Grella, C. E., Ostile, E., Scott, C. K., Dennis, M., & Carnavale, J. (2020). A Scoping Review of Barriers and Facilitators to Implementation of Medications for Treatment of Opioid Use Disorder within the Criminal Justice System. The International journal on drug policy, 81, 102768. https://doi.org/10.1016/j.drugpo.2020.102768 

https://pubmed.ncbi.nlm.nih.gov/32446130/ 

A scoping review was conducted on MOUD implementation in the criminal justice system. 53 papers were found for this review (28 from outside of the U.S.) and analyzed to discover barriers and facilitators for MOUD in prison settings. Barriers and facilitators were organized into four categories: institutional, programmatic, attitudinal, and systemic. There were more barriers identified than facilitators, with attitudinal barriers being the most common. The most common type of facilitator was programmatic. 

Bottom Line: A scoping review of 53 articles on MOUD implementation in the criminal justice system found that there are more barriers than facilitators for treatment.