TY - JOUR
T1 - Recovery support specialists inside the jail
T2 - a program description of treatment engagement for opioid use disorder
AU - Martin, Matthew
AU - Phillips, Megan A.
AU - Saxon, Mary
AU - Love, Kailey
AU - Cessna, Laurie
AU - Woodard, Deborah L.
AU - Page, Mary
AU - Curry, Kenneth
AU - Paone, Alyssa
AU - Pennington-Stallcup, Bobbie
AU - Riley, William
N1 - Funding Information:
This study was supported by funding from the US Department of Health and Human Services Substance Abuse and Mental Health Services Administration (Grant ID: 1H79TI081534-01). The authors declare no potential conflicts of interest with respect to the authorship and/or publication of this paper.
Publisher Copyright:
© 2021, Emerald Publishing Limited.
PY - 2021/11/17
Y1 - 2021/11/17
N2 - Purpose: People living with opioid use disorder (OUD) disproportionately encounter the criminal justice system. Although incarcerated individuals with OUD face higher risk for withdrawals, relapses and overdoses, most jails fail to offer comprehensive medications for OUD (MOUD), including recovery support services and transition of care to a community provider. The purpose of this paper is to describe the development and implementation of a comprehensive MOUD program at a large county jail system in Maricopa County, Arizona. Design/methodology/approach: The authors used the Sequential Intercept Model (SIM) to develop a community-based, multi-organizational program for incarcerated individuals with OUD. The SIM is a mapping process of the criminal justice system and was applied in Maricopa County, Arizona to identify gaps in services and strengthen resources at each key intercept. The program applies an integrated care framework that is person-centered and incorporates medical, behavioral and social services to improve population health. Findings: Stakeholders worked collaboratively to develop a multi-point program for incarcerated individuals with OUD that includes an integrated care service with brief screening, MOUD and treatment; a residential treatment program; peer support; community provider referrals; and a court diversion program. Recovery support specialists provide education, support and care coordination between correctional and community health services. Originality/value: OUD is a common problem in many correctional health centers. However, many jails do not provide a comprehensive approach to connect incarcerated individuals with OUD treatment. The Maricopa County, Arizona jail system opioid treatment program is unique because of the ongoing support from recovery support specialists during and after incarceration.
AB - Purpose: People living with opioid use disorder (OUD) disproportionately encounter the criminal justice system. Although incarcerated individuals with OUD face higher risk for withdrawals, relapses and overdoses, most jails fail to offer comprehensive medications for OUD (MOUD), including recovery support services and transition of care to a community provider. The purpose of this paper is to describe the development and implementation of a comprehensive MOUD program at a large county jail system in Maricopa County, Arizona. Design/methodology/approach: The authors used the Sequential Intercept Model (SIM) to develop a community-based, multi-organizational program for incarcerated individuals with OUD. The SIM is a mapping process of the criminal justice system and was applied in Maricopa County, Arizona to identify gaps in services and strengthen resources at each key intercept. The program applies an integrated care framework that is person-centered and incorporates medical, behavioral and social services to improve population health. Findings: Stakeholders worked collaboratively to develop a multi-point program for incarcerated individuals with OUD that includes an integrated care service with brief screening, MOUD and treatment; a residential treatment program; peer support; community provider referrals; and a court diversion program. Recovery support specialists provide education, support and care coordination between correctional and community health services. Originality/value: OUD is a common problem in many correctional health centers. However, many jails do not provide a comprehensive approach to connect incarcerated individuals with OUD treatment. The Maricopa County, Arizona jail system opioid treatment program is unique because of the ongoing support from recovery support specialists during and after incarceration.
KW - Correctional health care
KW - Criminal justice system
KW - Drug abuse
KW - Opioid substitution therapy
KW - Post-release care
KW - Reintegration
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U2 - 10.1108/IJPH-12-2020-0102
DO - 10.1108/IJPH-12-2020-0102
M3 - Article
AN - SCOPUS:85106265224
SN - 1744-9200
VL - 17
SP - 497
EP - 508
JO - International Journal of Prisoner Health
JF - International Journal of Prisoner Health
IS - 4
ER -