Transitions of care between jail-based medications for opioid use disorder and ongoing treatment in the community: A retrospective cohort study
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View abstract on PubMed
Summary
This summary is machine-generated.Medications for opioid use disorder (MOUD) in jail increase community treatment continuity after release. However, significant gaps remain, especially for those new to MOUD, highlighting an urgent need for improved reentry care.
Area Of Science
- Public Health
- Addiction Medicine
- Criminal Justice Health
Background
- Medications for opioid use disorder (MOUD) reduce overdose deaths in carceral settings.
- Continuity of MOUD after jail release is not well understood.
- This study assesses MOUD continuation post-incarceration.
Purpose Of The Study
- To determine the relationship between in-jail MOUD and MOUD continuity in the month following jail release.
- To identify factors associated with MOUD discontinuation after release.
Main Methods
- Retrospective cohort study using linked NYC jail EHR and Medicaid claims (2011-2017).
- Compared MOUD receipt within 30 days of release for individuals with and without in-jail MOUD.
- Examined effect modification by pre-incarceration MOUD history.
Main Results
- 52.8% received MOUD at jail release.
- 30% with in-jail MOUD continued community treatment vs. 7% without (RR: 2.62).
- 69% with prior MOUD and in-jail MOUD continued treatment vs. 9% without prior MOUD.
Conclusions
- In-jail MOUD strongly predicts community treatment continuity.
- A significant gap exists in MOUD continuity upon reentry, particularly for those initiating MOUD in jail.
- Improving MOUD continuity for this population is a critical public health priority given rising overdose deaths.
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