Post-Release Opioid Trajectories After MOUD in Jail (006)


Study Information

Individuals with opioid use disorder (OUD) who are released from correctional settings are at high risk for overdose, infectious diseases (HIV, hepatitis C), and premature death. A key strategy to address the opioid epidemic among correctional populations is to increase access to medication for addiction treatment (MAT).

The goal of this administrative supplement to Drug Injection Surveillance and Care Enhancement for Rural Northern New England (DISCERNNE) (PI: Friedmann, DA044830), is to gain understanding of the trajectory of opioid use after release from jail for individuals who received medications for addiction treatment (MAT) while incarcerated. This study will provide post-incarceration trajectories of opioid use among justice-involved individuals and examine the association with in-jail MAT treatment, individual factors, and subsequent community-based treatment in rural Massachusetts. The primary outcome is the trajectory of post-incarceration opioid use. Other long-term outcomes of interest include HIV/HCV risk behaviors, mortality, treatment access and utilization. Findings will inform efforts to expand MAT in correctional settings, including H4725 in Massachusetts that includes the creation of a two-year pilot program amongst six correctional facilities to expand access to MAT for patients with OUD in the criminal justice system.

Study Settings: Jails/Prisons

Grant number:  UG1DA050067

Link to NIH Reporter record:

Study Team

PI: Liz Evans, Peter Friedmann

Logo of Baystate Health and University of Massachusetts Medical School

Study Aims

• Determine post-release outcomes of individuals who received MAT while incarcerated (pre-release MAT condition) versus individuals who did not receive MAT while incarcerated (controls).

• Investigate individual characteristics and treatment factors associated with post-release MAT access, utilization, and outcomes among study participants who did and did not receive MAT while incarcerated.

Research Type

Accelerator Supplement