The benefits and implementation challenges of the first state-wide comprehensive medication for addictions program in a unified jail and prison setting
The benefits and implementation challenges of the first state-wide comprehensive medication for addictions program in a unified jail and prison setting
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DOI：
10.1016/j.drugalcdep.2019.06.016
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发表时间：
2019-12-01
影响因子：
4.2
通讯作者：
Rich, Josiah D.
中科院分区：
文献类型：
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作者：
Brinkley-Rubinstein, Lauren;Peterson, Meghan;Rich, Josiah D.
类阿片使用障碍在被监禁者中的流行率很高。从监禁中释放出来的人吸毒过量的风险增加。目前的研究详细介绍了在罗得岛克兰斯顿的罗得岛惩教部统一的监狱和监狱环境中实施全州药物成瘾治疗（MAT）计划的第一年。我们进行了40个半结构化，定性访谈的人谁被监禁，同时在MAT程序注册。分析采用了NVivo 12中的一般归纳方法。我们发现，大多数参与者讨论了计划的好处，如减少戒断症状，减少设施中非法药物使用的流行率，改善RIDOC的总体环境，并增加释放后继续MAT的意图。建议的改进领域包括减少第一次剂量的延迟，增加获得其他恢复服务的机会，结合MAT，改善工作人员关于污名的培训，以及在释放前尽早获得医疗出院计划信息。我们的研究结果表明，矫正MAT计划是可以接受的目标人群，是一个可行的干预措施，可以转移到其他国家。
The prevalence of opioid use disorders among people who are incarcerated is high. People who are released from incarceration are at increased risk for overdose. The current study details the first year of implementation of a state-wide medications for addiction treatment (MAT) program in a unified jail and prison setting at the Rhode Island Department of Corrections in Cranston, Rhode Island. We conducted 40 semi-structured, qualitative interviews with people who were incarcerated and concurrently enrolled in the MAT program. Analysis employed a general, inductive approach in NVivo 12. We found that a majority of participants discussed program benefits such as reduced withdrawal symptoms, decreased prevalence of illicit drug use in the facility, improved general environment at the RIDOC, and increased post-release intentions to continue MAT. Suggested areas of improvement include reducing delays to first dose, increasing access to other recovery services in combination with MAT, improving staff training on stigma, and earlier access to medical discharge planning information prior to release. Our findings suggest that correctional MAT programs are acceptable to targeted populations and are a feasible intervention that may be transferable to other states.