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patient paperwork.Forms include a Consent to Treat and a Consent to Release Information, <br />allowing patient data to be shared between the jail and the MAT partner organization. <br />Induction:A licensed,X-DEA waivered provider and NCM will operate from inside the jail <br />to conduct a medical exam of each inmate who has completed the new patient paperwork.If the <br />provider diagnoses the inmate with substance use disorder and confirms the imnate is a candidate <br />for MAT,the provider will prescribe an appropriate dose of medication and the NCM will handle <br />documentation,registration,and induction dosing.In addition to inducting new patients,the <br />provider will review patient charts weekly and refill or adjust prescriptions as appropriate. <br />Dosing:The NCM will prepare medication doses,administer balloon dosing (3 times per <br />week)or daily dosing if medically appropriate,directly to all inmates on the MAT program,and <br />maintain accurate electronic medical record (EMR)documentation.The dosing schedule will be <br />detennined by command staff in collaboration with the MAT partner organization during the <br />implementation planning phase. <br />Care Coordination:The Peer Support Specialist will coordinate scheduling of ongoing care <br />for inmates at the MAT partner organization's local clinic,starting immediately post-release. <br />Care coordination includes appointment scheduling,documentation,financial counseling, <br />referrals to services,and communication with the patient to ensure smooth transition from onsite <br />services to outpatient services. <br />Staff Training:The MAT partner organization will deliver initial and refresher training to all <br />command and corrections staff on opioid use disorder,withdrawal symptoms,medication <br />information,dosing protocols,and the role of behavioral counseling.Scheduling and the final <br />content of training seminars will be determined by command staff during the implementation <br />10 of 20