Abstract Issue In Alaska, crime associated with substance misuse is a massive public health and safety concern costing over $2.3 billion annually. Government officials make substantial investments to address this challenge but have little ability to monitor the long-term effectiveness of these interventions. Treatment providers are also stifled by minimal feedback regarding their lasting impact. While government databases exist that contain relevant information related to long-term treatment outcomes, low knowledge transfer continues to occur between these big data systems and treatment providers. Description To determine if emerging database technology can effectively monitor long-term recidivism outcomes, a prototype was implemented by Alaska’s leading treatment provider, Set Free Alaska. The Recidivism Tracking Interface is an innovative database system that strategically connects treatment records with the criminal justice system database. While maintaining high confidentiality and security standards, the first-of-its-kind interface assessed long-term recidivism outcomes of Set Free Alaska’s former clients from 2010 to 2023. Results Of those who successfully completed treatment (n = 970), only 12.06% were convicted of a new crime with an average of 1,167 days between discharge and new criminal charges. The current recidivism rate in Alaska is 66.3%. In addition to recidivism outcomes, the interface also revealed data incredibly useful for informing treatment services and relapse prevention practices. The Recidivism Tracking Interface effectively demonstrated that advanced computing systems can be utilized to monitor long-term outcomes in a manner that was previously unavailable to treatment providers. Lessons In the age of advanced cloud computing and generative AI, treatment providers around the world and their government partners can overcome current knowledge transfer barriers to monitor long-term outcomes in a manner that is automated, inexpensive, and easy to use. Key messages • Advanced computing offers new opportunities to improve long-term outcome monitoring. • Expanding secure access to relevant government databases can ultimately improve treatment outcomes and advance outcome-based funding models.
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