Table 1 Community characteristics, existing practices, and evidence-based practices implemented by three Ohio county jails participating in the HEALing Community Study
| Â | County 1 | County 2 | County 3 |
|---|---|---|---|
Urban/rural | Urban | Urban | Rural |
Population | > 800 000 | > 1 million | > 50 000 |
Existing opioid overdose education and naloxone distribution (OEND) services | None | Naloxone kits upon release | None |
Existing medication for opioid use disorder (MOUD) services | Continue MOUD for those receiving it pre-jail | Injectable naltrexone for inmates with OUD | None |
Implemented OEND strategies | Four jail-based OEND strategies | None | One jail-based OEND strategy |
Implemented MOUD strategies | • Buprenorphine for individuals who are incarcerated and have OUD • Peer-based linkage to post-release MOUD | • Buprenorphine (injectable) for individuals who are incarcerated and have OUD • Peer-based linkage to post-release MOUD • Peer support and contingency management to increase MOUD retention | • Continue MOUD for individuals who are incarcerated who had been receiving it pre-jail • Buprenorphine or injectable naltrexone for individuals who are incarcerated and have OUD* • Housing support to improve MOUD retention |