Safe by Design: An Exploration of Jail-Based Injury Across New York City.

Research studies on injuries within the jail setting are few and far between. Perhaps the assumption that violent offending and violent victimization precede injury explains the limited attention. We suggest that there is a need for more empirical investigations that distinctly focus on jail-based injury. Using monthly correctional health metrics for New York City jail facilities between January 2017 and June 2019, we performed negative binomial regression modeling to explore the facility-level predictors of injury evaluation reports (IERs). Findings showed that youth-centric jails reduced the likelihood of IERs by 89% and health care-centric jails reduced the likelihood of IERs by 91%. Findings support the use of specialized facilities to mitigate injuries in jail. However, further examinations into the underlying mechanisms of specialized facilities that reduce injury are still required to meet the immediate needs of people who are incarcerated in jails.

Opioid Agonist Treatment Recipients within Criminal Justice-Involved Populations.

Background: In 2014, nearly 2.5 million Americans had a substance use disorder for opioids (e.g., prescription pain medication or heroin) with over half estimated to have had prior contact with the criminal justice system. Despite strong evidence that opioid agonist treatment (OAT) is effective in reducing overdose, increasing treatment retention, and improving physical health and well-being outcomes, the use of OAT among justice-involved individuals is relatively rare. Methods: The current study uses national data of publicly funded admissions to substance abuse treatment to assess the extent to which OAT is used for cases referred to treatment by the criminal justice system. We explore the relationship between demographics, substance use severity, and access to treatment and OAT receipt. Results: Findings indicate that fewer than 6% of criminal justice cases received OAT as part of the treatment plan. Those with daily substance use, comorbid psychiatric problems, prior treatment, females, Latinos, and those who were older and those who were living independently were more likely to receive OAT, as were those living in the Northeast and with government health insurance. Conclusions: Improving the integration of the criminal justice system with substance use treatment programs would improve access to care and potentially reduce multiple health disparities faced by those in the justice system. As criminal justice responses to substance use disorder move toward a public health approach, it is imperative that the criminal justice system consider mechanisms for improving access and referrals to OAT.