People under probation or parole supervision have rates of substance use disorders and serious mental illnesses that are at least two to three times higher than the general population. Jurisdictions have responded to these needs by implementing specialized caseloads and referring clients to community-based services. However, even with these efforts, there remains a persistent treatment gap for this population which can contribute to poor health outcomes and serve as a risk factor for violations. These challenges are particularly acute for subpopulations including people with opioid use disorders. Some jurisdictions have bridged this treatment gap by increasing coordination between community-based health providers and probation and parole. These strategies include creating collaborative case plans, ensuring that providers understand the role and structure of probation and parole, and creating formal agreements where probation and parole clients are served by community-based providers with expertise and facility for working with the clients. This presentation outlines how jurisdictions can adopt those strategies to improve client outcomes.
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