Community-Based, Client-Centered Prevention Homes to Address the Rural Opioid Epidemic (012)

The goal of this research is to estimate the effects of increased Medicaid availability for adults released from prison in Wisconsin on treatment access, use, and outcomes for opioid use disorder (OUD). Specifically, we will investigate the degree to which two policy changes affecting Medicaid eligibility for low-income, childless adults were associated with increased use of medication assisted treatment (MAT) by adults with opioid use disorder during the first six months after release from prison. We will create a novel longitudinal database comprised of Wisconsin Medicaid claims data, linked to administrative and correctional health systems data for a retrospectively defined cohort of adults who were incarcerated and released from a state prison between 2013-17. This will allow an in-depth analysis of the utilization of medication assisted treatment (MAT) by people diagnosed with opioid use disorder during community re-entry. This work has the potential to inform health policy nationally by documenting health gains and potential reductions in recidivism that may result from increased access to MAT through expansion of Medicaid.

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Facilitating Opioid Care Connections through System Level Strategies to Improve Use of Medications and Linkages to Care Drug Courts across New York (031)

This study is evaluating strategies to implement New York’s new opioid court model (OCM) in ten counties across the state. New York’s OCM was developed by the Unified Court System and provides practice guidelines for drug courts to reduce overdose, decrease recidivism, and improve service delivery and linkages to medications for opioid use disorder (MOUD) for justice-involved individuals across the state. The goal of the study is to develop, evaluate, and refine implementation strategies to support the OCM practice guidelines to be scaled up across New York.

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