Search

The purpose of this research is to investigate Veterans Treatment Courts' (VTCs) operation during the COVID-19 pandemic. Since March of 2020, there have been efforts to transition to a virtual world to guarantee criminal defendants their rights in court during this public health crisis. While many courts had to adapt to the changing conditions due to COVID-19, little is known about what these changes looked like for VTCs, if they varied from court to court, and whether these changes were successful. Through a nationwide survey of VTC courtroom actors such as judges, program coordinators, and Veterans Justice Outreach Specialists, we examine how VTCs' day-to-day operations changed during the COVID-19 pandemic as well as program retention and participants' success in the treatment program during a public health emergency. We discuss VTCs' lessons learned to inform other VTCs and specialty courts about best practices for continuing operations. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic is affecting mental health and substance use (MHSU) issues worldwide. The purpose of this study was to characterize the literature on changes in cannabis use during the pandemic and the factors associated with such changes. Methods: We conducted a scoping review by searching peer-reviewed databases and grey literature from January 2020 to May 2022 using the Arksey and O'Malley Framework. Two independent reviewers screened a total of 4235 documents. We extracted data from 129 documents onto a data extraction form and collated results using content analytical techniques. Results: Nearly half (48%) of the studies reported an increase/initiation of cannabis use, while 36% studies reported no change, and 16% reported a decrease/cessation of cannabis use during the pandemic. Factors associated with increased cannabis use included socio-demographic factors (e.g., younger age), health related factors (e.g., increased symptom burden), MHSU factors (e.g., anxiety, depression), pandemic-specific reactions (e.g., stress, boredom, social isolation), cannabis-related factors (e.g., dependence), and policy-related factors (e.g., legalization of medical/recreational cannabis). Conclusion: Public health emergencies like the COVID-19 pandemic have the potential to significantly impact cannabis use. The pandemic has placed urgency on improving coping mechanisms and supports that help populations adapt to major and sudden life changes. To better prepare health care systems for future pandemics, wide-reaching education on how pandemic-related change impacts cannabis use is needed. [ABSTRACT FROM AUTHOR]