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A Regional Learning Health System Approach to SUD Care in Criminal-Legal Systems
Recorded: Thursday, April 13, 2023 to Sunday, April 16, 2023
On-Demand Session
Overview
This 75-minute on-demand session from the ASAM 54th Annual Conference addresses the many sectors, policies, systems, and factors that affect the substance use disorder (SUD) care for individual involved in the criminal legal system.
Many sectors, policies, systems, and factors affect the substance use disorder (SUD) care for individual involved in the criminal legal system. This can lead to discoordination, delays in care, and lack of access to evidence-based services. An effort is underway in Cook County, IL to collectively embrace a regional learning health system (LHS) approach to improve care and outcomes for this population. This panel will describe the LHS framework, provide current examples of collaboration, and discuss strengths and challenges.
The target audience for this introductory level session includes physicians, nurse practitioners, physician assistants, other clinicians, researchers, residents, fellows, students, and counselors.
This session addresses the following ACGME Competencies: Practice-based Learning and Improvement, Systems-based Practice
This session addresses the following IOM Competencies:Work in interdisciplinary teams, Apply quality improvement
Learning Objectives
Upon completion, learners will be able to:
- define a learning health system (LHS).
- describe the application of the LHS framework to substance use disorder care for a specific population.
- describe examples of inequities in access to substance use disorder care for individuals involved in the criminal legal system.
Registration Rates
| Rate Description | Rate |
| ASAM Member | $29 |
| Non-Member | $39 |
| Associate Member | $19 |
| Resident Member* | $19 |
| Student Member* | $19 |
*Residents, Fellows-in-training, Interns, and Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.
Membership Question? Call ASAM at 1.301.656.3920, email us, or view the ASAM website for more information.
Refunds & Cancellations
All ASAM e-Learning Center refund requests must be made in writing to education@asam.org within 90 days of purchase. Those requesting refunds for courses that are in progress will receive partial refunds or e-Learning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.
Registration Deadline: 05/15/2026
Session Instructions
- Click on the Contents tab to watch the on-demand recording.
- Click Complete Post Test to answer multiple choice questions. Participants will have 10 attempts to pass and must answer 4 out of 5 questions correctly.
- Click Complete Evaluation to provide valuable activity feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
- Click the button Claim Medical Credits in the box titled Claim Credits & Certificate. Choose the type of credit and click submit. Click the button View/Print Certificate to save or print your certificate. You can view/print your certificate at any time by visiting the ASAM eLearning Center, clicking Dashboard, and clicking Transcript/Achievements.
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Dr. Juleigh Nowinski-Konchak, MD MPH
Attending Physician-Behavioral Health; Physician lead-MAT Collaborative, Cook County Health
Juleigh Nowinski Konchak MD MPH is a preventive medicine and public health physician at Cook County Health (CCH) where she is a physician leader for systems of care and treatment expansion for patients with substance use disorder. Juleigh is also Assistant Program Director for the Preventive Medicine Residency Program at CCH/Northwestern University.
Juleigh previously served as Medical and Community Health Lead for Addiction Services at Heartland Health Outreach, a healthcare for the homeless federally-qualified health center in Chicago. She has a master in public health degree from Northwestern University, completed her preventive medicine and public health residency at CCH in conjunction with Northwestern University, and attended the University of Illinois at Chicago College of Medicine. Prior to her medical training, Juleigh held several public sector roles in policy and public health including Director of Health Systems Integration with the Chicago Department of Public Health, Special Assistant to the Assistant Secretary for Health at the U.S. Department of Health and Human Services, and Health Policy Legislative Assistant at the Office of then-U.S. Senator Barack Obama.
Nicole Gastala, MD
Physician (UI Health/MSHC) and Medical Director (SUPR/IDHS)
UI Health Mile Square Health Center and the Division of Substance Use Prevention and Recovery of the Illinois Department of Human Services
Nicole Gastala, MD is a graduate of Loyola University Stritch School of Medicine in Chicago; she completed her residency at the University of Iowa in family medicine. Dr. Gastala is board certified in family medicine and addiction medicine. She is currently the Director of Behavioral Health and Addiction at Miles Square Health Center, an FQHC affiliated with the University of Illinois Hospital and Health Sciences System in Chicago, Illinois. In January 2021, Dr Gastala joined the Substance Use Prevention and Recovery Division of the Illinois Department of Human Services as the Medical Director.
Jordan Boulger, MA
Executive Assistant
Cook County Adult Probation Department
Jordan K Boulger MA, is the Executive Assistant for Administration and Research with the Cook County Adult Probation Department. He has 13 years of experience directing research and evaluation projects for statewide probation programs, overseeing large scale data collection, and implementing large scale programs. Mr. Boulger is the project manager for a federally funded recidivism reduction pilot project, using risk-needs-responsivity principles to focus on high-risk and violent individuals. He also oversees the implementation of a novel cognitive behavioral intervention for high-risk pretrial defendants, focused on addressing antisocial thinking and providing links to community resources. Mr. Boulger has worked closely with interagency groups focused on justice system reform and has developed partnerships to understand and address opioid overdose for people on probation in Cook County.
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Dr. Thomas Lyons, PhD
Chief Probation Officer, Cook County Adult Probation Department
Thomas Lyons, Ph.D. is the Chief Probation Officer of the Cook County Adult Probation Department, Chicago, Illinois. Prior to his appointment in 2018, he was director of research for the Circuit Court of Cook County, where he led the MacArthur Safety and Justice Challenge, an initiative to reduce the pretrial population detained in jail. He is a medical anthropologist by training, and has authored publications on topics including racial and ethnic disparities in Illinois drug arrests and case processing, substance abuse treatment, and HIV among incarcerated populations. He was the recipient of three National Institute on Drug Abuse grants for substance abuse treatment research. He holds a doctorate from the University of Chicago, and completed a post-doctoral fellowship in medical anthropology at the George Washington University in Washington, D.C.
CME, CE, CEU and Other Credit Types
ACCME Accreditation Statement
The American Society of Addiction Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AMA Credit Designation Statement
The American Society of Addiction Medicine designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
NAADAC, the Association for Addiction Professionals
This activity has been approved by the American Society of Addiction Medicine, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #295, ASAM is responsible for all aspects of the programming.
California Association for Drug/Alcohol Educators (CAADE)
This educational program is approved by CAADE: #CP40 999 1225.
California Association of DUI Treatment Centers (CADTP)
This educational program is approved by CADTP: #205.
California Consortium of Addiction Programs and Professionals (CCAPP)
This educational program is approved by CCAPP: #OS-20-330-1224.
Continuing Education Credits (CEUs)
Non-physician participants will receive a certificate of attendance upon completion of the activity and an online evaluation confirming their participation. Participants should submit his/her certificate of attendance to their professional organization/institute.
Maintenance of Certification / Continuing Certification Program
American Board of Preventive Medicine (ABPM)
The American Board of Preventive Medicine (ABPM) has approved this activity for 1.25 credits towards ABPM MOC Part II requirements.
American Board of Anesthesiology (ABA)
This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology TM (MOCA®) program, known as MOCA 2.0®.
American Board of Pediatrics (ABP)
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 1.25 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.
American Board of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn 1.25 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credits.
American Board of Surgery (ABS)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and/or Self-Assessment requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
American Board of Psychiatry and Neurology (ABPN)
Successful completion of this CME activity can be used to satisfy the American Board of Psychiatry and Neurology’s (ABPN) CME requirement for Maintenance of Certification program.
American Board of Addiction Medicine (ABAM)
Successful completion of this activity can be used to satisfy the American Board of Addiction Medicine (ABAM) for Tmoc as credits towards ABAM LLSA Part II requirements.
Royal College of Physicians and Surgeons of Canada (RCPSC)
Royal College Fellows can use participation in Accredited Continuing Medical Education to earn Section 3 Credits.
Disclosure Information
In accordance with disclosure policies of ASAM and the ACCME, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all CME/CE activities. These policies include mitigating all possible relevant financial relationships with ineligible companies for the Planning Committees and Presenters. All activity Planning Committee members and Presenters have disclosed relevant financial relationship information. The ASAM CE Committee has reviewed these disclosures and determined that the relationships are not inappropriate in the context of their respective presentations and are not inconsistent with the educational goals and integrity of the activity.
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