在监狱环境中进行阿片类药物使用障碍查和诊断的框架
Helen E Jack1, Catherine L Smith2, Lauren Brinkley-Rubinstein3
1Division of General Internal Medicine, Department of Medicine, University of Washington, 325 9th Avenue, Box 359780, 98104 Seattle, WA, USA; Washington State Department of Corrections, 7345 Linderson Way SW, 98501 Tumwater, WA, USA.
The International journal on drug policy
|October 30, 2024
概括
在监狱环境中识别患有阿片类药物使用障碍 (OUD) 的个体具有挑战性. 使用"真实阳性","假阳性","假阴性"和"真实阴性"的框架可以改善药物治疗阿片类药物使用障碍 (MOUD) 计划的实施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 监禁人员在释放后面临着明显增加的阿片类药物过量服用风险.
- 药物治疗阿片类药物使用障碍 (MOUD) 在监狱和监狱中越来越多地提供.
- 在监狱环境中准确识别阿片类药物使用障碍 (OUD),由于查工具不完善,因此存在实施挑战.
研究的目的:
- 用标准的流行病学框架对监狱环境中的OUD评估进行概念化.
- 从多个利益相关方的角度分析OUD评估和MOUD提供结果.
- 为改善MOUD计划在惩戒设施中的实施提供一个框架.
主要方法:
- 在监狱环境中对OUD评估应用四类框架 (真正阳性,假阳性,假阴性,真阴性).
- 从被监禁人员,安全人员和医疗人员的角度分析评估和治疗结果.
- 在刑事法律环境中对查和诊断测试的局限性进行概念讨论.
主要成果:
- 该框架根据OUD状态和MOUD资格 (真假阳性/阴性) 来对个人进行分类.
- 了解这些类别对于优化MOUD程序有效性至关重要.
- 监禁人员,安全人员和医疗保健工作人员的观点突出了实施细微差别.
结论:
- 一个概念框架可以澄清监狱和监狱中的OUD评估和MOUD规定.
- 这一框架有助于理解评估准确性对治疗准入的影响.
- 改进的概念化可以促进医疗和安全人员在MOUD实施中更好的协作.
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