Using Implementation Interventions and Peer Recovery Support to Improve Opioid Treatment Outcomes in Community Supervision

在社区监督中利用实施干预措施和同伴康复支持来改善阿片类药物治疗结果

• 批准号: 10188053
• 负责人: Lauren Brinkley-Rubinstein
• 金额: $ 18.47万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-01 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10188053
• 关键词: 2019-nCoV; Affect; Area; Buprenorphine; COVID-19; COVID-19 pandemic; Centers for Disease Control and Prevention (U.S.); Code; Communities; Complex; Country; Criminal Justice; Data; Data Set; Development; Disease Outbreaks; Epidemiology; Evaluation; Event; Future; Goals; Health; Health Services Accessibility; Health system; Home environment; Improve Access; Individual; Injury; Intervention; Laws; Legal; Legal Intervention; Manuscripts; Measurement; Measures; Medicaid; Methadone; Opioid; Outcome; Policies; Population; Process; Publishing; Recovery; Regulation; Research; Research Personnel; Supervision; Surveillance Methods; System; Time; Treatment outcome; United States; Update; Variant; Washington; disorder prevention; dosage; experimental study; health care delivery; improved; innovation; longitudinal dataset; member; novel coronavirus; operation; opioid epidemic; opioid use disorder; outreach; pandemic disease; peer; population health; symposium; telehealth; treatment services; waiver; webinar

Project Summary COVID-19 threatens to exacerbate the ongoing opioid epidemic in the United States, but the pandemic has also provided an opportunity to experiment with changes in how opioid treatment services are delivered around the country. The current pandemic has resulted in a flurry of unprecedented policy measures, and it is crucial to understand the impact that rapid changes in law, regulation, and policy are having on individuals with opioid use disorder (OUD), particularly those involved with the criminal justice system. Deploying law to support, rather than hinder access to treatment requires evidence of which legal levers help and which hurt, and a clear mapping of the state of the law in every applicable jurisdiction. Legal epidemiology – the scientific study and deployment of law as a factor in the cause, distribution, and prevention of disease and injury in a population – provides an innovative framework to understanding the positive, negative, and incidental effects of these policy changes on population health. The research team will use legal epidemiology and policy surveillance methods to collect and systematically code laws, regulations, executive orders, Medicaid waivers, and other opioid- related policies relevant to the criminal justice system during the COVID-19 pandemic. The legal data will be published and freely available for download for all users, including JCOIN network members, to evaluate the impact of these evolving legal measures on health outcomes over time. 1

项目摘要 COVID-19可能会加剧美国正在进行的阿片类药物流行病，但 大流行还提供了尝试改变阿片类药物治疗方式的机会 服务在全国各地提供。当前的大流行导致 前所未有的政策措施，了解快速变化的影响至关重要 法律，法规和政策对患有阿片类药物使用障碍（OUD）的人有，特别是 那些参与刑事司法系统的人。 部署法律来支持，而不是阻碍治疗的机会，这需要证据 法律杠杆的帮助和哪些伤害，并在每个适用 管辖权。法律流行病学 - 法律的科学研究和部署是一个因素 人群中疾病和伤害的原因，分布和预防 - 提供创新的 了解这些政策的正面，负面和附带影响的框架 人口健康的变化。 研究小组将使用法律流行病学和政策监视方法来收集和 系统地编码法律，法规，执行命令，医疗补助厂商和其他阿片类药物 - 与刑事司法系统相关的相关政策在COVID-19-19大流行期间。法律 数据将被发布并免费为所有用户提供下载，包括JCOIN网络 成员，评估这些不断发展的法律措施对健康结果的影响 时间。 1