Coordination of Care Upon Release From Incarceration - A NACo Opioid Solutions Strategy Brief

Coordination of Care Upon Release From Incarceration A NACo Opioid Solutions Strategy Brief What is coordination of care upon release from incarceration? “By improving care and Overdose is the leading cause of death among formerly incarcerated people,2 coordination prior to particularly within the first two weeks of release.3 With approximately 6 in 10 release from the justice incarcerated people. [...] the community and Coordination of care upon release is the deliberate organization and sharing of enhance individual information between correctional and community-based service providers to and collective public ensure the most effective care for each person returning to the community.7 During health and public safety incarceration, effective care for opioid use disorder (OUD) includes screening. [...] Centers for Medicare & Medicaid HEALTH SERVICES Services, 2021–20241 Assisting with enrollment in Medicaid or other health insurance, Connecting with a community-based MOUD provider, Ensuring that the costs of treatment and medications are covered and Training and equipping all incarcerated persons with naloxone upon release. [...] However, programs that facilitate linkage to treatment solely with naltrexone, and not with methadone or buprenorphine, are in violation of the standards set by the American Society for Addiction Medicine and the National Commission for Correctional Health Care8,9 and may violate the Americans with Disabilities Act.17 Studies have shown that naltrexone is associated with increased risk of overdose. [...] Over the course of a lifetime, the total health care and criminal justice cost savings of treatment with MOUD ranges from $40,000 per person (naltrexone) to $100,000 per person (methadone).25 Likewise, formerly incarcerated persons tend to represent greater health care needs and public health care costs due to higher rates of illness and financial precarity than the general population.