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Examining the factors associated with sustaining jail-based programs linking to community-based Medication for Opioid
Margaret McGladrey1, Michael Goetz2, Julie Nakayima2
1University of Kentucky, Lexington, USA. margaret.mcgladrey@uky.edu.
Health & Justice
|July 7, 2026
Summary
Sustaining jail-based opioid use disorder programs after funding ends is challenging. Linkage success rates dropped significantly post-intervention, highlighting the need for ongoing support and data infrastructure.
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 with federal support.
Purpose of the Study:
- To assess the maintenance and impact of jail-based linkage programs for opioid use disorder (OUD) patients post-reentry.
- To identify factors influencing the continued delivery and reach of these programs.
Main Methods:
- Longitudinal study examining five jails that sustained linkage program staff.
- Compared linkage success rates during intervention and sustainment phases.
- Conducted interviews with linkage staff supervisors.
Main Results:
- Successful linkage to community treatment decreased from 11.8% during intervention to 4.9% during sustainment.
- Ongoing challenges included restricted eligibility, reduced clinical offerings, and data collection inconsistencies.
- Initial implementation factors like training and support continued to influence sustainment.
Conclusions:
- Sustaining jail-based OUD linkage programs requires enduring technical assistance and robust data-tracking infrastructure.
- Preliminary implementation conditions significantly shape long-term program reach and effectiveness.
- Addressing healthcare cost concerns and maintaining data integrity are crucial for program continuity.
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