Yale University

The Yale University Hub will assess 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 the TCN model, formerly incarcerated community health workers are embedded within primary care teams, and they help to 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 reenter the community. Individuals will be recruited from five jails in Connecticut, Minnesota, New York, North Carolina, and Puerto Rico.

Study Details

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

Study Sites



New York

North Carolina

Puerto Rico

Study Settings

Jails (5)

Principal Investigator

Headshot of Emily Wang

Emily Wang

MD, MAS, Yale University School of Medicine


  • Tyler Booth, LCSW, InterCommunity Health Care
  • Hennepin Healthcare
  • Duke University
  • Montefiore Medical Center
  • University of Puerto Rico

Justice Agency Partners

  • Kathleen Maurer, Connecticut Department of Corrections