Medication-assisted treatment in criminal justice agencies affiliated with the criminal justice-drug abuse treatment studies (CJ-DATS): availability, barriers, and intentions.
Medication-assisted treatment in criminal justice agencies affiliated with the criminal justice-drug abuse treatment studies (CJ-DATS): availability, barriers, and intentions.
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DOI：
10.1080/08897077.2011.611460
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发表时间：
2012
期刊：
影响因子：
3.5
通讯作者：
Mat Working Group Of CJ-Dats
中科院分区：
文献类型：
--
作者：
Friedmann PD;Hoskinson R;Gordon M;Schwartz R;Kinlock T;Knight K;Flynn PM;Welsh WN;Stein LA;Sacks S;O'Connell DJ;Knudsen HK;Shafer MS;Hall E;Frisman LK;Mat Working Group Of CJ-Dats
药物辅助治疗（MAT）在治疗药物依赖的刑事司法人群中未得到充分利用。这项研究调查了刑事司法机构附属于刑事司法药物滥用治疗研究（CJ-DATS），以评估MAT的使用和影响MAT使用的因素。刑事司法机构受访者的便利样本（N=50）（例如，监狱、监狱、假释/缓刑和毒品法庭）完成了一项关于MAT做法和态度的调查。孕妇和经历戒断的个人最有可能在监狱或监狱中接受MAT治疗阿片类药物依赖，而那些从监狱或监狱重新进入社区的人最不可能接受MAT治疗。影响使用MAT的因素包括刑事司法对无毒品治疗的偏好、对MAT益处的了解有限、安全问题、禁止某些机构使用MAT的法规以及缺乏合格的医务人员。还研究了影响MAT使用和感知的因素在机构类型上的差异。MAT的使用主要限于刑事司法环境中孕妇的解毒和维持。在重返社区期间，使用MAT的情况很少。解决有关MAT的知识不足和消极态度可能会增加其采用，但在重返期间与社区药物治疗的更好联系可能会克服其他问题，包括安全，责任，人员配备和监管问题。CJ-DATS合作MAT实施研究，以解决知识不足，态度和联系将被描述。
Medication-assisted treatment (MAT) is underutilized in the treatment of drug-dependent, criminal justice populations. This study surveyed criminal justice agencies affiliated with the Criminal Justice Drug Abuse Treatment Studies (CJ-DATS) to assess use of MAT and factors influencing use of MAT. A convenience sample (N=50) of criminal justice agency respondents (e.g., jails, prisons, parole/probation, and drug courts) completed a survey on MAT practices and attitudes. Pregnant women and individuals experiencing withdrawal were most likely to receive MAT for opiate dependence in jail or prison, while those re-entering the community from jail or prison were the least likely to receive MAT. Factors influencing use of MAT included criminal justice preferences for drug-free treatment, limited knowledge of the benefits of MAT, security concerns, regulations prohibiting use of MAT for certain agencies, and lack of qualified medical staff. Differences across agency type in the factors influencing use and perceptions of MAT were also examined. MAT use is largely limited to detoxification and maintenance of pregnant women in criminal justice settings. Use of MAT during the community reentry period is minimal. Addressing inadequate knowledge and negative attitudes about MAT may increase its adoption, but better linkages to community pharmacotherapy during the reentry period might overcome other issues, including security, liability, staffing and regulatory concerns. The CJ-DATS collaborative MAT implementation study to address inadequate knowledge, attitudes and linkage will be described.
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