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.
 
  • 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
    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
    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
  • January 2022
    Understanding Procedures for Behavioral Health in Carceral Settings
    Carceral settings differ from typical behavioral health settings in organizational structure, associated security measures, and overall goals. It is important for providers to understand how to gain access to facilities, provide services aligned with security protocols, and communicate effectively to develop long-lasting, high-quality partnerships that ensure people receive the services they need while incarcerated. Similarly, correctional facilities should understand the rules and regulations that providers must follow to ensure their patients' needs are met and that high quality services are provided. Together, service providers and correctional facilities can work in harmony to maintain security and provide people with high quality behavioral health services during incarceration. Speakers include Captain Julie Massengill, Jail Administrator, Monroe County Sheriff's Office; Adam Anastasoff, Jail Diversion Supervisor, Monroe Community Mental Health Authority; Renee Casey, Director of Community Corrections Services, Washtenaw County; Captain Lindsay Cole, Jail Administrator, Kent County Sheriff.
    Treatment ecosystems
    Video
  • January 2022
    Lost in Transition: The Behavioral Health Needs of Veterans in Eight County Jails
    In a booking sample across eight jails, this evaluative, cross-sectional study compared veterans to non-veterans by demographics, criminal/legal outcomes, behavioral health needs, and receipt of jail-based behavioral health and discharge planning services. Veterans were more likely to be male, older, to have received mental health services prior to their jail stay, and to misuse alcohol. They are less likely to have insecure housing and misuse drugs. No differences existed for length of stay in jail nor recidivism. Veterans were equally likely to receive jail-based behavioral health services, but less likely to receive discharge planning services. Practitioners in the criminal/legal and mental health systems need to collaborate and develop processes that successfully identify and link veterans to culturally-appropriate services.
    Diversion
    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
  • December 2021
    Crisis event dispositions following a crisis response team intervention
    Between January 1, 2018 and December 31, 2019, the CRT self-dispatched to mental/behavioral health-related 9-1-1 calls. Most CRT events involved persons who were White, male, and an average of 39.3 years old. Most crises were mental health, followed by self-harm, and substance use. Events were generally resolved at the scene; over a quarter resulted in immediate detention, followed by voluntary transport, and arrest. Crisis type was a significant predictor of event dispositions. Homelessness was also a significant predictor of arrest.
    Harm reduction
    Crisis response
    Publication
  • December 2021
    Michigan statewide emergency dispatch survey
    This brief is the result of a partnership between the Center for Behavioral Health and Justice (CBHJ), the National Emergency Number Association, and the Association of Public-Safety Communications Officials. In 2021, the CBHJ administered an online survey (N=114) to Public Service Telecommunicators (PSTs) to understand the state's emergency dispatch system. Included here are the survey findings and recommendations to improve crisis response through dispatch.
    Crisis response
    Policy brief
  • November 2021
    COVID-19 testing for justice-involved persons
    This video aims at debunking common myths and stigmas among justice-involved persons and COVID-19. Ultimately, this video seeks to help jails implement COVID-19 safety guidelines and ultimately reduce the spread of COVID-19 in jails and beyond.
    Diversion
    Other
    Animation