Good afternoon

Good morning from Alaska.

Presenter bios are available for viewing at https://www.thenationalcouncil.org/medication-assisted-treatment-for-opioid-use-disorder-in-jails-and-prisons/.

View the Medication-Assisted Treatment for Opioid Use Disorder in Jails and Prisons: A Planning and Implementation Toolkit and our previous webinar on the toolkit at https://www.thenationalcouncil.org/medication-assisted-treatment-for-opioid-use-disorder-in-jails-and-prisons/.

It took me 9 minutes t o get in, and now there's no sound.

no sound here either

try signing out and back in. II has to II can heat them now

also check to male sure you unmuted your speakers

If you are having audio issues, try switching from computer audio to dialing in via phone (or vice versa). If that still doesn't work, try signing out and back in using the link in your registration email.

I hope there are appointments upon release and Medicaid upon release in order for these individuals to continue treatment after they leave incarceration---most people do leave jail and prison

yea! great point !

RE: Re-entry, in the case of Ingham County (Linda Vail presenting), the health department operates an FQHC and is the healthcare provider in the jail. The FQHC also has a co-located clinic within the local behavioral health authority. So yes, appointments are scheduled w/ ease of follow up. Inmates are assisted with benefits eligibility and MI is a Medicaid expansion state which supports access. The behavioral health authority (Clinton-Eaton-Ingham Community Mental Health) also provides BH/SUD services w/in the jail and appts are scheduled w/ transition support from peer specialists as well.

that is a perfect use of a FQHC, we don't have that combination, but that would be ideal!

Courtney - Agree RE:FQHC. We (HMA) coach dozens of sites around the country and this is a great example, but also can be successful in other ways than via an FQHC. Moral of the story - work with what you have as you build what you need.

thanks Rich--that's is so true!

View the Optimizing Capacity for Prescribing Buprenorphine in Jails and Prisons document at https://www.healthmanagement.com/wp-content/uploads/Optimizing-Capacity-for-Prescribing-Buprenorphine-in-Jails-and-Prisons-Issue-Brief_Jun-20_HMA.pdf

Here is the SAMHSA document on screening and assessment of co-occurring disorders in the justice system https://store.samhsa.gov/product/Screening-and-Assessment-of-Co-Occurring-Disorders-in-the-Justice-System/PEP19-SCREEN-CODJS

such a clear demonstration of the need to continue to work on the opioid epidemic and to declare it a health crisis in every county.

(and parish) not all states have counties

y'all are my people! not mutually exclusive at all!

Hi Angela,

I have worked w/ (Coached) two separate jails in VA who are providing buprenorphine in jail for MAT as an FYI.

View the NSA/NCCHC's Jail-Based Medication-Assisted Treatment: Promising Practices, Guidelines, and Resources for the Field at https://www.sheriffs.org/publications/Jail-Based-MAT-PPG.pdf.

Here's the link to the 9-module series on MAT for justice involved populations: https://addictionfreeca.org/California-MAT-Expansion-Project/County-Touchpoints-in-Access-to-MAT-for-Justice-Involved-Populations/Training-Site

All the links that have been mentioned today will also be available in the PDF slides that will be uploaded on the National Council's website after this webinar, at https://www.thenationalcouncil.org/medication-assisted-treatment-for-opioid-use-disorder-in-jails-and-prisons/.

More information about MAT waiver can be found at https://pcssnow.org/

tox screens in many cases have to be paid for by the person leaving the jails and it causes a significant financial burden

that's true, but in practice, many prisons and even those in pretrial--don't get the healthcare they need within the facilties

access is key!

everyone is safer inside the jails and prisons when OUD is being treated !

Regarding financing of jail MAT, NACO has been doing some work around the medicaid inmate exclusion in pretrial facilities: https://www.naco.org/resources/featured/naco-nsa-joint-task-force-report-addressing-federal-medicaid-inmate-exclusion-policy

Thanks so much for this informative presentation!!