"And Then COVID Hits": A Qualitative Study of How Jails Adapted Services to Treat Opioid Use Disorder During COVID-19.
"And Then COVID Hits": A Qualitative Study of How Jails Adapted Services to Treat Opioid Use Disorder During COVID-19.
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DOI：
10.1080/10826084.2022.2155480
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发表时间：
2023
影响因子：
2
通讯作者：
Evans, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Harrington, Calla;Bailey, Amelia;Delorme, Elizabeth;Hano, Samantha;Evans, Elizabeth A.
关键词：
马萨诸塞州的监狱是全国首批为矫正人群提供治疗阿片类药物使用障碍（mod）的药物的监狱之一。2019冠状病毒病大流行导致监狱转向和调整mod编程。我们的目标是确定COVID-19加剧或造成的mod访问的适应和障碍，并记录工作人员希望在COVID-19消退时保持的新元素。2020 - 2021年，我们对29名在马萨诸塞州两所监狱实施mod编程的监狱工作人员进行了半结构化的深度访谈和焦点小组讨论。我们在Atlas中进行了定性数据分析。用归纳的方法。与会者一致认为，监狱工作人员认为，在监狱服刑人员中获得mod是一项基本的保健服务。因此，为了便利在监禁期间和重新进入社区时继续获得mod，监狱工作人员迅速修改了mod条例和给药协议，并建立了远程保健能力。尽管进行了这些项目调整，但与会者确定了COVID-19如何增加了惩教人员的健康和社会需求，减少了社区医疗保健和康复支持服务的可用性，并引入了可能破坏康复的新因素。随着COVID-19的消退，与会者希望维持的创新包括远程医疗能力、较小规模的治疗小组，以及在矫正人群中应用公共卫生方法治疗阿片类药物使用障碍。在发生破坏性事件时，监狱可以调整mod编程，以确保在狱中和即将释放的人能够访问。调查结果还确定了了解2019冠状病毒病期间基于监狱的mod编程结果的因素，并强调了在2019冠状病毒病之后改善服务提供的机会。
Jails in Massachusetts are among the first nationwide to provide correctional populations with medications to treat opioid use disorder (MOUD). The COVID-19 pandemic caused jails to pivot and adapt MOUD programming. We aimed to identify adaptations and barriers to MOUD access that COVID-19 exacerbated or created, and document new elements that staff wish to sustain as COVID-19 recedes. We conducted semi-structured in-depth interviews and focus groups in 2020–21 with 29 jail staff who implement MOUD programming in two Massachusetts jails. We conducted qualitative data analysis in Atlas.ti 8 using an inductive approach. Participants shared that access to MOUD among correctional populations is understood by jail staff to be an essential health service. Thus, to facilitate continued access to MOUD, both during incarceration and also at community re-entry, jail staff quickly implemented changes in MOUD regulations and dosing protocols and established telehealth capacity. Despite these program adaptations, participants identified how COVID-19 increased health and social needs among correctional populations, reduced availability of community-based healthcare and recovery-supportive services, and introduced new factors that could undermine recovery. Innovations that participants wished to sustain as COVID-19 receded included telehealth capacity, smaller-sized therapeutic groups, and application of a public health approach to treat opioid use disorder among correctional populations. During disruptive events, jails can adapt MOUD programming to ensure access for people living in jail and upon release. Findings also identify factors for understanding the outcomes of jail-based MOUD programming during COVID-19 and highlight opportunities to improve service delivery after COVID-19.
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通讯作者：
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影响因子：
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