Allocative efficiency of opioid overdose prevention strategies for people incarcerated in New Jersey.

ABSTRACT:

Background

People with opioid use disorder (POUD) who are incarcerated are disproportionately impacted by the overdose crisis. We sought to identify overdose policies that allocate resources with maximal efficiency to reduce mortality among POUD in the New Jersey (NJ) Department of Corrections.

Main outcomes/measures

We created a probabilistic state-transition model of a simulated cohort of POUD incarcerated in NJ to simulate maximizing medication for opioid use disorder (MOUD) during incarceration and/or post-release in the community and naloxone in the community. We estimated how maximizing each intervention individually and in combinations compared to current provision would impact five-year overdose deaths (ODDs), life-years (LYs), and quality-adjusted life-years (QALYs)

SUBMITTER: Scheidell JD 

PROVIDER: S-EPMC12598844 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature