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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February 2023Harm reduction for people who use drugsHarm reduction is a philosophy and set of policies and practices centered on any positive change for a person using drugs, as expressed and defined by them. It meets people where they are and empowers them to address the reasons for their use as well as the use itself. Harm reduction is a mindset, human rights issue, and framework for action to reduce the harmful effects of drug use and any risky behavior, and does not promote these activities in and of themselves. This brief answers the question 'Why harm reduction?' and reviews evidence-based practices to reduce harm for people who use drugs.Harm reductionPolicy brief
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January 2023From crisis to care: Michigan's evolving behavioral health ecosystemWhen someone experiences a mental health emergency, our response can provide a pathway to treatment or exacerbate their challenges. Michigan has made progress in helping people in crisis access integrated, high-quality care—and we have much further to go. During this webinar, key leaders on the forefront of this work talked about how state and local agencies, providers, and communities are partnering on whole system responses, ensuring those in need have someone to call, someone to respond, and a place to go.Crisis responseVideo
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January 2023CareConnect 360: Enhancing safety for jails and justice-involved patientsCareConnect360 (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.OtherPolicy brief
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November 2022Assessing County Level Behavioral Health and Justice Systems with the Sequential Intercept Model Practices, Leadership, and Expertise ScorecardThe 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.DiversionPublication
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October 2022Michigan Reentry (MI-REP) final aggregate reportThis report covers five years of the Michigan Re-entry Project (MIREP) in Kent, Macomb, Monroe, Oakland, and Wayne counties (May 1, 2017 – April 30, 2022). MIREP had three program branches: MIREP Traditional, MIREP-Virtual, and Peer Assisted Linkage (PAL). This report examines each of the four goals of MIREP and how they were addressed in programming.ReentryReport
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September 2022Client attitudes toward virtual treatment courtAs 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 reductionPublication
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September 2022Prevalence and correlates of incarceration following emergency medical services response to overdoseAdministrative 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 reductionPublication
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July 2022Summer 2022 NewsletterThis 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.DiversionReentryTreatment ecosystemsYouth justiceWayne County jail/mental health initiativeNewsletter
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July 2022Dual public health crises: the overlap of drug overdose and firearm injury in Indianapolis, Indiana, 2018 - 2020Drug 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 reductionPublication
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May 2022Behavioral health and crisis response trainings for law enforcement officersThe 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 responsePolicy brief