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.
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October 2020Impact of COVID-19 Pandemic on Drug Overdoses in IndianapolisWe described the change in drug overdoses during the COVID-19 pandemic in one urban emergency medical services (EMS) system. Overdose CFS and EMS naloxone administration showed an increase with the social isolation of the Indiana stay-at-home order, but a continued increase after the stay-at-home order was terminated. Despite a mild 4% increase in all EMS CFS, overdose CFS increased 43% and CFS with naloxone administration increased 61% after the stay-at-home order. Deaths from drug overdoses increased by 47%. There was no change in distribution of age, race/ethnicity, or zip code of those who overdosed after the stay-at-home order was issued.Harm reductionPublication
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September 2020COVID-19 testing, contact tracing and discharge planning within county jails in MichiganThe goal of this toolkit is to provide the experience and knowledge gained thus far in Wayne County and other county jails across the state by developing COVID-19 Mitigation Strategies. These strategies aim to provide key information towards implementation along with considerations and recommendations based on experiences with the Wayne County Jail efforts. This toolkit focuses instead on four critical COVID-19 Mitigation Strategies: COVID-19 Testing Vaccines, Community Contact Tracing, Information Sharing, and Discharge Planning & Decarceration (Re-entry).OtherToolkit
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September 2020Proactive Response to Overdose and Appropriate Connections to Treatment (PROACT)Opioid-related overdose events often require an emergency first response to administer naloxone, and research suggests individuals who use illicit opioids are at high risk for a repeated non-fatal overdose and fatal overdose. An interface with a first responser presents an opportunity for a public health response; however, there is rarely an attempt to link these individuals into subsequent treatment or services, even when there is a suspected substance use disorder or opioid use disorder. The Center for Behavioral Health and Justice is helping to bridge the gap to treatment and other potential programs following a non-fatal overdose event by outlining, implementing, and evaluating community-based post-overdose programs.Crisis responsePresentation
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September 2020Statewide Toxicology Surveillance ReportThis report presents toxicology test results from fatal overdose events in Indiana between January 1, 2018 - April 4, 2020.OtherReport
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July 2020Summer 2020 NewsletterA new generation reacts to structural racism; COVID-19 in the Michigan Youth Justice System: Crisis, Response & Opportunity; Special Report reviews jail incarceration in the Wayne County Jail; CBHJ convenes hundreds of community partners for inaugural Opioid Treatment Ecosystem Summit; and more.DiversionReentryTreatment ecosystemsYouth justiceWayne County jail/mental health initiativeNewsletter
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May 2020COVID-19 in the Michigan Youth Justice System Crisis, Response, & OpportunityThe rise in the number of COVID-19 cases in Michigan has highlighted public health concerns for youth in detention centers and residential placements. Congregate living facilities are inherently high-risk environments for viral spread, and three juvenile facilities have already reported confirmed COVID-19 cases. Young people are housed closely together in pods, units or dormitory-style housing, precisely the kind of conditions that have raised concerns about nursing homes and prisons, and led to the closure of universities all over the country. Youth and facility staff in confined settings face challenges in keeping themselves safe by engaging in the proactive measures recommended by the Centers for Disease Control and Prevention (CDC), such as social distancing, frequently washing hands, or staying in sanitized spaces, while still being able to participate in daily activities that require movement within the facilities (mealtimes, educational programming, etc.). Youth with pre-existing conditions such as asthma, diabetes, or another chronic or serious illness that put them at a higher risk for contracting the virus are particularly vulnerable.Youth justiceReport
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May 2020Stepping Up Technical Assistance Data Outcomes and Technical Assistance Processes Across Five Stepping Up CountiesThis report describes SU technical assistance services provided and highlights data outcomes across the first five counties engaged with the CBHJ. These outcomes were analyzed from the results of standardized screening instruments collected on a sample of individuals as they booked into each county jail. The screening instrument detected symptoms of severe mental illness (SMI) using the Kessler-6 (K6), substance use disorder (SUD), co-occurring mental illness and substance use disorders (COD), recidivism, and housing stability. Results of current jail processes for identifying SMI are also presented, along with the process for providing follow-up referral and services to those with SMI.DiversionReport
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May 2020OTE Community of Practice Summit - May 5, 2020The Opioid Treatment Ecosystem Communities of Practice Virtual Summit took place on Tuesday, May 5, 2020 from 9:00 am - 11:00 am. Many thanks to the hundreds of attendees who participated in the summit, our partners and OTE Communities.Treatment ecosystemsSummit
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February 2020Women in Michigan JailsThis report uses pilot data from ten Michigan counties to examine demographics, behavioral health outcomes, and diversion program experiences of women during and after jail stays. Analyses compare women and men, and women of color and white women, to assess differences by sex and race. While the State of Michigan currently lacks the data infrastructure to comprehensively assess jails across all 83 counties, this report provides robust estimates about the jail system statewide.DiversionReport
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January 2020Evaluating the implementation of a prisoner re-entry initiative for individuals with opioid use and mental health disorders: Application of the consolidated framework for implementation research in a cross-system initiativehe purpose of the study is to assess the fit of the Consolidated Framework for Implementation Research (CFIR) to a cross-system initiative, and to identify key barriers and facilitators to implementation. The process evaluation showed that adaptability of the clinical model and staff flexibility were critical to implementation. Cultural and procedural differences across correctional facilities and community-based treatment programs required frequent and structured forums for cross-system communication. Challenges related to recruitment and enrollment, staffing, MAT, and data collection were addressed through the collaborative development and continuous review of policies and procedures. This study found CFIR to be a useful framework for understanding implementation uptake and barriers. The framework was particularly valuable in reinforcing the use of implementation research as a means for continuous process improvement. CFIR is a comprehensive and flexible framework that may be adopted in future cross-system evaluations.ReentryPublication