A qualitative investigation into the effectiveness of a housing navigator program linking justice-involved clients with recovery housing.

IF 3 Q1 CRIMINOLOGY & PENOLOGY Health and Justice Pub Date : 2024-09-14 DOI:10.1186/s40352-024-00293-6
Jodie M Dewey, Patrick Hibbard, Dennis P Watson, Juleigh Nowinski Konchak, Keiki Hinami
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Abstract

Background: Roughly 24-36% of people who are incarcerated in the U.S. are formally diagnosed with opioid use disorder (OUD). Once released, individuals involved with the criminal legal system (CLS) face increased risks of return to use and fatality and are 129 times more likely to die from an overdose within the first two weeks of release compared to those without CLS involvement. People who are CLS-involved and who are seeking a recovery living environment can access temporary stable housing through recovery homes. However, entering a recovery home can be difficult due to fragmentation among recovery housing organizations and their non-uniform application and screening procedures. A navigation pilot program was implemented to provide clients with recovery home placement advice, pre-screening, and referrals in Cook County, IL. Existing research on recovery homes has rarely examined the importance of recovery housing navigation for enhancing service engagement among CLS-involved individuals receiving medications for OUD.

Methods: Semi-structured qualitative interviews were conducted with 22 clients and three recovery housing navigators as part of a program evaluation of the navigation program pilot. Qualitative software was used to organize and qualitatively analyze transcripts through several rounds of coding producing emergent themes, which were then triangulated, and expanded using navigator data.

Results: Clients seeking recovery home services reported multiple prior challenges securing safe and supportive recovery living environments. Despite low initial expectations, clients described their interactions with housing navigators in favorable terms and felt navigators worked with them effectively to identify and meet their housing and substance use needs in a timely manner. Clients also commented on their partnerships with the navigator throughout the process. Interactions with navigators also calmed fears of rejection many clients had previously experienced and still harbored about the process, which bolstered client-navigator relationships and client motivation to engage with additional services.

Conclusion: Evidence from this study suggests recovery home navigation can improve the speed and efficiency with which clients are connected to appropriate services that are tailored to their specific needs as well as increase client motivation to engage with a myriad of recovery services.

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对住房导航员计划的有效性进行定性调查,该计划将涉及司法问题的客户与康复住房联系起来。
背景:在美国,约有 24%-36% 的被监禁者被正式诊断出患有阿片类药物使用障碍 (OUD)。一旦获释,与刑事法律系统(CLS)有牵连的人面临着更大的重新吸毒和死亡风险,与没有刑事法律系统牵连的人相比,他们在获释后两周内死于吸毒过量的可能性要高出 129 倍。涉及 CLS 并寻求康复生活环境的人可以通过康复之家获得临时稳定住房。然而,由于康复住房组织之间各自为政,申请和筛选程序也不统一,因此进入康复住房可能会很困难。伊利诺伊州库克县实施了一项导航试点计划,为客户提供康复之家安置建议、预筛查和转介服务。关于康复之家的现有研究很少探讨康复之家导航对于提高接受药物治疗的社区服务参与度的重要性:作为导航计划试点项目评估的一部分,对 22 名客户和 3 名康复之家导航员进行了半结构化定性访谈。我们使用定性软件对记录誊本进行了整理和定性分析,通过多轮编码产生了新出现的主题,然后对这些主题进行了三角测量,并利用导航员的数据对这些主题进行了扩展:结果:寻求康复之家服务的客户报告了之前在确保安全和支持性康复生活环境方面遇到的多重挑战。尽管最初的期望值不高,但客户对他们与住房领航员的互动评价良好,并认为领航员与他们有效合作,及时发现并满足了他们的住房和药物使用需求。客户还对他们在整个过程中与领航员的伙伴关系发表了评论。与导航员的互动也平息了许多客户之前经历过并仍然对这一过程怀有的被拒绝的恐惧,这加强了客户与导航员之间的关系以及客户参与更多服务的积极性:本研究的证据表明,康复家庭导航可以提高客户获得适合其特定需求的适当服务的速度和效率,并提高客户参与各种康复服务的积极性。
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来源期刊
Health and Justice
Health and Justice Social Sciences-Law
CiteScore
4.10
自引率
8.60%
发文量
34
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.
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