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The Overdose Response Strategy (ORS) is a national public health/public safety program led by the Centers for Disease Control (CDC) and High Intensity Drug Trafficking Areas (HIDTA) program to address spiraling overdose rates in the US. Attendees will hear from ORS representatives and Health Management Associates about national drug trends and lessons learned in addressing overdoses in jails. Sheriffs will also describe their own experience in using proven treatment models and data to reduce overdoses in their jails. The NSA released Jail-Based Medication-Assisted Treatment [MAT]: Promising Practices, Guidelines and Resources for the Field in 2018, establishing the imperative that jails implement MAT to reduce overdoses in custody and upon release, and otherwise reduce risk for jails and improve outcomes for incarcerated persons. Since then, many jails have taken steps to implement MAT, but the majority of jails in the country do not offer this treatment or offer treatment that doesn’t meet the standard of care. This is an area of high risk and liability for jails, with a large and growing body of case law consistently finding in favor of plaintiffs when MAT is not available during incarceration. This presentation will offer Sheriff’s models to meet these standards and reduce liability.

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