Scoping review of interventions to link individuals to substance use services at discharge from jail.
Scoping review of interventions to link individuals to substance use services at discharge from jail.
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DOI：
10.1016/j.jsat.2021.108718
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发表时间：
2022-07
影响因子：
3.9
通讯作者：
Dennis, Michael L.
中科院分区：
文献类型：
--
作者：
Grella, Christine E.;Ostlie, Erika;Watson, Dennis P.;Scott, Christy K.;Carnevale, John;Dennis, Michael L.
关键词：
物质使用障碍（SUD）患者在出狱后必须与基于社区的SUD治疗和其他服务联系起来，因为他们的服务需求高，释放后复发、再犯和阿片类药物相关过量的风险也高。本综述确定了14项研究（28篇附属出版物），这些研究使用实验或准实验设计来评估SUD患者重返监狱的干预措施。该团队根据治疗联系和保留以及释放后物质使用和刑事司法结果的服务连续体对干预成分、研究特征和研究结果进行了编码。本综述包括4项随机对照试验（RCT），研究阿片类药物使用障碍（mod）的药物治疗的相关性；4项随机对照试验和4项准实验研究与非特异性SUD治疗的关联；以及2项与HIV + SUD服务相关的随机对照试验。大多数研究（9/14）将病例管理和/或同伴或患者导航作为核心干预措施；2项研究为mod诱导提供了医疗管理和/或促进了社区mod转诊；3项研究使用了基于动机的关联干预。对研究结果的定性分析发现，有证据支持多种干预措施的有效性，将个人与社区SUD治疗、mod和其他重返社会服务联系起来，但对长期结果的干预效果的支持有限，包括治疗保留、药物依从性、再犯罪和物质使用。未来的对照试验和实施研究应有助于分析和检查重返监狱干预措施的核心组成部分及其成功实施，以加强治疗保留并改善释放后的结果。
Individuals with substance use disorders (SUD) must be linked to community-based SUD treatment and other services upon their release from jail, given their high service needs and risks for relapse, recidivism, and opioid-related overdose following release. This scoping review identified 14 studies (28 affiliated publications) that used experimental or quasi-experimental designs to evaluate jail re-entry interventions for individuals with SUD. The team coded intervention components, study characteristics, and study outcomes based on a service continuum for treatment linkage and retention and for post-release substance use and criminal justice outcomes. This review included 4 randomized controlled trials (RCT) for linkage to treatment with medications for opioid use disorder (MOUD); 4 RCTs and 4 quasi-experimental studies for linkage to non-specific SUD treatment; and 2 RCTs for linkage to HIV + SUD services. Most studies (9/14) used case management and/or peer or patient navigation as the core intervention; 2 studies provided medical management for MOUD induction and/or facilitated referral to MOUD in the community; and 3 studies used motivational-based linkage interventions. A qualitative analysis of study outcomes found evidence to support the effectiveness of a diverse range of interventions to link individuals to community-based SUD treatment, MOUD, and other services at re-entry, but limited support for intervention effects on longer-term outcomes, including treatment retention, medication adherence, recidivism, and substance use. Future controlled trials and implementation studies should help to unpack and examine core components of jail re-entry interventions and their successful implementation to enhance treatment retention and improve post-release outcomes.
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