Table 2 Site Goals for the NIATx vs. ECHO Study (Clark et al., 2023)

Screened

 Improve/implement screening procedures to be able to identify individuals with OUD

 Increase the number of screenings with incarcerated individuals to identify OUD (n = 5)

In need of treatment

 Implement MOUD within the jail

 Setup an opioid treatment program (OTP) within the jail

 Increase the number of individuals connected to MOUD through use of flyer/hotline number

Referred to treatment (none)

Initiation of treatment

 Increase the # of individuals receiving MOUD medication (n = 4)

 Add buprenorphine induction to existing MOUD and scale it to all appropriate residents (n = 5)

 Increase MOUD treatment with buprenorphine for those in need

 Transition from suboxone to sublocade to improve efficiencies including staff time/diversion(n = 2)

 Co-staff all incoming bookings with community service providers and jail medical to increase number of people on MOUD (n = 2)

 Hire a medical doctor (MD) to begin doing MOUD initiation/inductions

 Increase nursing staff to expand capacity for MOUD care

 Make peer support more consistently available to those with OUD

Treatment engagement (in corrections facility)

 Increase interdisciplinary jail staff communication and coordination of care for MOUD patients

 Increase the number of individuals continuing with suboxone while incarcerated

 Increase the number of inmates staying on buprenorphine when transferred to other DOC facilities rather than taper off

Continuing care (transition to community)

 Improve the warm handoff to local community treatment providers upon release (n = 3)

 Increase the number of community partners the jail has connections to

 Increase connection to community resources upon discharge (n = 8)

 Increase the rate in which individuals relate to community MOUD clinic (n = 3)

 Create a bridge script protocol for release to the community (n = 2)

 Implement care navigators to improve linkage to MOUD in the community

 Increase the distribution of naloxone kits at release for individuals who request or have been diagnosed with OUD

 Increase community providers presence in jail to improve coordination of care upon release

 Increase jail staffs’ knowledge and awareness of MOUD services and providers in the community

General

 Create formal protocol for pregnant women (n = 2)

 Track those suspended from jail program for violations and to create consistent policy

 Track recidivism back to jail of previous jail MOUD patients