"Just fighting for my life to stay alive": a qualitative investigation of barriers and facilitators to community re-entry among people with opioid use disorder and incarceration histories.
"Just fighting for my life to stay alive": a qualitative investigation of barriers and facilitators to community re-entry among people with opioid use disorder and incarceration histories.
复制标题
DOI：
10.1186/s13722-023-00377-y
复制
发表时间：
2023-03-21
影响因子：
3.7
通讯作者：
Barry, Declan T.
中科院分区：
文献类型：
--
作者：
Hoffman, Kim A.;Thompson, Emma;Gaeta Gazzola, Marina;Oberleitner, Lindsay M. S.;Eller, Anthony;Madden, Lynn M.;Marcus, Ruthanne;Oberleitner, David E.;Beitel, Mark;Barry, Declan T.
在从监狱或监狱释放后立即重返社区期间，阿片类药物使用障碍（OUD）患者在成功重返社区方面面临结构性障碍，并面临过量使用的高风险。很少有已发表的研究调查OUD患者重新进入的直接时期（即最初24小时）的经历。了解OUD患者在从监狱环境回到社区的最初过渡期间治疗和重新融入社会的障碍和促进因素。从2017年1月至12月，我们对在一个非营利性、低障碍阿片类药物治疗项目中接受美沙酮治疗的有监禁史的患者进行了42次半结构化定性访谈。访谈调查了参与者在被监禁后立即重返社区的经历。访谈记录和分析使用主题分析方法。主要主题描述了释放后24小时内的经验，重新适应和克服重返障碍，以及重返准备和规划。与会者指出，最初的24小时是恢复药物使用的风险时期，或者是参与OUD治疗的机会时期，也是许多人缺乏住房或金钱等基本资源的脆弱时期。在讨论随后的重返社会时期时，与会者注意到社会挑战和稳定住房和就业的持续障碍。参与者总体上描述了对释放的感觉，并提出了改进建议，包括正式的过渡计划，改进的教育，以及支持对抗过量使用的风险，并在监禁后重新使用物质。在本研究中，我们定性地考察了有监禁史的人和参加美沙酮治疗的OUD患者的经历，我们发现参与者在重新进入社区时面临许多障碍，特别是在基本资源和治疗参与方面。参与者报告说，他们对释放感到没有准备，但对可能改善他们遇到的障碍的干预措施提出了具体建议。未来的工作应该研究将这些有生活经验的人的观点纳入过渡计划或再入课程的发展中。
During the period of community re-entry immediately following release from jail or prison, individuals with opioid use disorder (OUD) face structural barriers to successful re-entry and high risk of overdose. Few published studies investigate experiences in the immediate period (i.e., first 24 h) of re-entry among people with OUD. To understand the barriers and facilitators to treatment and reintegration of people with OUD during the initial transition from carceral settings back into the community. From January–December 2017, we conducted 42 semi-structured qualitative interviews with patients with a history of incarceration who were receiving methadone at a not-for-profit, low-barrier opioid treatment program. Interviews probed participants’ community re-entry experiences immediately following incarceration. Interviews were transcribed and analyzed using a Thematic Analysis approach. The main themes described the experiences during the 24 h following release, reacclimating and navigating re-entry barriers, and re-entry preparedness and planning. Participants noted the initial 24 h to be a period of risk for returning to substance use or an opportunity to engage with OUD treatment as well as a tenuous period where many lacked basic resources such as shelter or money. When discussing the subsequent re-entry period, participants noted social challenges and persistent barriers to stable housing and employment. Participants overall described feeling unprepared for release and suggested improvements including formal transition programs, improved education, and support to combat the risk of overdose and return to substance use after incarceration. In this study that qualitatively examines the experiences of people with incarceration histories and OUD enrolled in methadone treatment, we found that participants faced many barriers to community re-entry, particularly surrounding basic resources and treatment engagement. Participants reported feeling unprepared for release but made concrete suggestions for interventions that might improve the barriers they encountered. Future work should examine the incorporation of these perspectives of people with lived experience into the development of transition programs or re-entry classes.
登录
查看更多内容
影响因子：
1.8
作者：
Cantora, Andrea
通讯作者：
Cantora, Andrea
影响因子：
3.9
作者：
Howell BA;Puglisi L;Clark K;Albizu-Garcia C;Ashkin E;Booth T;Brinkley-Rubinstein L;Fiellin DA;Fox AD;Maurer KF;Lin HJ;McCollister K;Murphy S;Morse DS;Shavit S;Wang K;Winkelman T;Wang EA
通讯作者：
Wang EA
影响因子：
3.7
作者：
Chamberlain, Adam;Nyamu, SylviaH;Fox, Aaron D.
通讯作者：
Fox, Aaron D.
影响因子：
3.7
作者：
Hu, Catherine;Jurgutis, Jessica;Kouyoumdjian, Fiona G.
通讯作者：
Kouyoumdjian, Fiona G.
影响因子：
3.7
作者：
Fox, Aaron D.;Maradiaga, Jeronimo;Cunningham, Chinazo O.
通讯作者：
Cunningham, Chinazo O.