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 initative 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.
 
  • March 2022
    Cross-systems data integration in Michigan counties
    Data integration brings together information from multiple sources to enhance collective knowledge among stakeholders, increase data-driven decision-making and foster continued collaboration across community systems. By building a sustainable data system and technical infrastructure, stakeholders can routinely track and report on outcomes of interest including prevalence of persons with behavioral health concerns in the jail, length of jail stay, connections to mental health and substance abuse treatment, and recidivism.
    Diversion
    Policy brief
  • March 2022
    Medications for opioid use disorder in county jails: Support and resources for Sheriff's Offices considering implementation
    Evidence suggests that medications for opioid use disorder and corresponding psychosocial services are the gold standard of treatment for opioid use disorder and are highly effective at reducing overdose risk and recidivism and promoting long-term and sustainable recovery. County jails serve as a pivotal touchpoint where behavioral health partners can intervene with people who have an OUD by providing access to these medications and services. This resource sheet is intended for local sheriff's offices that want to learn more about best practices for the treatment of OUD and are seeking guidance on how to implement these services in their county jail.
    Treatment ecosystems
    Resource
  • March 2022
    Data Integration in Michigan Counties Lunch and Learn
    One component of the technical assistance the CBHJ provides focuses on the utilization of cross-systems community data to track progress on an on-going basis - a process referred to as data integration. County data integration systems bring together information from multiple sources, including community behavioral health and criminal legal, to generate regular reports that provide stakeholders with updates on key measures that define progress such as prevalence of mental illness in jails.
    Diversion
    Video
  • February 2022
    Developing a cascade of care for opioid use disorder among individuals in jail
    The overdose epidemic persists as a public health crisis in the United States. Jails are a critical overdose prevention touchpoint. Administrative data including screening, booking, and medication information were used to develop a cascade-of-care. Screening rates varied dramatically by facility, with integration into the jail records management system showing the best outcomes. The prevalence of OUD identified from the RODS was 8.1% and did not vary significantly by facility. Nearly one third (31.3%) of those identified as having an OUD were dispensed medications, with two-thirds receiving methadone and the remaining third buprenorphine. The average length of stay for all screened individuals was two weeks, compared to two months for those who received an MOUD.
    Treatment ecosystems
    Publication
  • February 2022
    Perception of Resource Allocations to Address the Opioid Epidemic
    Despite billions of dollars spent on opioid policy initiatives, public knowledge of evidence-based policies to reduce opioid-related morbidity remain low. Consequences of this knowledge gap for support of initiatives remains understudied. Our objective was to evaluate how participants with and without lived experience allocate funding for initiatives to address the opioid epidemic. A secondary objective was to collect proof-of-concept data of an informational intervention designed to improve support for evidence-based policies.
    Harm reduction
    Publication
  • February 2022
    Administrative jail release during COVID-19
    Since 1991, administrative jail release (AJR) has been regularly utilized to address jail overcrowding by accelerating the release process for some individuals in the Wayne County Jail. At the start of the COVID-19 pandemic, criteria for AJR was expanded in order to decrease transmission in the jail facilities and to prioritize individuals with serious medical conditions that would be more vulnerable to contracting the virus. A committee of stakeholders including judges, prosecutors, attorneys representing detainees at large1, and jail medical staff was formed at the start of pandemic to review releases.
    Wayne County jail/mental health initiative
    Policy brief
  • February 2022
    Evaluation of Administrative Jail Release Practices During the COVID-19 Pandemic
    As COVID-19 ripped through the country in March 2020, the Wayne County Sheriff's Office and the Detroit Police Department were some of the first local organizations to experience devastating contagion and loss from the virus. Recognizing that Wayne County Jails had the potential to become a COVID-19 superspreading site, Chief Judge Timothy Kenny of the Third Circuit Court took extraordinary measures to protect the health and safety of Wayne County Jail inmates and staff.
    Wayne County jail/mental health initiative
    Report
  • February 2022
    Jail and overdose: assessing the community impact of incarceration on overdose
    This study examined the overall impact of jail incarceration on overdose, the specific hazard for those booked on a syringe-related charge and the proportion of all overdose decedents in the community who were in the jail prior to death. A cohort study of fatal overdose outcomes among a sample of individuals booked into and released from jail between 1 January 2017 and 31 December 2019 in Marion County, Indiana. Of all overdose deaths in the county, 21% had been in the county jail within 2 years prior to their death. Each prior booking increased the hazard of mortality by approximately 20%, while the presence of a syringe charge at most recent booking prior to release more than tripled the hazard of mortality.
    Harm reduction
    Publication
  • February 2022
    Medications for Opioid Use Disorder in the Criminal/Legal System: Knowledge, Beliefs, and Attitudes Among Rural Community-Based Stakeholders
    The aim of this study was to describe rural community stakeholders' attitudes and perceptions of providing medication for opioid use disorder (MOUD) to individuals in the criminal/legal system. Data were utilized from a technical assistance initiative aimed at strengthening community-based OUD treatment within criminal/legal systems. MOUD training was associated with endorsing the effectiveness of methadone, oral naltrexone, and injectable naltrexone. Three primary themes emerged from the stakeholder interviews: 1) acceptance of MOUD uptake; 2) stigma of MOUD and diversion concerns; and 3) gaps in MOUD treatment. Most interviewees noted that there is a scarcity of treatment options in their community, and among the existing services, there are considerable barriers to care.
    Treatment ecosystems
    Publication
  • January 2022
    Interdisciplinary Partnerships Series: Center for Behavioral Health and Justice
    This webinar is part four of the Interdisciplinary Partnership Series hosted by the Mental Health Diversion Council Mental Health Partnership and Collaboration Webinar Series. Topics covered in this webinar include: overview and history of the Center of Behavioral Health and Justice, examination of Michigan’s crisis response systems, the Stepping Up, initiative and the County Data Dashboard.
    Diversion
    Crisis response
    Video