Providing peer navigation services to women with a history of opioid misuse pre- and post-release from jail: A program description.
Providing peer navigation services to women with a history of opioid misuse pre- and post-release from jail: A program description.
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DOI：
10.1017/cts.2022.441
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发表时间：
2022
影响因子：
2.6
通讯作者：
Staton, Michele
中科院分区：
文献类型：
--
作者：
Tillson, Martha;Fallin-Bennett, Amanda;Staton, Michele
关键词：
司法系统涉及的阿片类药物使用障碍(OUD)女性经历了分层的健康风险和耻辱，但重新进入期间的同行导航服务可能支持积极的结果。这份手稿提供了一个项目描述，介绍了在出狱前后提供的妇女同伴导航干预，以消除妇女获得OUD治疗的障碍，包括阿片类药物使用障碍(MOUD)。所有数据都是作为NIH/NIDA资助的国家合作社--正义社区阿片创新网络(JCOIN)项目的一部分收集的。通过这项更大规模的研究干预，患有OUD的监狱中的女性通过视频会议与同行导航员联系，后者提供初步的重返社会恢复评估，并在释放后提供12周以上的恢复支持会议。定性分析检查了同龄人从最初与妇女的会议(N=50)和与同龄人的深入访谈(N=3)中得到的笔记。同龄人在最初会议上的记录表明，妇女预见到成功康复和重返社区的挑战。超过一半的妇女(51.9%)选择接受治疗作为主要目标，而其他人则选择更基本的需求(如住房、交通)。在定性访谈中，同行们将妇女向社区的过渡描述为不可预测的，给重返社会规划带来了困难，特别是对农村妇女。同行们也描述了对穆德的耻辱和通过远程医疗建立关系的挑战，但最终认为他们在提供资源转介、支持和康复希望方面的作用是有价值的。对于有OUD的女性来说，除了希望、鼓励和团结之外，同行导航还可以为出狱后的服务提供关键链接。研究结果为未来基于同伴的干预提供了重要的见解。
Justice system-involved women with opioid use disorder (OUD) experience layered health risks and stigma, yet peer navigation services during reentry may support positive outcomes. This manuscript offers a program description of a women’s peer navigation intervention delivered pre- and post-release from jail to remove barriers to women’s access to OUD treatment, including medications for opioid use disorder (MOUD). All data were collected as part of a NIH/NIDA-funded national cooperative, the Justice Community Opioid Innovation Network (JCOIN) project. Through the larger study’s intervention, women in jail with OUD are connected via videoconference to a peer navigator, who provides an initial reentry recovery assessment and 12+ weeks of recovery support sessions post-release. Qualitative analyses examined peers’ notes from initial sessions with women (N = 50) and in-depth interviews with peers (N = 3). Peers’ notes from initial sessions suggest that women anticipate challenges to successful recovery and community reentry. More than half of women (51.9%) chose OUD treatment as their primary goal, while others selected more basic needs (e.g. housing, transportation). In qualitative interviews, peers described women’s transitions to the community as unpredictable, creating difficulties for reentry planning, particularly for rural women. Peers also described challenges with stigma against MOUD and establishing relationships via telehealth, but ultimately believed their role was valuable in providing resource referrals, support, and hope for recovery. For women with OUD, peer navigation can offer critical linkages to services at release from jail, in addition to hope, encouragement, and solidarity. Findings provide important insights for future peer-based interventions.
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