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Methadone Expansion in Detention Though the Hospital/Clinic Designation
Sponsor: Brendan Saloner
Summary
The goal of this clinical trial is to improve implementation of hospital/clinic methadone in several carceral systems and study the effects of implementation on patient outcomes. This study has four Aims: * Evaluate an intervention for carceral staff that will receive individual coaching and group didactic sessions focused on improving adoption and implementation of hospital/clinic methadone. Effects of this intervention will be measured via qualitative interviews and baseline, midpoint and final surveys of participants. * Apply a trial emulation approach to electronic health records from three prison systems currently using hospital/clinic methadone to evaluate the effect of implementation on the initiation and retention of medications for opioid use disorder treatment. * Link Medicaid data to electronic health records from one prison system implementing hospital/clinic methadone to examine the effect of implementation on post-release outcomes, including MOUD use and broader healthcare utilization. * Examine the cost effectiveness and budgetary impact of implementing hospital/clinic methadone.
Official title: Evaluating a Novel Approach to Dispensing Methadone in Carceral Facilities
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
30
Start Date
2026-09
Completion Date
2030-05-31
Last Updated
2026-07-16
Healthy Volunteers
No
Interventions
Learning Collaborative
All participants will receive individual and group coaching sessions to facilitate implementation of the hospital/clinic designation.