PCSS-MOUD Live Webinar: Medications for Opioid Use Disorder in Jails, Prisons, and Reentry: Evidence and Practical Approaches-SLIDES

SLIDES

Pdf Summary

The document is a comprehensive presentation on "Medications for Opioid Use Disorder in Jails, Prisons, and Reentry," designed to provide evidence-based education and practical approaches for treating opioid use disorder (OUD) within the criminal legal system (CLS). Authored by Arthur Robin Williams, MD, MBE, and Peter Treitler, PhD, the presentation covers various aspects, including prevalence, treatment approaches, legal frameworks, and reentry challenges.<br /><br />Key educational objectives include describing the prevalence of OUD, understanding the use and benefits of medications for opioid use disorder (MOUD) in correctional facilities, comparing treatment options, and recognizing the legal and policy contexts that support MOUD expansion. The document emphasizes the importance of evidence-based treatment to reduce overdose risk post-release, given the heightened risk of fatal overdoses among those recently released from jail or prison.<br /><br />MOUD availability in jails and prisons varies across states, with few offering comprehensive treatment options. Legal actions and policy shifts, such as the extension of COVID-era flexibilities and support from professional associations, have facilitated the expansion of MOUD in CLS settings. The presentation also highlights the importance of personalized treatment plans and the need for continuity of care post-release, stressing the significance of transitional support services like peer navigators and case management.<br /><br />Further, the presentation discusses the pros and cons of various MOUD options—methadone, buprenorphine, and naltrexone—within the CLS, with particular attention to managing concerns like medication diversion. Finally, it underscores the necessity for team-based and holistic care approaches to address both medical and social needs of individuals with OUD in correctional facilities. The document concludes with summaries of implementation strategies and references for further reading on the subject.

Keywords

Opioid Use Disorder

Medications for Opioid Use Disorder

Criminal Legal System

Evidence-Based Treatment

Reentry Challenges

Legal Frameworks

Transitional Support

Methadone

Buprenorphine

Naltrexone