Rural and urban clinician views on COVID-19’s impact on substance use treatment for individuals on community supervision in Kentucky

Health & Justice, Journal Year: 2024, Volume and Issue: 12(1)

Published: March 26, 2024

The COVID-19 pandemic produced system-level changes within the criminal legal system and community-based substance use disorder (SUD) treatment with impacts on recovery efforts. This study examines rural urban clinicians' perspectives of SUD delivery for people community supervision. Virtual qualitative interviews were conducted between April October 2020 25 supervision clinicians employed by Kentucky's Department Corrections (DOC), who conduct assessments facilitate linkages individuals probation or parole. Transcripts analyzed in NVivo using directed content analysis methods. Clinicians predominantly white (92%) female (88%) an average over 9 years working field 4.6 their current job. Four themes identified both including: (1) telehealth increases modes communication, but (2) also creates paperwork technological challenges, (3) requires more effort inter/intra-agency collaboration, (4) it limits client information (e.g., no urine drug screens). Two additional rural-specific emerged related to COVID-19: (5) increasing options removes transportation barriers (6) flexibility programmatic requirements clients. Findings indicate need providers approved contracted DOC support train clients access technology improve information-sharing officers. A positive lesson learned from transitions was a reduction costly travel clients, allowing greater engagement adherence. Telehealth should continue be included continuum care, especially promote equitable services areas.

Language: Английский

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Navigating barriers and embracing facilitators of connection: insights from peer recovery specialists working with individuals with substance use disorder and criminal justice involvement: a qualitative analysis

Health & Justice, Journal Year: 2025, Volume and Issue: 13(1)

Published: Jan. 28, 2025

Language: Английский

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Community pharmacist-administered injectable naltrexone for individuals who were formerly incarcerated: a review of Wisconsin legislation and regulations

Substance Abuse Treatment Prevention and Policy, Journal Year: 2025, Volume and Issue: 20(1)

Published: April 5, 2025

Abstract Opioid use disorder (OUD) is highly prevalent among jail and prison populations in the United States, including Wisconsin. Medications for opioid (MOUD), long-acting injectable naltrexone, are crucial treatment of OUD. These medications especially important individuals transitioning out or back into community. Unfortunately, few who were formerly incarcerated continue MOUD after reentry due to a variety barriers. Wisconsin community pharmacists accessible uniquely positioned provide care this population, specifically by administering naltrexone. However, pharmacist-administered naltrexone has not been previously explored. As first step, legislative regulatory review aimed identify statutes administrative codes that may impact these services population. Two legal databases searched relevant statute code subsections. Overall, 24 subsections (from 7 chapters) 31 12 identified (1) highlighted need potential role (2) served as barrier facilitator availability, access, services. Future work should focus on helping leverage available resources overcome existing barriers providing supporting Importantly, be done ensure can linked upon reentry.

Language: Английский

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Linkage facilitation for opioid use disorder in criminal legal system contexts: a primer for researchers, clinicians, and legal practitioners

Health & Justice, Journal Year: 2024, Volume and Issue: 12(1)

Published: Aug. 29, 2024

At the intersection of drug policy, opioid crisis, and fragmented care systems, persons with use disorder (OUD) in United States are significantly vulnerable to contact criminal legal system (CLS). In CLS settings, provision evidence-based treatment for OUD is variable often secondary punitive approaches. Linkage facilitation at every touch point along Sequential Intercept Model has potential redirect into recovery-oriented systems care, increase connections, therefore reduce re-exposure risk. Research this area still nascent. Thus, narrative review explores state science on linkage across varied contexts, including general barriers, facilitators, opportunities using related services. Following Model, specific contexts examined include community services, police encounters, courts (pre- post-disposition), incarceration (pre-trial detention, jail, prison), reentry (from jails, prisons, unified systems), supervision (probation parole). Examples innovative interventions drawn from Justice Community Opioid Innovation Network (JCOIN). Areas future research policy change highlighted advance services CLS.

Language: Английский

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Attitudes toward extended-release naltrexone treatment for opioid use disorder among African Americans

Drug and Alcohol Dependence, Journal Year: 2024, Volume and Issue: 257, P. 111260 - 111260

Published: March 8, 2024

Language: Английский

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Perceptions on Treatment Utilization and Risk of Overdose Among Opioid Users in Kolkata: A Qualitative Study

Indian Journal of Psychological Medicine, Journal Year: 2024, Volume and Issue: unknown

Published: June 16, 2024

Objective: This study was performed to explore the perceptions of treatment utilization patterns and risk overdose both opioid users their peer educators in Kolkata, India. Methods: used a qualitative approach for data collection between September December 2023. In-depth interviews (IDIs) 20 from two authorized substitution therapy (OST) centers (10 registered clients) respective field practice areas unregistered Kolkata were conducted. Key informant (KIIs) six also Semi-structured conducted; audio recorded, transcribed, translated coding analysis. An inductive thematic analysis performed. Results: Six broad themes (individual knowledge, logistics, legal/administrative, effectiveness, self-confidence treatment, poor knowledge about antidote poisoning, i.e., naloxone) emerged IDIs. Four (high-risk behavior, raising awareness, benefits OST, KIIs. Both aware dangers overdose. However, they lacked sufficient recognizing offering immediate assistance instances overdose, including administration naloxone. Conclusion: The findings recognize necessity drawing retaining an efficient healthcare facility, such as OST centers, providing them adequate training identify provide cases naloxone administration. Our will assist policymakers designing programs prevent treat overdoses.

Language: Английский

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Navigating Barriers and Embracing Facilitators of Connection: Insights from Peer Recovery Specialists Working with Individuals with Substance Use Disorder and Criminal Justice Involvement: A Qualitative Analysis

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: July 16, 2024

Background Substance use disorder affects over half of incarcerated individuals, with 23% experiencing opioid specifically. Addressing in jails is crucial due to its association increased recidivism and overdose. This study investigates the experiences peer recovery specialists working individuals criminal justice involvement, focusing on barriers facilitators client connections. Qualitative interviews were conducted five across three sites Virginia between August 2022 December 2023. Results analysis categorized findings into two main domains: connection connection. Within connection, six themes emerged: jail specific restrictions, withdrawal, social determinants health insecurities, lack engagement, disconnection, adverse experience. Jail-specific restrictions was most common barrier 91.3% transcripts referencing at least one code for jail-specific restrictions; 73.91% all indicated insecurities; 56.52% specialist experienced clients withdrawal; 52.17% identified engagement; 43.48% disconnection as a barrier; 34.78% experiences. Three connection: communication skills, services, positive Communication skills by far prominent, 100% indicating related skills; 60.87% experience; services facilitator. Notable discrepancies frequency observed different sites, suggesting site challenges. Conclusion offers valuable insights enhancing peer-based support programs within system disorder. Barriers such insecurities pose significant challenges, while effective emerges critical Findings emphasize need collaborative efforts partners optimize impact services.

Language: Английский

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State inequities: Gaps in planned treatment for criminal legal referrals with opioid use disorder across two decades of US treatment admissions

American Journal on Addictions, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 3, 2024

Abstract Background and Objectives Criminal‐legal (CL) referrals to addiction treatment have historically had low utilization of medications for opioid use disorder (MOUD). While state differences been reported, an in‐depth longitudinal analysis state‐by‐state is lacking. Methods The Substance Abuse Mental Health Services Administration Treatment Episode Dataset‐Admissions 2000–2020 provided data individuals entering their initial with as primary substance. Outcome was planned MOUD, assessing odds ratio (OR) CL relative non‐CL cumulatively over the 21‐year period incremental change (change in disparity) using effect sizes, stratified by each state. Results 2,187,447 cases met criteria. Planned MOUD occurred 37.7% clients versus 6.5% (OR = 0.11, 95% confidence interval 0.11–0.12). For all clients, increased from 2000 (33.9%) 2020 (44.8%). This increase blunted within increasing (6.4%) (13.3%). Rhode Island saw greatest improvements equity. Discussion Conclusions rates 21 years, a significant disparity persisted among most states. As disorders opioid‐related overdoses are more prevalent those involved system, improving this has high impact. Scientific Significance Provides comprehensive inequities access through national set. Positive outliers used case examples others follow pursuit equitable care.

Language: Английский

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Influences of the criminal justice system on use of medications for opioid use disorder: a qualitative study

BMC Global and Public Health, Journal Year: 2024, Volume and Issue: 2(1)

Published: Sept. 18, 2024

Abstract Background Legal-involved veterans with opioid use disorder (OUD) have lower receipt of medications for (MOUD) than other served at the Veterans Health Administration (VHA). This qualitative study examined influence criminal justice system on access to MOUD legal-involved in U.S. Methods VHA facilities ( n = 14) that varied their provision were selected interviews. Interviewees included 18), Justice Programs Specialists 15), substance treatment providers 5), and staff 12). Team members applied codes meaningful units analysis (quotations) transcribed Using a matrix approach, team created spreadsheet codes, facility rate MOUD, relevant quotations summarized each participant. Themes connections between individual participants cross-interview concepts explored. Participants not asked provide feedback findings. Results identified as follows: (1) Treatment Court policies both enhanced limited utilization among participants; (2) cross-system collaboration strengths challenges existed; (3) preferences jails prisons. Conclusions The has led variable veterans. Our findings can help inform recommendations enhance within system, including development national database education materials Courts, strengthening community-court relationships, allowing individuals own healthcare coverage prisons extend Medicaid into settings, applying quality measures settings develop tracking these measures.

Language: Английский

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