King, Z., Kramer, C., Latkin, C., & Sufrin, C. (2021). Access to treatment for pregnant incarcerated people with opioid use disorder: Perspectives from community opioid treatment providers. Journal of substance abuse treatment, 126, 108338. https://doi.org/10.1016/j.jsat.2021.108338 

https://pubmed.ncbi.nlm.nih.gov/34116823/ 

For this study, 16 participants (administrators or clinical staff) from different OTPs were interviewed over the phone between June 2019 and February 2020 about MOUD treatment for pregnant people who are in jail and after release. 9 of the 16 OTPs reported they worked with the local jails, while other OTPs reported the local jails did not offer MOUD to pregnant people. Most commonly, OTP staff would bring medication to the jail for dosing. However, other jails would have their own staff get the medication, would transport the pregnant person to the OTP for their dose, or the OTP would be integrated into the jail. Barriers exist for each of these, however, integration was considered more efficient than other options. 

Bottom Line: This study discussed various barriers to MOUD treatment pregnant people face both in jail and in the community, including some jails not offering MOUD access.