Table 3 Training and Resources Needed to Expand MOUD in Jails and Facilitate Community Linkages
Percent | |
|---|---|
Additional funding needed for | |
Medication | 81% |
Clinical staff to administer and monitor MOUD | 80% |
Resources needed to prevent diversion | 76% |
Transportation to MOUD | 65% |
MOUD in the community | 61% |
Education needed | |
State/local politicians and other key stakeholders | 68% |
Probation/Parole staff | 67% |
General community | 67% |
Correctional staff | 65% |
People who are incarcerated | 65% |
Pregnant women | 61% |
Judges | 61% |
Clinical staff/physicians | 60% |
Department of Corrections administrators | 57% |
District attorneys | 55% |
Churches | 41% |
Other | 10% |
Help needed to address stigma and negative attitudes toward MOUD | 69% |
Needs inside jails | |
Logistical | |
Minimize diversion | 64% |
Establish systems to screen people for OUD | 57% |
Become licensed opioid treatment provider | 55% |
Implement ECHO/Telemedicine | 44% |
Obtain waivers | 43% |
Test for illicit drug use | 36% |
Clinical | |
Add medical staff | 71% |
Match needs with type of MOUD | 62% |
Switch between types of MOUD | 60% |
Supervise oral administration of MOUD | 52% |
Arrange dosing of methadone and/or buprenorphine by community program | 49% |
Administer, monitor, store medication | 48% |
Establish MOUD in pregnancy program | 47% |
MOUD administration | 45% |
Re-entry support needs | |
Funding for MOUD post-release | 70% |
Same-day access to MOUD | 69% |
Solutions to regulatory, insurance, or managed care limits for post-release continuation of MOUD | 69% |
Access to sober housing | 69% |
Access to employment | 65% |
Provision of MOUD continuity of care upon re-entry into communities without MOUD | 63% |
Reactivation and/or application for Medicaid to help with re-entry | 58% |
Access to state identification | 57% |
Strategies for building community partnerships and establishing agreements for MOUD post-release | 55% |
MOUs for re-entry services | 52% |