Table 5 Helpful insights

(1) Visit/Speak with jails who have similar characteristics (average daily population, number of buildings, proximity to OTP) and implemented MOUD

 • It can reduce your chance of having to switch models, that can drive up implementation costs

 • Learn from their experience with license and accreditation

(2) Build relationships with your local OTP

 • Knowing the community OTPs and what they offer can create an easier transition for release

(3) Understand what the vendors are offering

 • Develop a contract that pays for bundled services (i.e., will vendor ensure medication continuity post release? )

 • Provide a reasonable patient capacity

 • What type of service(s)? (i.e.,maintenance, induction or both)

 • What is the cost difference using vendor staff vs. jail staff to create ITS services or build the dispensary?

(4) Educate/Train staff on OUD

 • Should it be a recurring training? (i.e., annual)

(5) Potential Space

 • Is there space not being used to have a dispensary

 • Can one room serve more than one purpose?