Table 1 Summary of themes and relationship between themes
| Â | In correctional facilities | Outside correctional facilities/in communities | Comparisons between correctional facility and community services |
|---|---|---|---|
Opioid use services | No opioid use services were reported to be available, but opioid withdrawal was prevalent Participants needed to rely on themselves for managing OUD and withdrawal symptoms | Some opioid use services were available but not part of general health services. The main focus was on abstinence with limited access to harm reduction services Access could be a challenge due to limited availability and lack of colocalization | Some opioid use services exist in communities compared to no medical opioid use services reported in correctional facilities Self-reliance is required for OUD management in both settings due to an absence of services and/or difficulties of access |
HIV services | Services were available and structured for correctional settings A regimented and supportive system facilitated care and adherence | Services were available. Some barriers to access were reported by re-entrants returning to communities Accessing care required greater self-initiative | While there is a clear plan to diagnose and manage HIV in correctional facilities, no structured system exists to ensure continued care during re-entry Services are more difficult to access and adherence support is more limited in communities than in correctional facilities |