影响解决问题的法庭团队关于治疗阿片类药物使用障碍的药物决定的因素
Barbara Andraka-Christou1, Jill Viglione2, Fatema Ahmed3
1School of Global Health Management & Informatics, University of Central Florida, 525 W Livingston Street, Suite 401, Orlando, FL 32801, USA; Department of Internal Medicine, University of Central Florida, 6850 Lake Nona Blvd., Orlando, FL 32827, USA.
Journal of substance use and addiction treatment
|October 10, 2024
概括
解决问题法院 (PSCs) 在治疗阿片类药物使用障碍 (MOUD) 的药物使用量不足. 法院-民政服务委员会合作关系是增加客户MOUD访问的关键,但对非合作伙伴提供商的审查可能会阻碍治疗.
科学领域:
- 公共卫生 公共卫生
- 刑事司法 刑事司法 刑事司法
- 成 药物 药物 药物 药物
背景情况:
- 解决问题的法院 (PSC) 为毒品犯罪提供了监禁的替代方案.
- 治疗阿片类药物使用障碍 (MOUD) 的药物在PSC中使用不足,尽管它们具有拯救生命的潜力.
- 个性化的法庭工作人员决定,而不仅仅是政策,影响客户对MOUD的访问.
研究的目的:
- 确定影响客户对MOUD使用的法庭工作人员个性化决定的因素.
- 了解公共服务中心内MOUD利用的障碍和促进因素.
主要方法:
- 与四个州33个法院的54名PSC工作人员进行半结构化采访和聚焦小组.
- 使用代分类进行数据分析.
- 参与者的方便抽样.
主要成果:
- 由于政策,最佳实践和教育,消除了全面的MOUD禁令.
- 访问MOUD通常取决于PSC-MOUD合作伙伴关系或法院领导的审查程序.
- 工作人员对甲治疗感到最不舒服,审查标准包括提供者沟通和测试协议.
结论:
- 在增加MOUD使用方面,PSC-MOUD合作伙伴关系至关重要.
- 法院对非合作伙伴的MOUD提供者进行审查可能会不必要地限制治疗机会.
- 需要进一步研究MOUD提供商审查流程的必要性和适当性.
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