Evidence map›Paper›PMID 36538121›Full record

ArticleHealth & justice2022

Availability of best practices for opioid use disorder in jails and related training and resource needs: findings from a national interview study of jails in heavily impacted counties in the U.S.

Christy K Scott, Christine E Grella, Michael L Dennis, John Carnevale, Robin LaVallee

Abstract read
In one paragraph

Article in Health & justice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  13. A self-assessment of opioid use disorder services at a Pacific Northwest County jail.Substance abuse treatment, prevention, and policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Christy K ScottChestnut Health Systems, 221 W. Walton St, Chicago, IL, 60610, USA. cscott@chestnut.org.ORCID http://orcid.org/0000-0002-5233-4702
Christine E GrellaChestnut Health Systems, 221 W. Walton St, Chicago, IL, 60610, USA.
Michael L DennisChestnut Health Systems, 448 Wylie Dr, Normal, IL, 61761, USA.
John CarnevaleCarnevale Associates LLC, 4 Belinder Rd, Gaithersburg, MD, 20878, USA.
Robin LaValleeCarnevale Associates LLC, 4 Belinder Rd, Gaithersburg, MD, 20878, USA.

Funding

Improving Retention across the OUD Service Cascade upon Re-entry from Jail using Recovery Management CheckupsUG1DA050065 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI DENNIS, MICHAEL L., GRELLA, CHRISTINE E · 2019 to 2023
$9.3M
TRIALS Coordinating Center to Reduce Substance Use, HIV Risk Behaviors, & CrimeU01DA036221 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI DENNIS, MICHAEL L., SCOTT, CHRISTY K · 2013 to 2019
$5.6M
NIDA NIH HHS U01DA036221NIDA NIH HHS UG1 DA050065
6 · The paper itself

Abstract

backgroundJails are optimal settings in which to screen individuals for opioid use disorders (OUD) and provide needed services, especially medications for OUD (MOUD). This study sought to assess the availability of OUD "best practices" in jails located in counties heavily impacted by opioid overdose in the U.S. and their related training and resource needs. Counties were selected for study inclusion using two indicators of OUD severity: the absolute number and population rate of opioid overdose deaths. Structured interviews were completed with representatives from 185/244 (76%) of targeted counties and 185/250 (74%) of targeted jails in these counties. Ten OUD best practices were identified based on current treatment and practice guidelines. These include: screening for OUD; clinical assessment; medically managed withdrawal; MOUD administration; MOUD for pregnant people; counseling and wrap-around services; collaboration with community providers; assistance with Medicaid/insurance; re-entry services; and overdose prevention. Descriptive analyses examined the provision of any services and average percentage of services endorsed within best-practice categories, association of best-practice availability with community and jail characteristics, and related needs for training and resources.

resultsOver 70% of jail respondents indicated that some aspects of each of the ten OUD best practices were available within their jails, ranging from 71% using clinical assessment to 96% providing overdose prevention. However, there was considerable variability in the average percentage of items endorsed within each best-practice category, ranging from 38% of items regarding re-entry services to 88% of items regarding medically managed withdrawal. Availability of OUD best practices in jails also varied by community and jail characteristics. Jails reported the highest needs for funding for medication and clinical staff.

conclusionsPolicies are needed to address the identified gaps in availability of OUD best practices within jails. Training, technical assistance, and funding are needed to improve clinical capacity of jails to administer MOUD and to ensure continuity of care from jail to community, which are essential to reducing the risk of opioid-related overdose following release.

Indexed as

Best practicesJailMedication for opioid use disorder (MOUD)Opioid overdoseOpioid use disorder (OUD)Re-entry servicesTraining needs

Identifiers

PMID36538121
PMCPMC9763789

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.