在美国监狱的一个样本中,在摄入时进行物质使用查的特征
Journal of health care for the poor and underserved
|July 19, 2023
概括
监狱中的物质使用查不一致,许多表格缺乏标准化问题或未能评估像阿片类药物这样的关键物质. 这种差距阻碍了识别物质使用障碍和将个人与护理联系起来.
科学领域:
- 公共卫生 公共卫生
- 犯罪学 犯罪学
- 成 药物 药物 药物 药物
背景情况:
- 涉及司法的人口表现出高的物质使用率.
- 实质查工具在惩戒机构中的实施是可变的.
- 有效的查对于解决这种人口中的物质使用障碍至关重要.
研究的目的:
- 评估美国监狱中药物使用查实践的现状.
- 确定监狱入狱表格上的物质使用评估的程度和性质.
主要方法:
- 利用了来自全国监狱医疗保健研究 (n=371个监狱) 的数据.
- 进行了自愿提交的监狱医疗摄入表格 (n=63) 的内容分析.
- 集中分析与物质使用和戒断史有关的问题.
主要成果:
- 73%的摄入表格使用非标准化物质使用问题;27%没有提出问题.
- 酒精最常被评估 (52%),其次是烟草 (30%) 和大麻 (22%).
- 只有不到11%的表格评估了阿片类药物的使用;40%询问了戒断史.
结论:
- 监狱中不充分的物质使用查阻止了物质使用障碍的识别.
- 查中的差距阻碍了对潜在戒断症状的识别.
- 不足够的查限制了对物质使用治疗资源的适当转介.
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