While jails and prisons provide critical opportunities to intervene with individuals with OUD, most individuals with an OUD do not receive treatment while they are incarcerated.
Despite the effectiveness of medications for opioid use disorder (MOUD), there is a lack of information about what is currently available, accessible, and used throughout the jail and prison systems of the US. To better address this gap, the NORC at The University of Chicago will study how prisons and jails across 24 jurisdictions are addressing opioid use disorder (OUD). The study will identify what strategies and protocols are being used, such as screening for OUD, availability of MOUD, managing withdrawal symptoms, and the use of evidence-based and specialized treatment strategies to support pregnant women with OUD. In addition, this study will identify variations in how evidence-based and other strategies are being implemented, gaps in the approaches, and needed resources.
Study Settings: Jails/Prisons
Bruce Taylor, PhD
NORC at The University of Chicago
• Understand how screening protocols are changing to identify individuals who likely have an OUD and are in need of MOUD treatment and assess if evidence-based practices are being used
• Assess if the types of MOUDs available are changing as well as the protocols for managing withdrawal symptoms and overdose prevention
• Identify if any special strategies are being used to manage OUD for pregnant women
• Examine what barriers jails face in providing treatment and facilitators and if this changes over time
• Examine how do jails/prisons allocate treatment resources and try to identify those who would benefit most from treatment, and determine if this is changing over time