Medications for opioid use disorder during incarceration and post-release outcomes.

IF 3 Q1 CRIMINOLOGY & PENOLOGY Health and Justice Pub Date : 2023-02-04 DOI:10.1186/s40352-023-00209-w

Lara Cates, Aaron R Brown

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引用次数: 2

Abstract

Background: Continuation or initiation of MOUDs during incarceration could improve post-release outcomes by preventing return to opioid use and reducing risk of overdose. People with OUD involved in the criminal legal system are a vulnerable population, yet little research has comprehensively examined post-release outcomes associated with receiving MOUDs in jail and prison settings.

Methods: The authors conducted a review of published peer-reviewed literature on post-release outcomes associated with the use of MOUDs in correctional settings to determine implications for further research and policy.

Results: Results showed compelling evidence supporting the use of MOUDs for currently incarcerated populations, with almost all studies showing that MOUDs provided during incarceration increased community-based treatment engagement post-release. There is also evidence that initiating or continuing MOUDs during incarceration is associated with decreased opioid use and overdoses post-release, without increasing criminal involvement.

Conclusions: Findings indicate that forcing tapering and withdrawal during incarceration can have dire consequences upon release into the community. Initiating or continuing MOUDs during incarceration reduces the risk for opioid use and overdose upon release by maintaining opioid tolerance and increasing community treatment engagement.

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监禁期间阿片类药物使用障碍的药物治疗和释放后的结果。

背景:在监禁期间继续或开始使用mods可以通过防止阿片类药物的重新使用和降低过量的风险来改善释放后的结果。涉及刑事法律体系的OUD患者是弱势群体，但很少有研究全面调查在监狱和监狱环境中接受OUD的释放后结果。方法:作者对已发表的同行评议文献进行了回顾，以确定在惩教环境中使用MOUDs的释放后结果，以确定进一步研究和政策的意义。结果:结果显示了令人信服的证据，支持目前被监禁的人群使用MOUDs，几乎所有的研究都表明，在监禁期间提供的MOUDs增加了释放后社区治疗的参与。也有证据表明，在监禁期间开始或持续使用mods与释放后阿片类药物使用和过量使用有关，而不会增加犯罪参与。结论:研究结果表明，在监禁期间强迫逐渐减少和戒断可能会在释放到社区后产生可怕的后果。通过维持阿片类药物耐受性和增加社区治疗参与，在监禁期间开始或继续使用mods可降低阿片类药物使用和释放后过量使用的风险。

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来源期刊

Health and Justice Social Sciences-Law

CiteScore

4.10

自引率

8.60%

发文量

审稿时长

13 weeks

期刊介绍： Health & Justice is open to submissions from public health, criminology and criminal justice, medical science, psychology and clinical sciences, sociology, neuroscience, biology, anthropology and the social sciences, and covers a broad array of research types. It publishes original research, research notes (promising issues that are smaller in scope), commentaries, and translational notes (possible ways of introducing innovations in the justice system). Health & Justice aims to: Present original experimental research on the area of health and well-being of people involved in the adult or juvenile justice system, including people who work in the system; Present meta-analysis or systematic reviews in the area of health and justice for those involved in the justice system; Provide an arena to present new and upcoming scientific issues; Present translational science—the movement of scientific findings into practice including programs, procedures, or strategies; Present implementation science findings to advance the uptake and use of evidence-based practices; and, Present protocols and clinical practice guidelines. As an open access journal, Health & Justice aims for a broad reach, including researchers across many disciplines as well as justice practitioners (e.g. judges, prosecutors, defenders, probation officers, treatment providers, mental health and medical personnel working with justice-involved individuals, etc.). The sections of the journal devoted to translational and implementation sciences are primarily geared to practitioners and justice actors with special attention to the techniques used.