OUD in Jails: Foundational Strategies Boot Camp Registration Form

Thank you for your interest in the Opioid Use Disorder (OUD) in Jails: Foundational Best Practice Strategies event on May 7, 2026. To register, please respond to the questions below. Registration should take less than 5 minutes. A copy of your responses will be sent to the email address you provide after you submit the form. If multiple people from your facility plan to attend the boot camp, please submit a separate registration for each individual.

Please enter your contact information below. *This question is required.

First Name *This question is required.

Last Name *This question is required.

Email Address *This question is required. This question requires a valid email address.

Organization (name of your correctional facility) *This question is required.

Your Role/Job Title *This question is required.

Does your correctional facility currently offer any of the following services or programs to people who are incarcerated? Please provide a response for each row. *This question is required.

Space Cell	Yes	No	Don't know/unsure
Medications for Opioid Use Disorder (MOUD)	Medications for Opioid Use Disorder (MOUD): Yes	Medications for Opioid Use Disorder (MOUD): No	Medications for Opioid Use Disorder (MOUD): Don't know/unsure
Re-entry planning services (e.g., referral to community resources or social services, insurance reinstatement)	Re-entry planning services (e.g., referral to community resources or social services, insurance reinstatement): Yes	Re-entry planning services (e.g., referral to community resources or social services, insurance reinstatement): No	Re-entry planning services (e.g., referral to community resources or social services, insurance reinstatement): Don't know/unsure
Peer recovery services (in-person or virtual support delivered by individual who has experienced OUD)	Peer recovery services (in-person or virtual support delivered by individual who has experienced OUD): Yes	Peer recovery services (in-person or virtual support delivered by individual who has experienced OUD): No	Peer recovery services (in-person or virtual support delivered by individual who has experienced OUD): Don't know/unsure

Correctional MOUD programs may include different elements, depending on the facility’s needs. What are some of the features of your MOUD program? Please select all that apply. *This question is required.

Continuation of MOUD for current MOUD prescriptions (i.e., person who is incarcerated is already receiving MOUD and our jail continues to administer it during their stay)
Initiation of MOUD without current MOUD prescription (i.e., person who is incarcerated is not already receiving MOUD but our jail starts medication)
Screening for opioid use disorder at booking
Opioid use disorder assessments performed if opioid use was disclosed during booking
Opioid use disorder assessments performed if individual did not disclose opioid use during intake (e.g., after sentence begins)
MOUD eligibility is not contingent upon drug screen results (i.e., medication is still offered if illicit substances are found in urine)
Integration with mental health services

Partnerships with or connections to community MOUD providers
Re-entry planning and/or integration with social services (e.g., housing, medical assistance)
Narcan (naloxone) or other overdose prevention resources offered upon release
Don’t know/unsure
Other - please specify Please enter an 'other' value for this selection.
None of these

Correctional re-entry planning services often vary based on community resources and the facility’s needs. What does your jail provide as part of re-entry planning? Please select all that apply. *This question is required.

List of community resources (e.g., housing, food, transportation, local MOUD providers, treatment facilities, recovery support groups, peer recovery organizations)
Warm hand-off with community resources (e.g., scheduling appointments with local public health, arranging transportation)
Insurance reinstated (or in-process prior to release)
System to identify individuals who are at high risk for re-offense or return to drug use (e.g., criminogenic risk assessment)
If applicable: Prior to release, follow-up appointment scheduled with community MOUD provider or telehealth MOUD provider (or community provider involved in release planning)

If applicable: Released with remaining supply of MOUD
If applicable: Narcan (naloxone) or other overdose prevention resources
Don’t know/unsure
Other - please specify Please enter an 'other' value for this selection.
None of these

What are some of the concerns you (or other jail administrators/staff) have about implementing the following services or programs in your jail? Please select all that apply within each column. *This question is required.

Space Cell	Correctional MOUD program concerns	Re-entry services concerns	Peer recovery program concerns
Lack of knowledge or training among jail staff	Lack of knowledge or training among jail staff: Correctional MOUD program concerns	Lack of knowledge or training among jail staff: Re-entry services concerns	Lack of knowledge or training among jail staff: Peer recovery program concerns
Lack of funding or other cost concerns	Lack of funding or other cost concerns: Correctional MOUD program concerns	Lack of funding or other cost concerns: Re-entry services concerns	Lack of funding or other cost concerns: Peer recovery program concerns
Lack of resources (time, staffing, space, etc.)	Lack of resources (time, staffing, space, etc.): Correctional MOUD program concerns	Lack of resources (time, staffing, space, etc.): Re-entry services concerns	Lack of resources (time, staffing, space, etc.): Peer recovery program concerns
Lack of support from elected/appointed officials or agency administrators	Lack of support from elected/appointed officials or agency administrators: Correctional MOUD program concerns	Lack of support from elected/appointed officials or agency administrators: Re-entry services concerns	Lack of support from elected/appointed officials or agency administrators: Peer recovery program concerns
Lack of community resources or support	Lack of community resources or support: Correctional MOUD program concerns	Lack of community resources or support: Re-entry services concerns	Lack of community resources or support: Peer recovery program concerns
Security or liability concerns	Security or liability concerns: Correctional MOUD program concerns	Security or liability concerns: Re-entry services concerns	Security or liability concerns: Peer recovery program concerns
Trust or accountability concerns (medication diversion, relationship with service providers, follow-up, etc.)	Trust or accountability concerns (medication diversion, relationship with service providers, follow-up, etc.): Correctional MOUD program concerns	Trust or accountability concerns (medication diversion, relationship with service providers, follow-up, etc.): Re-entry services concerns	Trust or accountability concerns (medication diversion, relationship with service providers, follow-up, etc.): Peer recovery program concerns
State/local regulations	State/local regulations: Correctional MOUD program concerns	State/local regulations: Re-entry services concerns	State/local regulations: Peer recovery program concerns
Jail population is not interested	Jail population is not interested: Correctional MOUD program concerns	Jail population is not interested: Re-entry services concerns	Jail population is not interested: Peer recovery program concerns
Social perception or stigma (i.e., negative judgements)	Social perception or stigma (i.e., negative judgements): Correctional MOUD program concerns	Social perception or stigma (i.e., negative judgements): Re-entry services concerns	Social perception or stigma (i.e., negative judgements): Peer recovery program concerns
Don’t know/unsure	Don’t know/unsure: Correctional MOUD program concerns	Don’t know/unsure: Re-entry services concerns	Don’t know/unsure: Peer recovery program concerns
None of these	None of these: Correctional MOUD program concerns	None of these: Re-entry services concerns	None of these: Peer recovery program concerns
Enter another option	Other: Correctional MOUD program concerns	Other: Re-entry services concerns	Other: Peer recovery program concerns

How does your correctional facility currently implement clinical care? *This question is required.

Please enter an 'other' value for this selection.

Lunch will be provided during the event. Do you have any dietary restrictions? *This question is required.

Please enter an 'other' value for this selection.

If applicable, please describe any accommodations that will facilitate your full participation in this event (e.g., ASL interpreting, Braille or electronic text, wheelchair accessibility, etc.). If you do not have any accommodation requests, skip this question.