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Jail-based Treatment for Opioid Use Disorder in the Era of Bail Reform: a Qualitative Study of Barriers and Facilitators to Implementation of a State-wide Medication Treatment Initiative by Noa Krawczyk; Sachini Bandara; Sydney Merritt; Hridika Shah; Alexandra Duncan; Brendan McEntee; Maria Schiff; N. Jia Ahmad; Sara Whaley; Amanda Latimore; Brendan Saloner is a Medicine article available to read on EtoBox.

What is Jail-based Treatment for Opioid Use Disorder in the Era of Bail Reform: a Qualitative Study of Barriers and Facilitators to Implementation of a State-wide Medication Treatment Initiative about?

## Background Until recently, few carceral facilities offered medications for opioid use disorder (MOUD). Although more facilities are adopting MOUD, much remains to be learned about addressing implementation challenges related to expansion of MOUD in carceral settings and linkage to care upon re-entry. This is particularly important in jails, where individuals cycle rapidly in and out of these facilities, especially in jurisdictions beginning to implement bail reform laws (i.e., laws that remove the requirement to pay bail for most individuals). Increasing access to MOUD in these settings is a key unexplored challenge. ## Methods In this qualitative study, we interviewed staff from county jails across New Jersey, a state that has implemented state-wide efforts to increase capacity for MOUD treatment in jails. We analyzed themes related to current practices used to engage individuals in MOUD while in jail and upon re-entry; major challenges to delivering MOUD and re-entry services, particularly under bail reform conditions; and innovative strategies to facilitate delivery of these services. ## Results Jail staff from 11 New Jersey county jails participated in a baseline survey and

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Author

Noa Krawczyk; Sachini Bandara; Sydney Merritt; Hridika Shah; Alexandra Duncan; Brendan McEntee; Maria Schiff; N. Jia Ahmad; Sara Whaley; Amanda Latimore; Brendan Saloner

Publisher

Springer Science and Business Media LLC

Published

2022

Language

EN

Field

Medicine (Health Sciences)