Get It in Writing: How to Make Medications for Opioid Use Disorder Available During Incarceration.

Get It in Writing: How to Make Medications for Opioid Use Disorder Available During Incarceration.
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以书面形式获取:如何在监禁期间提供治疗阿片类药物使用障碍的药物。

DOI:
10.1089/jchc.23.08.0065
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发表时间:
2024
期刊:
Journal of correctional health care : the official journal of the National Commission on Correctional Health Care
影响因子:
--
通讯作者:
Oser,CarrieB
Oser,CarrieB
中科院分区:
--
文献类型:
--
作者:
McGladrey,Margaret;Kelsch,Jordan;Lofwall,MichelleR;Fanucchi,LauraC;Walsh,SharonL;Oser,CarrieB

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在肯塔基州治愈社区研究的一个案例中,部署了大量资源来解决结构性障碍,并促进在城市县监狱中提供治疗阿片类药物使用障碍 (OUD) 的药物。然而,实施并不成功,这个案例强调了将循证药物治疗 OUD (MOUD) 纳入监狱签约医疗提供者的工作范围的重要性。惩教医疗保健服务的私有化允许拥有阿片类药物削减资金的地方政府将要求纳入医疗提供者合同中,以筛查所有因 OUD 入狱的人,并在入狱时、整个监禁期间以及释放后向有临床指征的每个人提供 MOUD。我们提供样本合同语言,可以将其添加到医疗提供商建议请求中,以帮助推动私人惩教医疗保健市场将 MOUD 治疗纳入其护理标准。这种方法还可以通过在与具有广泛授权的州(例如马萨诸塞州)的监狱签订合同的一小群国家惩教医疗保健公司之间共享工作流程和最佳实践,加快扩大 MOUD 在美国监狱的广泛访问。临床试验注册:NCT04111939。
In a case example from the Kentucky HEALing Communities Study, extensive resources were deployed to address structural barriers and facilitate the provision of medication for opioid use disorder (OUD) in an urban county jail. However, implementation was unsuccessful, and this case example emphasizes the importance of including evidence-based medication for OUD (MOUD) treatment in the scope of work of jails' contracted medical providers. The privatization of correctional health care services allows local governments with opioid abatement funds to incorporate requirements into medical provider contracts to screen all people entering jails for OUD and to offer MOUD at intake, throughout incarceration, and upon release to everyone for whom it is clinically indicated. We provide sample contractual language that can be added to requests for medical provider proposals to help drive the private correctional health care market toward integrating MOUD treatment into their standard of care. This approach also could expedite efforts to scale up broad MOUD access across U.S. jails through sharing of workflows and best practices among the small group of national correctional health care companies contracted with jails in states with broad mandates, such as Massachusetts.Clinical Trial Registration: NCT04111939.
治疗被监禁患者的阿片类药物使用障碍:住院医师的困境。
DOI: --
发表时间: 2023
期刊: Journal of the American Medical Association (JAMA)
影响因子: --
作者:
Anna;L. Fanucchi;Michelle R. Lofwall
通讯作者: Michelle R. Lofwall
公共卫生监测中的永久盲点。
DOI: 10.1089/jchc.21.06.0053
发表时间: 2022
期刊: Journal of correctional health care : the official journal of the National Commission on Correctional Health Care
影响因子: --
作者:
B. Ray;Matt Aalsma;N. Zaller;Erin B. Comartin;Emily Sightes
通讯作者: Emily Sightes