MOUD Access in US Jails Lags, Exposing Treatment Gap and Regulatory Risk

  • A survey of 212 US correctional facilities found only 58% offer medications for opioid use disorder (MOUD).
  • Jails are twice as likely to offer MOUD as prisons, with significant regional disparities (West > Midwest > South).
  • The South reports the lowest MOUD treatment access, with fewer than 10% of diagnosed individuals receiving treatment.
  • The study, funded by Indivior and NCCHC, highlights barriers including stigma, lack of training, and budget constraints.

The survey underscores a critical gap in addressing the opioid crisis within the US correctional system, a setting where overdose risk is dramatically elevated. This highlights a misalignment between growing awareness of MOUD's efficacy and its practical implementation, creating both a public health imperative and a potential market opportunity for Indivior. The findings also suggest that regulatory and reimbursement models may need to evolve to incentivize broader adoption of MOUD in correctional facilities.

Policy Shifts
Federal attention on addiction treatment could accelerate regulatory pressure on correctional facilities to expand MOUD access, creating both opportunity and compliance risk for Indivior and similar providers.
Regional Disparities
The stark regional differences in MOUD availability suggest that state-level policy interventions and funding models will be crucial in driving broader adoption, potentially impacting Indivior's sales strategy.
Implementation Hurdles
The persistence of barriers like stigma and provider training indicates that Indivior's success will depend on addressing systemic issues beyond simply providing medication, requiring a broader stakeholder engagement strategy.