国家医疗补助计划针对犯罪法律环境中的物质使用障碍,2021年
Cashell D Lewis1, Christina Andrews1, Amanda J Abraham1
1Cashell D. Lewis is with Crown Family School of Social Work, Policy, and Practice, University of Chicago, IL. Christina Andrews and Melissa Westlake are with the Department of Health Services Policy and Management at Arnold School of Public Health, University of South Carolina, Columbia. Amanda J. Abraham is with the Department of Public Administration and Policy in the School of Public and International Affairs, University of Georgia, Athens. Faye S. Taxman is with the Schar School of Policy and Government and Center for Advancing Correctional Excellence!, George Mason University, Fairfax, VA. Colleen M. Grogan is with Crown Family School of Social Work, Policy, and Practice and the Center for Health Administration Studies, University of Chicago.
国家医疗补助计划显示,在刑事法律系统中,对物质使用障碍 (SUD) 患者的倡议的采用率很低. 需要加大努力来解决这一群体中高剂量过量死亡率的问题.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 刑事司法系统中的个人有高的物质使用障碍 (SUD) 率.
- 医疗补助是SUD治疗的主要支付人,但对被监禁人口的覆盖是复杂的.
- 国家医疗补助计划可以为进入和退出刑事司法系统的个人提供护理.
研究的目的:
- 记录监狱,监狱和社区惩戒所内的SUD患者的州医疗补助计划.
- 评估州医疗补助计划采用释放前和释放后策略的情况.
主要方法:
- 在2021年,美国所有50个州和哥伦比亚特区的医疗补助局长接受了一项基于互联网的调查.
- 该调查评估了三种刑事法律环境中针对SUD的有针对性的医疗补助计划的存在.
- 实现了90%的响应率,提供了全面的州级数据.
主要成果:
- 2021年,大多数州都缺乏针对SUD的刑事法律人口的有针对性的医疗补助计划.
- 18个州和华盛顿特区报告了至少一个倡议;共同领域包括药物治疗阿片类药物使用障碍 (MOUD) 治疗和医疗补助入学.
- 16个州采用了阿片类药物使用障碍的药物治疗,14个州采用了Medicaid注册暂停 (而不是终止).
结论:
- 在2021年,州医疗补助机构参与针对刑事法律人口的SUD倡议的参与率显著较低.
- 迫切需要更多地采用这些举措来减少过量死亡率.
- 针对性策略,特别是MOUD和持续的医疗补助入学,对于这个弱势群体来说至关重要.
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