{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T06:25:27Z","timestamp":1787120727095,"version":"build-2736575974"},"reference-count":31,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Correct Health Care"],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:p>Providing medications for opioid use disorder (MOUD) in correctional settings is a critical tool for addressing opioid overdose. However, access to MOUD remains limited in rural county jails. This article describes a simple, community-based initiative where a rural community primary care clinic partnered with a county jail to provide MOUD care via telemedicine. This initiative was a local response to expanding jail-based MOUD after the jail\u2019s contracted health provider declined to offer these services. Between 2022 and mid-2024, 31 incarcerated patients received MOUD, representing approximately 10% of the clinic\u2019s total MOUD patients. More than half (58%) had received MOUD in the past, whereas 42% of patients were new to MOUD. Nearly a third of patients either maintained or established relationships with the clinic for postrelease care. Implementation involved a brief planning period and iterative plan-do-study-act cycles to address logistical challenges, including dosing frequency, referral processes, and diversion concerns. The initiative relied on State Opioid Response grants for funding and preexisting community partnerships fostered by a countywide overdose prevention initiative. This local, community-driven model highlights the potential for expanding MOUD access in small, rural jails. It emphasizes the value of flexible telemedicine delivery and strong collaboration between clinics and jail staff.<\/jats:p>","DOI":"10.1177\/10783458251396117","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T15:44:30Z","timestamp":1763739870000},"page":"351-356","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Local Solutions to Medications for Opioid Use Disorder Care for Patients in Rural Jails"],"prefix":"10.1177","volume":"31","author":[{"given":"Emily Jean","family":"Carroll","sequence":"first","affiliation":[{"name":"Department of Nursing, St. Olaf College, Northfield, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"e_1_3_4_2_1","unstructured":"Barsky B. Jolin J. & Rosenthal M. (2025). Expanding health insurance for formerly incarcerated people. 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Minton T. & Zeng Z. (2023). Opioid use disorder screening and treatment in local jails. U.S. Department of Justice Office of Justice Programs Bureau of Justice Statistics. https:\/\/bjs.ojp.gov\/document\/oudstlj19.pdf"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2022.103823"},{"key":"e_1_3_4_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/jchc.23.08.0065"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2010.02990.x"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dadr.2022.100056"},{"key":"e_1_3_4_20_1","unstructured":"National Commission on Correctional Health Care. (2021). Opioid use disorder treatment in correctional settings. https:\/\/www.ncchc.org\/position-statements\/opioid-use-disorder-treatment-in-correctional-settings-2021\/"},{"key":"e_1_3_4_21_1","unstructured":"National Commission on Correctional Health Care. (2025). Jail guidelines for the medical treatment of substance use disorders 2025. https:\/\/www.ncchc.org\/wp-content\/uploads\/2025-MAT-Guidelines-for-Substance-Use-Disorders-3-6-25.pdf"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/jchc.23.02.0009"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dadr.2023.100211"},{"key":"e_1_3_4_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.josat.2023.209248"},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.josat.2023.209234"},{"key":"e_1_3_4_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.12574"},{"key":"e_1_3_4_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40352-022-00197-3"},{"key":"e_1_3_4_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-017-0783-9"},{"key":"e_1_3_4_29_1","unstructured":"Substance Abuse and Mental Health Services Administration. (2019). 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