Opioid Use Disorder among Criminal Justice-Involved Women: Integrating Trauma-Informed and Gender-Specific Care with Medication-Assisted Treatment

项目摘要 与阿片类药物有关的过量死亡和监禁率飙升， 对妇女的影响尤为严重。尽管有更高的物质使用障碍负担， 和艾滋病毒/艾滋病比刑事司法参与（CJI）的男子，CJI妇女不太可能有 获得药物使用和艾滋病毒治疗。拟议的干预措施将联系和保留 最近在药物辅助治疗（MAT）计划中患有CJI的女性， 妇女提供必要的社会服务，并为妇女提供阿片类药物过量反应 训练具体来说，候选人的目标是1）与CJI女性进行深入访谈，MAT 提供者和刑事司法专业人员，以确定非法使用阿片类药物的促进者和障碍 停止和减少CJI妇女的艾滋病毒风险行为和暴力暴露; 2） 制定针对不同性别的创伤知情干预措施，利用同伴导航， 将CJI妇女与OUD联系到MAT计划，必要的健康和社会服务， 提供阿片类药物过量反应培训;和3）进行试点研究（随机对照 （试行），以评估有性别区分的和了解创伤情况的 使用50名社区招募CJI妇女样本， 阿片类药物引起的疾病。为了完成拟完成的研究任务，候选人撰写了 由国际知名学者组成的导师团队。通过这一提议， 候选人将扩大她的工作范围，以治疗阿片类药物使用障碍和常见的 合并症。本建议书中概述的研究和培训将使候选人获得 内容专业知识的社会因素，导致次优结果之间的CJI妇女与 OUD，物质使用和CJI妇女之间的创伤，同时发展她的 实施和评估临床试验的技能。候选人的长期职业目标是 制定循证干预措施，以减少药物使用及其并发的健康问题， 社会后果的影响。拟议工作 通过使她能够设计，实施， 并评估为CJI妇女设计的试点干预措施。

Project Summary Opioid-related overdose deaths and incarceration rates have skyrocketed and have disproportionately affected women. Despite having a higher burden of substance use disorders and HIV/AIDS than criminal justice-involved (CJI) men, CJI women are less likely to have access to substance use and HIV treatment. The proposed intervention will link and retain women with recent CJI in medication-assisted treatment (MAT) programs, identify and connect women with necessary social services, and provide women with opioid overdose response training. Specifically, the candidate aims to 1) conduct in-depth interviews with CJI women, MAT providers, and criminal justice professionals to identify facilitators and barriers to illicit opioid use cessation and decreases in HIV risk behaviors and exposure to violence among CJI women; 2) develop a gender-specific and trauma-informed intervention that utilizes peer navigation to connect CJI women with OUD to MAT programs, necessary health and social services, and provides opioid overdose response training; and 3) conduct a pilot study (randomized control trial) to assess the adequacy in which components of the gender-specific and trauma-informed intervention function together using a sample of 50 community-recruited CJI women who use opioids illicitly. In order to complete the proposed research tasks, the candidate has composed a team of internationally recognized scholars as mentors. Through this proposed K01, the candidate will expand the breadth of her work to treatment for opioid use disorders and common comorbidities. The research and training outlined in this proposal will allow the candidate to gain content expertise on social factors that lead to sub-optimal outcomes among CJI women with OUD, trauma among substance-using and CJI women, while simultaneously developing her skills in implementing and evaluating clinical trials. The candidate’s long-term career goal is to develop evidence-based interventions to reduce substance use and its co-occurring health and social consequences among marginalized and vulnerable communities. The proposed work helps her make further strides to accomplishing this goal by enabling her to design, implement, and evaluate a pilot intervention designed for CJI women.