Addressing excess risk of overdose among recently incarcerated people in the USA: harm reduction interventions in correctional settings
Addressing excess risk of overdose among recently incarcerated people in the USA: harm reduction interventions in correctional settings
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DOI：
10.1108/ijph-08-2016-0039
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发表时间：
2017-01-01
影响因子：
1.4
通讯作者：
Rich, Josiah
中科院分区：
文献类型：
--
作者：
Brinkley-Rubinstein, Lauren;Cloud, David H.;Rich, Josiah
目的 - 本文的目的是讨论具有刑事司法经验的人的用药过量问题，并提出减少伤害策略，以减少这一弱势群体的用药过量风险。设计/方法/途径 - 需要制定策略来减少最近被监禁的人的用药过量死亡。监狱和监狱是阿片类药物流行的中心，但在实施过量教育、风险评估、药物辅助治疗和纳洛酮分配计划方面基本上尚未开发。联邦、州和地方计划通常缺乏纠正措施作为对抗用药过量的一个因素。减少危害策略对于降低释放后社区服药过量的风险至关重要。调查结果 - 因此，作者建议在惩教环境中实施以下措施：扩大服药过量教育和纳洛酮计划；建立全面的药物辅助治疗方案作为护理标准；开发针对惩教的过量用药风险评估工具；并加强惩教实体和社区组织之间的合作。原创性/价值——在本政策简介中，作者提供了在刑事司法环境中实施减少伤害方法的建议。采用这些策略可以减少最近参与刑事司法的人员服药过量的数量。
Purpose - The purpose of this paper is to discuss overdose among those with criminal justice experience and recommend harm reduction strategies to lessen overdose risk among this vulnerable population.Design/methodology/approach - Strategies are needed to reduce overdose deaths among those with recent incarceration. Jails and prisons are at the epicenter of the opioid epidemic but are a largely untapped setting for implementing overdose education, risk assessment, medication assisted treatment, and naloxone distribution programs. Federal, state, and local plans commonly lack corrections as an ingredient in combating overdose. Harm reduction strategies are vital for reducing the risk of overdose in the post- release community.Findings - Therefore, the authors recommend that the following be implemented in correctional settings: expansion of overdose education and naloxone programs; establishment of comprehensive medication assisted treatment programs as standard of care; development of corrections- specific overdose risk assessment tools; and increased collaboration between corrections entities and community- based organizations.Originality/value - In this policy brief the authors provide recommendations for implementing harm reduction approaches in criminal justice settings. Adoption of these strategies could reduce the number of overdoses among those with recent criminal justice involvement.