Trial reportJournal of substance use and addiction treatment2026
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.
Trial report in Journal of substance use and addiction treatment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
33 authors.
Funding
Abstract
introductionThis article examines whether the Communities That HEAL (CTH) intervention implemented by the HEALing (Helping to End Addiction Long-term®) Communities Study (HCS) expanded Medication for Opioid Use Disorder (MOUD) in jails and linkage to MOUD upon release.
methodsCommunities 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.
resultsAt 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.
conclusionsMost 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.
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