在被监禁者和社区监督环境中的人群中治疗阿片类药物使用障碍的药物:与关键利益相关者一起探索实施问题
Augustine W Kang1,2, Amelia Bailey3, Anthony Surace3
1Center for Alcohol and Addiction Studies, Brown University School of Public Health, Main St, Box G-121-5, Providence, RI, USA. augustine_kang@brown.edu.
Addiction science & clinical practice
|December 19, 2024
概括
对阿片类药物使用障碍 (MOUD) 的药物减少了监禁后的死亡率. 改善社区监督人员对MOUD的访问需要解决系统性障碍和耻辱感.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 治疗阿片类药物使用障碍 (MOUD) 的药物显著降低了监禁后与阿片类药物相关的死亡率.
- 有效地向社区监督中的个人提供MOUD,需要了解当地系统动态.
研究的目的:
- 探索治疗提供者和缓刑人员对社区监督下个人MOUD提供的观点.
- 在社区监督背景下,确定MOUD交付的促进者和障碍.
主要方法:
- 与10名关键治疗提供者和缓刑人员进行了深入的个人访谈.
- 专题分析用于分析采访数据,确定诱导和演代码和主题.
主要成果:
- 利益相关者对MOUD的好处和缺点表达了不同的看法.
- 治疗和缓刑机构内的组织因素影响MOUD的提供.
- 障碍包括MOUD的耻辱感,机构间的沟通缺口,以及医疗保健获取问题 (交通,财务).
结论:
- 涉及缓刑和治疗机构的系统变化可以改善获得基于证据的OUD治疗的机会.
- 参与缓刑机构对于提高MOUD向司法涉及的个人提供服务至关重要.
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