Bup Behind Bars: Learnings from the First Jail-Based MAT Program in Missouri – Emily D. Doucette, MD MSPH FAAFP
Emily D. Doucette, MD MSPH FAAFP
Emily D. Doucette, MD MSPH FAAFP is the Acting Director and the Chief Medical Officer of the St. Louis County Department of Public Health. Dr. Doucette is a practicing family physician who does full scope primary care including treatment for substance use disorders. She is a graduate of the University Missouri-Columbia School of Medicine and St. Louis University College of Public Health and Social Justice.
Dr. Doucette has led the St. Louis County Department of Public Health (DPH) in starting MAT programs in both the St. Louis County jail and the St. Louis County Health Department clinics in 2019 and looks forward to sharing learnings from those experiences. She will outline DPH’s approaches to and experiences with unique challenges in program roll out in a non-Medicaid expansion state without an integrated jail and prison system, including (1) addressing security concerns and the risk of medication diversion, (2) identifying appropriate individuals in a high-stress environment in which almost all persons admitted have multiple physical, mental, and substance-related health needs, and (3) discharge planning successfully in the context of highly unpredictable release dates.
- Describe early successes of MAT in a large, urban jail
- Outline motivations for starting a jail-based MAT program
- Identify challenges and solutions to Corrections-based MAT in Missouri