Schumacher Joseph E, Bell Scott A, Ahsan Abdullah, Cochran Phillip R, Gutierrez Allan G, Morris Emma R, Cain Bradley J
NaphCare Charitable Foundation, Inc, 2101 Old Columbiana Road, Suite 100, 35216, Birmingham, AL, USA.
NaphCare, Inc, 2090 Columbiana Rd. Ste 4000, 35216, Birmingham, AL, USA.
Subst Abuse Treat Prev Policy. 2025 Aug 13;20(1):31. doi: 10.1186/s13011-025-00667-5.
This study describes the delivery of opioid use disorder (OUD) services in a Pacific Northwest County jail focusing on screening, assessment, withdrawal management, and medications for opioid use disorder (MOUD). Guided by the 2023 Medicaid performance measures, self-assessment data were collected through stakeholder interviews, policy and electronic healthcare records (EHR) analyses, and a systematic survey focusing on conformity to practice, policy, and documentation. This jail provided OUD screening, assessment, withdrawal management, and MOUD supported by institutional policy and an EHR software system. Survey results confirmed strong conformity to the 2023 Medicaid performance measures, with 91.9% of required recommendations met for policy and practice domains and 87.9% for documentation. Optional (not required) recommendations achieved 80.0% conformity for policy, 93.3% for practice, and 60.0% for documentation. The findings from this self-assessment underscore the robust implementation of OUD services in one jail and can inform internal and external performance improvement goals and activities. (150 words).
本研究描述了太平洋西北地区一个县监狱中阿片类物质使用障碍（OUD）服务的提供情况，重点关注筛查、评估、戒断管理以及阿片类物质使用障碍药物治疗（MOUD）。以2023年医疗补助绩效指标为指导，通过利益相关者访谈、政策及电子健康记录（EHR）分析，以及一项侧重于实践、政策和文档合规性的系统调查收集自我评估数据。该监狱在机构政策和EHR软件系统的支持下提供OUD筛查、评估、戒断管理及MOUD。调查结果证实，与2023年医疗补助绩效指标高度相符，政策和实践领域达到91.9%的要求建议，文档方面达到87.9%。可选（非必需）建议在政策方面达到80.0%的合规率，实践方面为93.3%，文档方面为60.0%。此次自我评估结果突显了一所监狱中OUD服务的有力实施，并可为内部和外部的绩效改进目标及活动提供参考。
