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Examining the factors associated with sustaining jail-based programs linking to community-based Medication for Opioid User Disorder (MOUD) treatment.

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Examining the Factors Associated with Sustaining Jail-based Programs Linking to Community-based Medication for Opioid

Margaret McGladrey1, Michael Goetz1, Julie Nakayima1

  • 1University of Kentucky.

Research Square
|June 22, 2026
PubMed
Summary

Sustainment of jail-based opioid use disorder programs is challenging. Factors like funding, eligibility, and data collection impact continued linkage to medication treatment, highlighting the need for ongoing support.

Keywords:
Opioid use disorderimplementation sciencejail healthcarelinkage facilitationmedications for opioid use disorderreentrysustainment

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Area of Science:

  • Implementation Science
  • Public Health
  • Criminal Justice Health

Background:

  • Limited research exists on sustaining evidence-based interventions in carceral settings post-funding.
  • This study extends prior work on establishing jail-based programs for opioid use disorder (OUD) treatment linkage.

Purpose of the Study:

  • To assess the maintenance and impact of jail-based OUD linkage programs after initial implementation funding.
  • To identify factors influencing the continued delivery and reach of these programs.

Main Methods:

  • A mixed-methods approach was used, analyzing data from five jails that sustained linkage staff.
  • Quantitative data compared linkage success rates during intervention and sustainment phases.
  • Qualitative data from staff supervisor interviews explored sustainment challenges and influencing factors.

Main Results:

  • Successfully linked participants decreased from 11.8% during the intervention phase to 4.9% during sustainment.
  • Key implementation factors (training, support, services, systems) continued to affect program reach.
  • Program sustainability was hindered by eligibility restrictions, reduced clinical offerings, and data management issues.

Conclusions:

  • Sustaining jail-based OUD linkage programs requires addressing ongoing implementation challenges.
  • Enduring technical assistance and robust surveillance systems are crucial for monitoring program impact.
  • These programs are vital components of the comprehensive opioid use disorder continuum of care.