在监狱中扩大对阿片类药物使用障碍 (MOUD) 药物的获取:综合计划评估
Elham Pourtaher1, Kitty H Gelberg2, Matthew Fallico1
1New York State Department of Health, AIDS Institute, United States of America.
Journal of substance use and addiction treatment
|December 11, 2023
概括
在监狱中治疗阿片类药物使用障碍 (MOUD) 的药物显著减少了释放后过量死亡. 在惩戒设施中提供MOUD可确保治疗的连续性,改善患者的治疗结果和公共卫生.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 患有阿片类药物使用障碍 (OUD) 的个人在从惩戒设施释放后面临高过量死亡风险.
- 治疗阿片类药物使用障碍 (MOUD) 的药物已获得FDA批准,但在美国监狱中未得到充分利用.
- 奥尔巴尼县监狱提供全面的MOUD和过量预防服务.
研究的目的:
- 评估监狱MOUD计划在预防过量死亡方面的有效性.
- 评估监狱释放后MOUD治疗延续率.
- 识别影响释放后治疗参与和生活质量的因素.
主要方法:
- 在奥尔巴尼县监狱 (2019-2020) 收到MOUD的375名个人回顾性数据收集 (2019-2020).
- 过量服用死亡的分析,MOUD的延续,处方提取率和生活质量指标.
- 在监禁期间和释放后跟踪治疗参与.
主要成果:
- 八名参与者的死亡发生在释放后的一年内;平均死亡时间为233天.
- 超过56%的人在释放后继续接受MOUD治疗,其中93.3%的人在监狱中开始接受布普伦诺啡.
- 53.6%的布普伦诺芬参与者在释放后填补了处方;80%被转移到没有MOUD的设施中失去了连续性.
结论:
- 基于监狱的MOUD计划可以显著减少释放后的过量死亡.
- 在释放后观察到布普伦诺芬处方的高保留率.
- 在所有惩戒机构普遍实施MOUD对于持续的治疗参与和过量预防至关重要.
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