Table 5 Resources needed to expand MOUD and facilitate community linkages
From: The impact of the opioid crisis on U.S. state prison systems
| Â | Percent |
|---|---|
Help addressing stigma and negative attitudes towards MOUD Additional funding for | 91% |
 Medication | 100% |
 Resources needed to prevent diversion | 100% |
 Clinical staff to administer and monitor MOUD | 95% |
 Transportation to MOUD | 81% |
MOUD in the community | 81% |
Education | |
 Probation/Parole staff | 86% |
 State/local politicians and other key stakeholders | 81% |
 Inmates | 76% |
 Correctional staff | 76% |
 Clinical staff/physicians | 76% |
 General community | 71% |
 Pregnant w omen | 71% |
 Judges | 67% |
 DOC administrators | 62% |
 Churches | 62% |
 District attorneys | 52% |
 Other | 33% |
Inside the walls | |
 Logistics | |
  Minimize diversion | 91% |
  Establish systems to screen people | 86% |
  Implement ECHO/Telemedicine | 67% |
  Become licensed OTP | 62% |
  Test for illicit drug use | 57% |
  Obtain waivers | 52% |
 Medication related | |
  Add medical staff | 91% |
  Match needs with type of MOUD | 81% |
  Arrange dosing of methadone and/or bup by community program | 76% |
  Switch between types of MOUD | 71% |
  Supervise oral administration of MOUD | 62% |
  Administer, monitor, store medication | 62% |
  Establish MOUD in pregnancy program | 57% |
  MOUD administration | 52% |
Re-entry support | |
 Funding for MOUD post-release | 95% |
 Same-day access to MOUD | 86% |
 Provision of MOUD continuity of care upon re-entry into communities without MOUD | 86% |
 Access to employment | 86% |
 Solutions to regulatory, insurance, or managed care limits for post-release continuation of MOUD | 81% |
 Access to sober-housing | 81% |
 Reactivation and/or application for Medicaid to help with re-entry | 81% |
 Access to ID | 57% |
 MOUs for re-entry services | 48% |
 Strategies for building community partnerships and establishing agreements for MOUD post-release | 48% |