Evaluation of Enhanced Primary Care and Opioid Use Disorder Treatment for Justice-involved Individuals Transitioning from Jail to Improve Opioid Treatment Cascade (038)


Study Information

The Yale University JCOIN Research Center is studying whether the Transitions Clinic Network (TCN) program, which provides enhanced primary care and OUD treatment for people recently released from incarceration, improves services along the opioid treatment cascade. In TCN, formerly incarcerated community health workers are embedded within primary care teams and address social determinants of OUD, provide social support, help patients build trust in the health system, and advocate in interactions with the criminal justice system.

The intervention provides both a primary care home and support for a variety of important social needs (including housing, food access, and social support) as individuals re-enter the community. Individuals will be recruited from six jails in Connecticut, Minnesota, New York, North Carolina, and Puerto Rico.

Study Settings: Jails/Prisons, Treatment/Healthcare Settings

Study Locations: Connecticut, Minnesota, New York, North Carolina, Puerto Rico

Study Team


Emily Wang, MD, MAS
Yale University School of Medicine

Health Agency Partner:

Tyler Booth, LCSW
InterCommunity Health Care

Justice Agency Partner:

Kathleen Maurer
Connecticut Department of Corrections

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Study Aims

• Compare the effectiveness of TCN to standard primary care for individuals with OUD

• Measure impacts on MOUD initiation, engagement, and retention

• Measure outcomes including opioid use, overdose, healthcare utilization, and recidivism

• Estimate the cost and cost effectiveness of the TCN model

• Identify barriers and facilitators to helping individuals transition into TCN services

Research Type

Clinical Trial, Linkage Strategies