
    Dual public health crises: the overlap of drug overdose and firearm injury in Indianapolis, Indiana, 2018 - 2020
    Drug overdose and firearm injury co-spatially concentrate within census tracts. Moreover, drug overdoses are associated with future firearm injury. Interventions to reduce firearm injuries and drug overdoses should be a co-response in high drug overdose-high firearm injury communities.
    Harm reduction
    Publication
  • July 2022
    Summer 2022 Newsletter
    This special edition newsletter is focused on assisted outpatient treatment (AOT), and the release of the AOT toolkit. In partnership with Michigan's Mental Health Diversion Council, the CBHJ has launched an AOT Toolkit designed to provide resources needed for effective AOT programs. Many individuals living with serious mental illness do not adhere to treatment recommendations, increasing their risk for high utilization of ERs, frequent contact with law enforcement, and more. AOT is a legal mechanism for providing outpatient treatment to individuals living with severe mental illness whose non-adherence places them at risk for negative outcomes.
    Other
    Newsletter
  • May 2022
    Formalizing advisory boards to facilitate criminal legal system change
    Facilitating meaningful, long-lasting change at the intersection of the behavioral health and criminal legal systems is a community-wide effort that requires dedicated leaders with a clear, shared vision. Many communities have multiple groups working toward similar goals, often overlapping efforts and expending scarce resources. Creating a formal advisory board provides a framework to engage, develop, and sustain effective change across systems, bridging communication between siloed groups. Bringing leaders together through a formal advisory board is a practical approach to improving the experiences of individuals with behavioral health concerns who encounter the criminal legal system.
    Diversion
    Wayne County jail/mental health initiative
    Policy brief
  • May 2022
    Behavioral health and crisis response trainings for law enforcement officers
    The Michigan Mental Health Diversion Council and the Center for Behavioral Health and Justice recommend increased training for law enforcement, EMS, and corrections officers to enhance mental health knowledge and de-escalation skills. This brief provides descriptions of and contact information for various recommended trainings such as Behavioral Health Emergency Partnership (BHEP) and Crisis Intervention Team (CIT) and offers recommendations for improving training practices.
    Crisis response
    Policy brief
  • May 2022
    Interdisciplinary Partnership Series: Crisis Response
    This webinar, as part of the Interdisciplinary Partnership Series, focuses on crisis response collaboration efforts within the State of Michigan. Representatives from MCOLES, MDHHS, Center for Behavioral Health and Justice, CIT International and The Cardinal Group II will share information related to crisis response partnerships, associated data and information, and training opportunities for first responders, law enforcement, and behavioral health staff.
    Crisis response
    Video
  • April 2022
    County Jails' Responses to COVID-19: Practices, Procedures, and Provisions of Behavioral Health Services
    This exploratory, mixed-methods study describes 20 county jails' responses to the pandemic across Michigan and presents a case study of one rural jail to examine changes in booking trends and behavioral health needs and services. Qualitatively, jails decreased their population at the outset of the pandemic via early releases, reconsideration of bond, and reductions in arrests. Quantitatively, the greatest prevalence of serious mental illness was found during the spring (initial shutdown period), which had the lowest weekly booking rates. Bookings occurring during the spring were significantly related to felony charges and drug/alcohol charges while individuals were less frequently booked because of violations. Past year recidivism significantly decreased from the winter to summer phase. Policy should mandate that jails screen for behavioral health problems and provide access to behavioral health services, while also expanding diversion opportunities during and after a pandemic. Innovations in continuity of care are critical for both behavioral and public health needs given the high risk for suicide, overdose, and viral spread after release from jail.
    Diversion
    Publication