Table 2.
Local PSC Coordinators’ Perceptions of Court Operations and Treatment Issues
| Perception Statements | Respondents who Agree/Strongly Agree n (%) |
Respondents who Disagree/Strongly Disagree n (%) |
Respondents who Do not know n (%) |
||
|---|---|---|---|---|---|
| Treatment | |||||
| Treatment plans are individualized to address the needs of each participant | 620 (73%) | 11 (1%) | 9 (1%) | ||
| Detoxification should be required before a participant can enter the program | 254 (30%) | 303 (36%) | 76 (9%) | ||
| Most participants in our court are not interested in MOUD services | 221 (26%) | 268 (32%) | 133 (16%) | ||
| Participants tend to decline intramuscular (IM) MOUD service | 132 (15%) | 185 (22%) | 305 (36%) | ||
| OUD is an uncommon problem in our PSC | 105 (12%) | 465 (55%) | 54 (6%) | ||
| Staffing | |||||
| Court staff and treatment staff periodically meet and talk about what is working well and what is not working to improve our performance | 579 (68%) | 44 (5%) | 14 (2%) | ||
| Attending training and development programs is a priority for our staff | 531 (63%) | 67 (8%) | 36 (4%) | ||
| We have enough staff to meet the needs of this PSC | 431 (51%) | 182 (21%) | 23 (3%) | ||
| Defense attorney and prosecutor work together on addressing MOUD adherence | 296 (35%) | 106 (13%) | 226 (27%) | ||
| Our staff frequently say that they are overworked | 197 (23%) | 400 (47%) | 35 (4%) | ||
| We have trouble retaining highly competent staff in our court | 63 (7%) | 542 (64%) | 29 (3%) | ||
| Court staff and treatment staff have a difficult time communicating with each other | 43 (5%) | 579 (68%) | 14 (2%) | ||
| Barriers | |||||
| MOUD is affordable for most participants who have Medicaid coverage | 395 (47%) | 49 (6%) | 182 (21%) | ||
| MOUD is too expensive for most participants to pay for out of pocket | 346 (41%) | 124 (15%) | 157 (19%) | ||
| MOUD is affordable for most participants who have private health insurance | 287 (34%) | 103 (12%) | 237 (28%) | ||
| Participants who start a job during the PSC process often face lapses in a health insurance coverage | 277 (33%) | 135 (16%) | 214 (25%) | ||
| Compliance | |||||
| Sanctions match the level of compliance shown by the participants | 607 (72%) | 16 (2%) | 15 (2%) | ||
| Incentives match the level of compliance shown by the participants | 602 (71%) | 18 (2%) | 18 (2%) | ||
| Participants who miss MOUD dosages should be referred to other services for their substance use disorder | 251 (30%) | 190 (22%) | 188 (22%) | ||
| Participants with a history of medication diversion should be referred to residential services | 207 (24%) | 202 (24%) | 216 (25%) | ||
| It is often difficult to recognize when participants are diverting | 185 (22%) | 260 (31%) | 177 (21%) | ||