Impacts of COVID-19 at the intersection of substance use disorder treatment and criminal justice systems: findings from three states.
Impacts of COVID-19 at the intersection of substance use disorder treatment and criminal justice systems: findings from three states.
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DOI：
10.1186/s40352-022-00184-8
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发表时间：
2022-08-04
期刊：
影响因子：
3.5
通讯作者：
中科院分区：
文献类型：
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作者：
涉及刑事司法的物质使用障碍（SUD）患者，特别是阿片类药物使用障碍（OUD）患者，是特别脆弱的人群，由于COVID-19大流行对刑事司法和治疗系统的影响，他们受到了不利影响。该手稿提供了定性数据和调查结果，探讨了与司法系统中涉及的个人的SUD/OUD治疗相关的问题以及COVID-19对这些服务系统的影响。定性数据分别收集了来自伊利诺伊州，印第安纳州和肯塔基州三个不同的研究中心/网站的团队;在每个中心，数据收集司法系统人员（n = 17）和社区一级SUD/OUD供应商（n = 21）。审查并合并了两个中心的编码，以编制跨中心编码清单。组合代码被演绎地用于分析第三个中心的数据，然后在所有中心的数据中开发更高级别的主题。主题反映了司法和治疗系统对COVID-19的反应，系统的交叉点和COVID-19对为这些人提供OUD治疗的影响，以及远程医疗和远程司法的使用。结果强调，尽管系统在大流行期间做出了快速调整，但还需要做更多工作来更好地支持参与司法系统的OUD患者。这些工作可以为长期的公共卫生危机规划提供信息，以改善社区OUD治疗的可及性，并为那些涉及刑事司法的人提供联系。
Individuals with substance use disorders (SUD), particularly opioid use disorder (OUD), who are criminal justice-involved are a particularly vulnerable population that has been adversely affected by COVID-19 due to impacts of the pandemic on both the criminal justice and treatment systems. The manuscript presents qualitative data and findings exploring issues related to SUD/OUD treatment among individuals involved in the justice system and the impacts of COVID-19 on these service systems. Qualitative data were collected separately by teams from three different research hubs/sites in Illinois, Indiana, and Kentucky; at each hub, data were collected from justice system personnel (n = 17) and community-level SUD/OUD providers (n = 21). Codes from two hubs were reviewed and merged to develop the cross-hub coding list. The combined codes were used deductively to analyze the third hub‘s data, and higher-level themes were then developed across all the hubs’ data. Themes reflected the justice and treatment systems’ responses to COVID-19, the intersection of systems and COVID-19’s impact on providing OUD treatment for such individuals, and the use of telehealth and telejustice. Results highlight that despite rapid adaptations made by systems during the pandemic, additional work is needed to better support individuals with OUD who are involved in the justice system. Such work can inform longer-term public health crisis planning to improve community OUD treatment access and linkage for those who are criminal justice-involved.