Table 1.

Community characteristics, existing practices, and evidence-based practices implemented by three Ohio county jails participating in the HEALing Community Study

	County 1	County 2	County 3
Urban/rural	Urban	Urban	Rural
Population	> 800 000	> 1 million	> 50 000
Existing opioid overdose education and naloxone distribution (OEND) services	None	Naloxone kits upon release	None
Existing medication for opioid use disorder (MOUD) services	Continue MOUD for those receiving it pre-jail	Injectable naltrexone for inmates with OUD	None
Implemented OEND strategies	Four jail-based OEND strategies	None	One jail-based OEND strategy
Implemented MOUD strategies	• Buprenorphine for individuals who are incarcerated and have OUD • Peer-based linkage to post-release MOUD	• Buprenorphine (injectable) for individuals who are incarcerated and have OUD • Peer-based linkage to post-release MOUD • Peer support and contingency management to increase MOUD retention	• Continue MOUD for individuals who are incarcerated who had been receiving it pre-jail • Buprenorphine or injectable naltrexone for individuals who are incarcerated and have OUD* • Housing support to improve MOUD retention

*Post-release treatment continued with the same provider