Holyoke Early Access to Recovery and Treatment (HEART): A case study of a court-based intervention to reduce opioid overdose.
Holyoke Early Access to Recovery and Treatment (HEART): A case study of a court-based intervention to reduce opioid overdose.
复制标题
霍利奥克早期康复和治疗 (HEART)：基于法庭的干预减少阿片类药物过量的案例研究。
DOI：
10.1080/15332640.2023.2172758
复制
发表时间：
2023
影响因子：
1.3
通讯作者：
Evans,ElizabethA
中科院分区：
文献类型：
--
作者：
Bailey,Amelia;Evans,ElizabethA
马萨诸塞州霍利奥克的地方法院是全国第一批提供阿片类药物使用障碍（MOUD）和其他治疗药物的法院之一。该计划采用创新的多部门方法，为生活在阿片类药物过量率高的集中贫困社区的主要拉丁裔人口提供服务。我们记录了程序操作的起源，适应和当前状态，包括使用现场同行恢复专家和强大的数据收集工作。从2021年8月16日到2022年2月28日，在进入法院接受传讯的1040名个人中，47.9%（n= 498）有资格参与计划。在这498人中，54.2%（n= 270）与恢复专家交谈。许多人自称为拉丁裔（53.0%）和男性（69.3%）。超过四分之一（27.0%）的人与长期的同行恢复专家有联系，11.5%的人直接与MOUD提供商有联系。与主要实施者和参与者的半结构化访谈显示，他们对该方案的救生努力表示赞赏。我们的结论与实际和理论上的考虑，需要提供连接到MOUD在法院为基础的情况下。未来的努力将评估参与者的结果，以确定该计划是否是一个有效和可行的干预，可以通过其他法院为基础的设置。
The District Court in Holyoke, Massachusetts, is among the first courts nationwide to provide access to medications for opioid use disorder (MOUD) and other treatment. The program uses an innovative multisectoral approach to serve a primarily Latinx population living in communities of concentrated poverty with high opioid overdose rates. We document the origins, adaptations, and current status of program operations, including the use of on-site peer recovery specialists and robust data collection efforts. From August 16, 2021, to February 28, 2022, of the 1040 individuals who entered the court for an arraignment, 47.9% (n= 498) were eligible for program participation. Of those 498 individuals, 54.2% (n= 270) spoke with a recovery specialist. Many self-identified as Latinx (53.0%) and male (69.3%). Over one-fourth (27.0%) were connected to a long-term peer recovery specialist and 11.5% were directly connected to a MOUD provider. Semi-structured interviews with key implementers and participants revealed a shared appreciation for the life-saving efforts of the program. We conclude with practical and theoretical considerations required to offer linkage to MOUD in court-based contexts. Future efforts will assess participant outcomes to determine whether the program is an effective and feasible intervention that can be adopted by other court-based settings.