LAI Buprenorphine in Criminal Justice Settings: Strategies and Tools for Implementation

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LAI Buprenorphine in Criminal Justice Settings: Strategies and Tools for Implementation

Recorded: Thursday, April 23, 2026 to Sunday, April 26, 2026
On-Demand Session

Overview

This 60-minute on-demand session from the ASAM 57th Annual Conference addresses long-acting injectable buprenorphine implementation in criminal justice settings, exploring evidence, challenges, and program development strategies.

Long-Acting Injectable Buprenorphine is one of the best evidence-based treatments for OUD, with improved outcomes from retention in care to overdose deaths. Justice-involved people have high rates of OUD and overdose, and some of the greatest barriers to engagement in care. Why can't we bring these 2 together? In this presentation we will review the implementation of a LAIB Program in an urban jail, as well as key tips gleaned from interviews of carceral health leaders across the country.

The target audience for this Intermediate level session includes physicians, nurse practitioners, physician assistants, other clinicians, researchers, residents, fellows, and students.

This session addresses the following ACGME Competencies: Interpersonal and Communication Skills, Systems-based Practice.

This session addresses the following IPEC Competencies: Values and Ethics, Communication, Teams and Teamwork.

Learning Objectives

Upon completion, learners will be able to:

  1. Articulate the evidence on outcomes associated with Long-Acting Injectable Buprenorphine (LAIB)
  2. Describe key challenges to implementing a LAIB program in a criminal-justice setting
  3. Discuss strategies to overcome challenges to LAIB program development

Registration Rates

Rate DescriptionRate
ASAM Member$29
Non-Member$39
Associate Member$19
Resident Member*$19
Student Member*$19

*Residents, Fellows-in-training, Interns, and Students must join ASAM to receive a discounted registration rate. Click here to become an ASAM member. National and Chapter membership dues apply. There is no charge for Students to become a Member, but verification of student status is required.

Membership Question?  Call ASAM at 1.301.656.3920, email us, or view the ASAM website for more information.

Refunds & Cancellations

All ASAM eLearning Center refund requests must be made in writing to education@asam.org within 90 days of purchase. Those requesting refunds for courses that are in progress will receive partial refunds or e-Learning Center credit. Automatic full refunds will be made for any course with a live-course component that has been cancelled.

Registration Open: 05/25/2026 - 04/25/2029

User Access Closed: 05/25/2029

Course Instructions

  1. Click on the Contents tab to watch the on-demand recording.
  2. Click Complete Post Test to answer multiple choice questions. You will have 10 attempts to pass and must answer 4 out of 5 questions correctly.
  3. Click Complete Evaluation to provide valuable activity feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
  4. Click the button Claim Medical Credits in the box titled Claim Credits & Certificate. Choose the type of credit and click submit. Click the button View/Print Certificate to save or print your certificate. You can view/print your certificate at any time by visiting the ASAM eLearning Center, clicking Dashboard, and clicking Transcript/Achievements.

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Eowyn Rieke

Eowyn Rieke

MD, MPH

Eowyn Rieke MD MPH is a family doctor, addictions medicine specialist and medical leader. She has worked for over 20 years in health care for homeless and other marginalized groups. She is dedicated to person-centered trauma-informed care that supports the dignity and self-determination of her clients, working collaboratively with them towards their goals related to substance use and other aspects of their lives.

Eowyn has devote the last 5 years of her career to expanding integrated care across health discipines and low-barrier access to buprenorphine, first as the Services Director of Central City Concern's Blackburn Center, and currently as the Medical Director for Outpatient Services at Fora Health in Portland, Oregon. At Fora Health she is developing programs to provide medications for OUD to Latinx patients and rural residents of Oregon, as well as improving transitions of care from withdrawal management and residential programs to outpatient medical services.

Eowyn is vice-president of the Oregon chapter of the American Society of Addiction Medicine and is a member of the Oregon Measure 110 Oversight and Accountability Council. She has served as chair of the National Health Care for the Homeless's Clinciian Steering Committee and on the NHCHC Board of Directors.

Eowyn earned her MD degree from Brown University's Warren Alpert Medical School and her Masters in Public Health from Harvard University. Eowyn loves to spend time where there are more trees than people, especially with her daughter, partner, and rascally dog Huckleberry Finn.

Stephen Kane, MD MPH

Stephen Kane, MD MPH

Medical Director- Corrections Health

Multnomah County Health Department

Dr Stephen Kane is the Medical Director for the Corrections Health Division of the Multnomah County Health Department in Portland, OR. He has completed a residency in Family Medicine and Preventive Medicine at Johns Hopkins School of Public Health and Medstar Health Franklin Square in Baltimore, MD. He has published reserarch on medical care of justice-inolved populaitons and advocated for improved quality of care in carceral systems. Dr. Kane comes to this work with a perspective shaped by experinces with family members with SPMI, SUD, and justice system involvement.
Kendra Birnley, RN, MA, MEd, PhDc

Kendra Birnley, RN, MA, MEd, PhDc

Lead RN for Transition Services Program

Multnomah County Health Dept, Corrections Health

Kendra Birnley, RN, MA, MEd, PhDc is the Lead RN for the Transition Services Program, which is part of the Corrections Health Division for the Multnomah County Health Department. In this role, she leads a team of 15 nurses who provide MOUD, harm reduction and overdose response education, and complex care planning for people releasing from jail. After spending over 10 years teaching English and Women’s Studies in higher education, Kendra changed career paths and became a Registered Nurse. She got her license in 2019 and pursued work immediately as a community health nurse at the county jail. She cares deeply about providing compassionate care for people who are system-involved. Kendra will also complete her Nursing PhD at Oregon Health & Science University this June. Her dissertation research involves a critical discourse analysis of nurses as they discuss incarceration and prison abolition in a focus group setting. She believes that nurses can and should contribute meaningfully to the abolition movement since it ultimately seeks improvements in public health systems. Her career goal is to eventually work on policy that enables and achieves decarceration.
Ederlinda Ortiz, CHW

Ederlinda Ortiz, CHW

Manager

Multnomah County Health Dept/Corrections Health

Ederlinda Ortiz, CHW Transition Services Program Manager, Multnomah County Health Department Ederlinda is a systemic change agent and public health leader with over two decades of experience dedicated to improving outcomes for underserved populations. Currently serving as the Transition Services Program Manager for Multnomah County, Ederlinda is the primary architect of the Corrections Health Division’s newest program, designed to bridge the gap between incarceration and community health. Throughout their career, Ederlinda has demonstrated a unique ability to build complex frameworks from the ground up. As the Transition Services Program Supervisor, they assembled a multidisciplinary team to redefine the "reentry" experience, creating equitable workflows that address the intersection of systemic racism, community trauma, and the social determinants of health. Their strategic vision has been pivotal in reducing recidivism by ensuring that Justice-Involved Individuals (JIIs) have immediate access to life-sustaining medical and mental health coordination. Ederlinda’s leadership was further solidified during the COVID-19 pandemic, where they served as the COVID Team Program Supervisor. In this role, they operationalized large-scale vaccination and testing efforts within correctional facilities, navigating intense institutional barriers to achieve a 78% vaccination rate. Their work in establishing "standard practice" protocols—such as the referral process for Voluntary Isolation Motels (VIMOs) for released individuals—has been recognized as a model for public health safety. A leader on the local, state, & national stage, Ederlinda has shared their expertise on panels for Columbia University, Johns Hopkins, and OHSU. Their background spans from emergency preparedness leadership during major flood events to statewide technical support for multicultural health programs. Ederlinda remains a fierce advocate for human dignity, leading with a blend of data-driven strategy and deep compassion. They continue to foster critical partnerships to ensure that health equity is not just a goal, but a standard of care for all individuals transitioning back into community.
David Green

David Green

Administrator

Multnomah County Transition Services Program

Hello everyone! My name is David Green (non-presenting author) and I work in downtown Portland, Oregon at the Multnomah County Detention Center. I work with Multnomah County's Transition Services Program as the team administrator. This program is only around 4 years old but the work we are doing is incredibly important in regards to providing adults in custody with access to buprenorphine. I'm currently graduating this June with my MSW and I'm hopeful to continue this good work, just through a different lens.
Courtney Kenney

Courtney Kenney

Senior Harm Reduction Specialist

Multnomah County Health Department

Courtney Kenney (she/her) is the Sr Harm Reduction Specialist at the Multnomah County Health Department based in Portland, Oregon. She is the Project Director for a Bureau of Justice Assistance (BJA) funded intiative to improve MOUD access for clients in custody and after release in collaboration with the health department's syringe service program (SSP). Courtney also leads projects that include harm reduction strategic planning and policy, wound care access, housing navigation, reducing heat risks for people who use drugs, improving access for pregnant PWUD, and the SSP encampment outreach program. Courtney began her work in harm reduction in Boston 10 years ago when she helped to launch SPOT, a drop-in sedation monitoring program for people at risk of overdose. As the Health Equity and Policy Manager at Oregon's Primary Care Association, she improved Medicaid data and payment for housing, transportation, and food insecurity and joined statewide efforts for alternative payment, evaluating COVID-19 outcomes by race and ethnicity, community health worker expansion, and increasing funding for substance use treatment and behavioral health. As the Prevention Manager at Cascade AIDS Project, Courtney led HIV/STI testing expansion across three counties with projects tailored to people who use drugs, sex workers, and migrant seasonal farmworker camps. Courtney is passionate about policy reform that centers people who use drugs and about increasing accountability across care settings for the wellbeing of people who have (intentionally) been criminalized and silenced. She likes to talk about using less naloxone and to interrupt misinformation about the drug supply.
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Accreditation & Credit Designation Statements

Joint Accreditation Statement

In support of improving patient care, the American Society of Addiction Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

The American Society of Addiction Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses

This activity awards 1 Nursing contact hours.

Pharmacology Hours

This activity has 0.75 hour(s) that satisfy the requirements for NP and PA Pharmacology Hours.

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PAs

ASAM has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1 AAPA Category 1 CME credits. Approval is valid until 05/25/2029.  PAs should only claim credit commensurate with the extent of their participation.

Social Workers

As a Jointly Accredited Organization, ASAM is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1 general continuing education credits.

IPCE Credit

This activity was planned by and for the healthcare team, and learners will receive 1 Interprofessional Continuing Education (IPCE) credits for learning and change.

California Association for Drug/Alcohol Educators (CAADE)

This educational program is approved by CAADE: #CP40 999 1225.

California Association of DUI Treatment Centers (CADTP)

This educational program is approved by CADTP: #205.

California Consortium of Addiction Programs and Professionals (CCAPP)

This educational program is approved by CCAPP: # OS-20-330-0227.

Other Professions - Continuing Education Credits (CEUs)

Upon completion of the activity and online evaluation, all other participants may request a certificate of participation. Participants may submit this certificate of participation to their professional organization/institute as documentation for completing this accredited continuing activity.

Maintenance of Certification (MOC) or Continuing Certification Programs (CCP)

This activity is designed to meet the requirements for MOC/CCP for several primary physician boards and for state licensing CME requirements. MOC Credit is only reported and designated for ABA, ABIM, ABP and ABS. By completing the online credit claim and evaluation, the learner permits ASAM to report credits to the appropriate Board. Learn more.

American Board of Anesthesiology (ABA)

This activity offers up to 1 CME credits, of which 1 credits contribute the patient safety CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

Maintenance of Certification in Anesthesiology® and MOCA® are registered certification marks of the American Board of Anesthesiology®

American Board of Internal Medicine (ABIM)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 Medical Knowledge MOC points and patient safety MOC credit in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Pediatrics (ABP)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn up to 1 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

American Board of Preventive Medicine (ABPM)

This activity has been designed to satisfy the Lifelong Professional Development requirements of The American Board of Preventive Medicine’s Continuing Certification (CCP) requirements. These credits are not reported directly to ABPM. Please save your certificate for your records.

American Board of Psychiatry and Neurology (ABPN)

This activity has been designed to satisfy the CME requirements of the American Board of Psychiatry and Neurology’s Continuing Certification (CC) requirements. These credits are not reported directly to ABPN. Please save your certificate for your records.

American Board of Surgery (ABS)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirement of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Royal College of Physicians and Surgeons of Canada (RCPSC)

The Royal College of Physicians and Surgeons of Canada will recognize activities registered for CME for MOC as meeting the requirements for Royal College MOC Program Section 3 (Self-Assessment Programs) credits. Visit CME that Counts for Royal College MOC for more information.

Disclosure Information

In accordance with the disclosure policies of ASAM and Joint Accreditation, the effort is made to ensure balance, independence, objectivity, and scientific rigor in all accredited continuing education activities. These policies include identifying and mitigating all relevant financial relationships with ineligible companies for those involved in the creation and dissemination of accredited continuing education. Click here to view the full disclosure listing.

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Open to view video.  |   Closed captions available Video is approximately 60 minutes long. Recorded between 04/23/26 - 04/26/26.
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