The impact of the communities that HEAL intervention on the provision of jail-based medication for opioid use disorder & linkage programs at release: Results from a randomized, wait-list controlled trial.
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Oser Carrie B, Sprunger Joel G, Hunt Tim, Holloway JaNae, Chandler Redonna K, Freisthler Bridget, Balvanz Peter, Henry Brandy F, Glasgow LaShawn, Harris Daniel R, Walsh Sharon L, Aldridge Arnie P, Asman Kat, Blevins Derek, Booty Marisa D, Fox Aaron D, Springer Sandra A, Kinnard Elizabeth N, Knott Charles, LeBaron Patricia A, Levin Frances R, Marks Katherine R, McGladrey Margaret L, Nunes Edward V, Oga Emmanuel A, Smith Marissa R, Smith Myrinda S, Staton Michele, Stevens-Watkins Danelle, Surratt Hilary L, Walters Scott T, Zarkin Gary A, Friedmann Peter D
Аннотация
METHODS: Communities were randomized to the CTH intervention group (N = 34) to implement an integrated set of community coalition-selected evidence-based practices or to the wait-list control group (N = 33). A three-wave survey of jail administrators assessed changes in jails' provision of OUD-related services. Community-level generalized estimating equation (GEE)-based Poisson models regressed the effect of the CTH intervention on whether a community's jail (1) inducts clients onto MOUD and (2) links to MOUD on release.
RESULTS: At baseline, more wait-list control communities' jails, compared to intervention communities' jails, inducted people on MOUD (75.9 % vs 63.3 %) and linked to MOUD upon release (79.3 % vs 66.7 %). During the evaluation period (July 2021 to June 2022), 71.0 % of CTH jails inducted people on MOUD (compared to 63.3 % at baseline), and 90.3 % of CTH jails linked persons to MOUD on release (compared to 66.7 % at baseline). Adjusted analyses detected no significant effect of the CTH intervention on MOUD induction or linkage.
CONCLUSIONS: Most CTH communities implemented linkage programs in jails. Compared to wait-list control communities, intervention communities' jails showed no difference in providing MOUD. Community coalitions can play an important role in facilitating MOUD linkage during reentry.