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Implementation of Medications for Opioid Use Disorder in Massachusetts Jails

Award Number: F30DA058525
ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS
PERIOD OF PERFORMANCE START DATE: 01/01/2024
PERIOD OF PERFORMANCE END DATE: 12/31/2026

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Implementation of Medications for Opioid Use Disorder in Massachusetts Jails - Project Summary: Opioid overdose deaths and other substance-related mortality remain at an all-time high in the United States, and evidence suggests that mortality will continue to worsen without significant changes to the landscape of opioid use disorder (OUD) treatment. Overdose mortality is the leading cause of death in the first two weeks post-release due to a variety of factors including changes in drug tolerance during incarceration and volatility of the illicit drug supply, leading to a more than 100-fold increased risk of overdose death compared to the nonincarcerated population during this period. Despite advances in addiction health services and clinical addiction medicine, many people with OUD do not have access to healthcare or medications for opioid use disorder (MOUD) treatment, which remain the most effective treatment strategies to reduce OUD- related mortality. Correctional facilities such as jails are a critical healthcare access point for people with OUD who may not receive healthcare in other settings. However, MOUD treatment availability in jails is highly variable across the United States, leaving many people with OUD without access to evidence-based treatment while incarcerated. Implementation of MOUD treatment in jails is critical to improve accessibility of MOUD treatment and reduce OUD-related mortality in this vulnerable population. There is need for further research elucidating strategies that lead to successful and sustained implementation of MOUD in jails and other correctional settings. This proposal uses a mixed-methods approach to analyze implementation of MOUD from multiple perspectives. The proposal utilizes data from the Massachusetts Justice Community Opioid Innovation Network (MassJCOIN) study, a type 1 hybrid effectiveness-implementation study of MA Chapter 208, which established a pilot program to expand all FDA-approved forms of MOUD in MA county jails. Aim 1 will qualitatively assess organizational factors related to MOUD implementation in jails and post-release overdose risk through thematic analysis of interviews with jail staff and people who received MOUD while incarcerated in MA jails. Aim 2 will investigate the association between staff perspectives of MOUD and organizational factors such as staff training and readiness for change. Aim 3 will compare MOUD retention outcomes for people who screened positive for OUD while incarcerated between different types of MOUD treatment using the Public Health Data (PHD) Warehouse database created by the Massachusetts Department of Public Health. The proposed research and training plan will provide rigorous education in addiction health services research, which will be integrated with the robust clinical training of UMass Chan Medical School and supported through a multidisciplinary team of mentors with significant expertise in implementation science and OUD research in criminal-legal settings. This proposal will provide valuable insights into strategies that lead to effective and sustained MOUD treatment in jail settings with the goal of increasing accessibility to evidence-based MOUD treatment and reducing opioid-related mortality for people who experience incarceration.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $34,114 )
2026	2026	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Drug Use and Addiction Research Programs	001	3	3/24/2026	NON-COMPETING CONTINUATION	$576
2026	2026	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Drug Use and Addiction Research Programs	000	3	1/8/2026	NON-COMPETING CONTINUATION	$33,538
														Subtotal = $34,114

Issue Date FY: 2025 ( Subtotal = $33,538 )
2025	2025	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Drug Use and Addiction Research Programs	000	2	11/25/2024	NON-COMPETING CONTINUATION	$32,974
2025	2025	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Drug Use and Addiction Research Programs	001	2	7/22/2025	NON-COMPETING CONTINUATION	$564
														Subtotal = $33,538

Issue Date FY: 2024 ( Subtotal = $36,369 )
2024	2024	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Drug Use and Addiction Research Programs	000	1	12/27/2023	NEW	$35,089
2024	2024	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Drug Use and Addiction Research Programs	001	1	5/1/2024	NEW	$1,280
2024	2024	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Drug Use and Addiction Research Programs	002	1	5/1/2024	NEW	$0
														Subtotal = $36,369

Grand Total All Awards = $104,021

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Implementation of Medications for Opioid Use Disorder in Massachusetts Jails

Award Number: F30DA058525

ORGANIZATION: NATIONAL INSTITUTE ON DRUG ABUSE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS

PERIOD OF PERFORMANCE START DATE: 01/01/2024

PERIOD OF PERFORMANCE END DATE: 12/31/2026

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