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Opioid Use Disorder in the Criminal Justice System
Opioid Use Disorder in the Criminal Justice System
One outcome of this project is to determine gaps in diagnosis, treatment, social supports, and care management for individuals with OUD that could present opportunities for state agencies to better support people with OUD.

The State of Ohio spends significant funds annually diagnosing, treating, prosecuting, and incarcerating individuals with Opioid Use Disorder (OUD). Substantial and significant tertiary costs are incurred for individuals with OUD in the form of child welfare data services, lost productivity in the workforce, additional law enforcement services, and loss of productive life years due to overdose. Ohio currently has several initiatives to address the problem of opioids use, including but not limited to the Governor's Cabinet Opioid Action Team, the Statewide System Reform Program, Behavioral Health services Redesign, 21st Century Cures, Project DAWN, increased law enforcement activities and education, and Start Talking.

Many of these activities involve substantial cross-agency collaboration, data sharing across agencies has been oriented to specific focus and analysis areas, and has focused on those agencies that are primary partners in the spectrum of projects. The State believes that an inclusive collaboration of agencies, focused data sharing and expertise available to the State in the Data Analytics community can leverage disparate data sources and data types from many departments and agencies to help focus the State’s understanding, responses and drive better outcomes for the State and the impacted individuals in the State’s criminal justice system.

The State seeks to leverage to the greatest extent possible available State data, informed by program and policy expertise, and Contractor provided datasets, available in the Public Domain or proprietary to the Contractor, to drive the following Exploratory Project outcomes:

Near Term State Outcomes:

  • Determine gaps in diagnosis, treatment, social supports, and care management for individuals with OUD that could present opportunities for state agencies to better support people with OUD;
  • Identify opportunities for agencies to share information (as allowed by law) regarding individuals with OUD to better connect them to needed care and services along their care continuum;
  • Identify effective strategies to better provide health care and enlist the support of other groups (e.g., work, school, family, etc.) and other social support methods (e.g., assistance, housing, transportation etc.) for people with OUD while modifying or eliminating unnecessary or ineffective programs or services.

Longer Term State Outcomes:

  • Improved Efficacy of and Access to Opioid Use Disorder Treatment for those individuals with exposure to the Criminal Justice system including the current DRC population, those recently released from incarceration, and (using county jail based data) identifying profiles of those likely to enter the incarcerated population with characteristics that lend themselves to OUD;
  • Identify indicators and precursors to the “first incarceration” that supports the prevention of first and repeated opioid use as well as identifying solutions for those individuals that (for whatever reason): do not seek treatment for OUD; or following treatment do not retain the elements required to help avoid relapse of OUD;
  • Identify any differences between criminal justice and non-criminal justice populations to provide opportunities to examine this category of Medicaid spending, and to identify opportunities to improve care for people with OUDs in the criminal justice system (both during incarceration and in the community) as part the State’s approach to improving responses to people with OUDs.
  • Reduced Criminal Justice Involvement for individuals with OUD;
  • Reduced Overdose Rates for individuals with OUD.