Jenna's Project: Preventing Overdose and Improving Recovery Outcomes for Women Leaving Incarcerated Settings during Pregnancy and Postpartum Periods.

IF 4.2 3区 医学 Q1 SUBSTANCE ABUSE Journal of Addiction Medicine Pub Date : 2024-07-03 DOI:10.1097/ADM.0000000000001341
Essence Hairston, Hendrée E Jones, Elisabeth Johnson, James Alexander, Kimberly R Andringa, Kevin E O'Grady, Andrea K Knittel
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Abstract

Objectives: For people with opioid use disorder (OUD), transitioning from pregnancy to postpartum and from incarceration to the community is a time of increased risk for opioid overdose. This prospective project evaluated the extent of Jenna's Project's success in preventing overdoses and improving recovery outcomes by coordinating postrelease care in incarcerated OUD perinatal patients.

Methods: Participants (N = 132) were pregnant or postpartum (1 year postdelivery) with OUD during incarceration and self-referred for postrelease services. From March 2020 to October 2021, participants could receive up to 6 months of postincarceration care coordination services (eg, regular communication, transportation, emergency housing, SUD treatment), medication to treat OUD (MOUD) and other treatment services. Outcomes included verified overdose (fatal), self-reported nonfatal overdose, reincarceration, active Medicaid, receipt of MOUD, presence of children living with participants, open Child Protective Services cases, and number of referrals for services.

Results: There were 0 nonfatal and 0 fatal overdoses at both 1 and 6 months postrelease, and 3 of 132 (2%) returned to incarceration. Significantly fewer participants had Medicaid at release (36%) and at 6 months postrelease (60%) than before incarceration (87%) (P < 0.001 for all 3 pairwise comparisons). At 6 months postrelease, significantly more participants reported MOUD receipt (51%) compared with before incarceration (39%) (P < 0.001). There was no significant change in the number of open Child Protective Services cases. Referrals for childcare or parenting services were the most common referrals provided.

Conclusion: Immediate postrelease care coordination for pregnant and postpartum women with OUD was feasible and effective in preventing overdose, reincarceration, and promoting recovery outcomes.

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珍娜的项目:预防吸毒过量,改善孕期和产后离开监禁环境的妇女的康复效果。
目标:对于阿片类药物使用障碍(OUD)患者来说,从怀孕到产后以及从监禁到社区的过渡时期是阿片类药物过量风险增加的时期。本前瞻性项目评估了珍娜项目通过协调对被监禁的 OUD 围产期患者的释放后护理,在预防用药过量和改善康复效果方面的成功程度:参与者(N = 132)在监禁期间怀孕或产后(分娩后 1 年)患有 OUD,并自我转介接受释放后服务。从 2020 年 3 月到 2021 年 10 月,参与者可接受长达 6 个月的监禁后护理协调服务(例如,定期沟通、交通、紧急住房、SUD 治疗)、药物治疗 OUD (MOUD) 和其他治疗服务。结果包括经证实的用药过量(致命)、自我报告的非致命用药过量、再监禁、有效的医疗补助、接受 MOUD 治疗、是否有子女与参与者同住、儿童保护服务机构的未结案件以及转介服务的数量:在释放后的 1 个月和 6 个月内,非致命和致命吸毒过量的人数分别为 0 人和 0 人,132 人中有 3 人(2%)重返监狱。获释时(36%)和获释后 6 个月时(60%)拥有医疗补助计划的参与者人数明显少于入狱前(87%)(所有三项成对比较的结果均小于 0.001)。与入狱前(39%)相比,入狱 6 个月后报告领取 MOUD(51%)的人数明显增多(P < 0.001)。儿童保护服务机构的未决案件数量没有明显变化。最常见的转介服务是儿童保育或育儿服务:为患有 OUD 的孕妇和产后妇女提供释放后即时护理协调服务是可行的,并能有效预防用药过量、重新入狱和促进康复结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Addiction Medicine
Journal of Addiction Medicine 医学-药物滥用
CiteScore
6.10
自引率
9.10%
发文量
260
审稿时长
>12 weeks
期刊介绍: The mission of Journal of Addiction Medicine, the official peer-reviewed journal of the American Society of Addiction Medicine, is to promote excellence in the practice of addiction medicine and in clinical research as well as to support Addiction Medicine as a mainstream medical sub-specialty. Under the guidance of an esteemed Editorial Board, peer-reviewed articles published in the Journal focus on developments in addiction medicine as well as on treatment innovations and ethical, economic, forensic, and social topics including: •addiction and substance use in pregnancy •adolescent addiction and at-risk use •the drug-exposed neonate •pharmacology •all psychoactive substances relevant to addiction, including alcohol, nicotine, caffeine, marijuana, opioids, stimulants and other prescription and illicit substances •diagnosis •neuroimaging techniques •treatment of special populations •treatment, early intervention and prevention of alcohol and drug use disorders •methodological issues in addiction research •pain and addiction, prescription drug use disorder •co-occurring addiction, medical and psychiatric disorders •pathological gambling disorder, sexual and other behavioral addictions •pathophysiology of addiction •behavioral and pharmacological treatments •issues in graduate medical education •recovery •health services delivery •ethical, legal and liability issues in addiction medicine practice •drug testing •self- and mutual-help.
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