Abstract：
OBJECTIVE: People living with opioid use disorder (OUD) disproportionately encounter the criminal justice system. Although incarcerated individuals with OUD face higher risk for withdrawals, relapses and overdoses, most jails fail to offer comprehensive medications for OUD (MOUD), including recovery support services and transition of care to a community provider. The purpose of this paper is to describe the development and implementation of a comprehensive MOUD program at a large county jail system in Maricopa County, Arizona.
METHODS: The authors used the Sequential Intercept Model (SIM) to develop a community-based, multi-organizational program for incarcerated individuals with OUD. The SIM is a mapping process of the criminal justice system and was applied in Maricopa County, Arizona to identify gaps in services and strengthen resources at each key intercept. The program applies an integrated care framework that is person-centered and incorporates medical, behavioral and social services to improve population health.
RESULTS: Stakeholders worked collaboratively to develop a multi-point program for incarcerated individuals with OUD that includes an integrated care service with brief screening, MOUD and treatment; a residential treatment program; peer support; community provider referrals; and a court diversion program. Recovery support specialists provide education, support and care coordination between correctional and community health services.
CONCLUSIONS: OUD is a common problem in many correctional health centers. However, many jails do not provide a comprehensive approach to connect incarcerated individuals with OUD treatment. The Maricopa County, Arizona jail system opioid treatment program is unique because of the ongoing support from recovery support specialists during and after incarceration.
METHODS: The authors used the Sequential Intercept Model (SIM) to develop a community-based, multi-organizational program for incarcerated individuals with OUD. The SIM is a mapping process of the criminal justice system and was applied in Maricopa County, Arizona to identify gaps in services and strengthen resources at each key intercept. The program applies an integrated care framework that is person-centered and incorporates medical, behavioral and social services to improve population health.
RESULTS: Stakeholders worked collaboratively to develop a multi-point program for incarcerated individuals with OUD that includes an integrated care service with brief screening, MOUD and treatment; a residential treatment program; peer support; community provider referrals; and a court diversion program. Recovery support specialists provide education, support and care coordination between correctional and community health services.
CONCLUSIONS: OUD is a common problem in many correctional health centers. However, many jails do not provide a comprehensive approach to connect incarcerated individuals with OUD treatment. The Maricopa County, Arizona jail system opioid treatment program is unique because of the ongoing support from recovery support specialists during and after incarceration.
摘要：
目标：患有阿片类药物使用障碍（OUD）的人不成比例地遇到刑事司法系统。尽管被监禁的OUD患者面临更高的退出风险，复发和过量，大多数监狱无法为OUD（MOUD）提供全面的药物，包括康复支持服务和将护理过渡到社区提供者。本文的目的是描述在马里科帕县的大型县监狱系统中开发和实施全面的MOUD计划，亚利桑那.
方法：作者使用顺序拦截模型（SIM）来开发基于社区的，针对OUD被监禁者的多组织计划。SIM是刑事司法系统的映射过程，已在马里科帕县应用，亚利桑那州确定服务中的差距，并在每个关键拦截处加强资源。该计划采用了以人为中心的综合护理框架，并结合了医疗，行为和社会服务，以改善人口健康。
结果：利益相关者合作为OUD被监禁者开发了一个多点计划，其中包括一个带有简短筛查的综合护理服务，MOUD和治疗；住院治疗计划；同伴支持；社区提供者推荐；和法院转移计划。恢复支持专家提供教育，惩教服务和社区卫生服务之间的支持和护理协调。
结论：OUD是许多惩教中心的常见问题。然而,许多监狱没有提供全面的方法来将被监禁的人与OUD治疗联系起来。马里科帕县,亚利桑那州监狱系统阿片类药物治疗计划是独一无二的，因为在监禁期间和之后，康复支持专家的持续支持。
方法：作者使用顺序拦截模型（SIM）来开发基于社区的，针对OUD被监禁者的多组织计划。SIM是刑事司法系统的映射过程，已在马里科帕县应用，亚利桑那州确定服务中的差距，并在每个关键拦截处加强资源。该计划采用了以人为中心的综合护理框架，并结合了医疗，行为和社会服务，以改善人口健康。
结果：利益相关者合作为OUD被监禁者开发了一个多点计划，其中包括一个带有简短筛查的综合护理服务，MOUD和治疗；住院治疗计划；同伴支持；社区提供者推荐；和法院转移计划。恢复支持专家提供教育，惩教服务和社区卫生服务之间的支持和护理协调。
结论：OUD是许多惩教中心的常见问题。然而,许多监狱没有提供全面的方法来将被监禁的人与OUD治疗联系起来。马里科帕县,亚利桑那州监狱系统阿片类药物治疗计划是独一无二的，因为在监禁期间和之后，康复支持专家的持续支持。
