在实施计划中,在从县监狱重新入境期间,具体的支持关系的重要性是将人们与阿片类药物使用障碍 (MOUD) 治疗的药物联系起来
Margaret McGladrey1, Marisa Booty2, Susannah Stitzer2
1University of Kentucky, Lexington, USA. margaret.mcgladrey@uky.edu.
Health & justice
|March 31, 2025
概括
对阿片类药物使用障碍 (MOUD) 药物治疗的监狱连接计划显示治疗连接有限,但价值高,并计划继续. 建议将MOUD查整合到监狱预订中,以改善患者联系.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 肯塔基州的HEALing社区研究 (HCS-KY) 在五个县监狱中实施了阿片类药物使用障碍 (MOUD) 药物链接计划.
- 这项研究使用了实用,强大,实施和可持续性模型 (PRISM) 和覆盖范围,有效性,采用,实施和维护 (RE-AIM) 模型.
- 目标是了解监狱环境如何影响MOUD链接和程序维持.
研究的目的:
- 描述与MOUD连接和程序维持相关的监狱环境的特征.
- 分析MOUD在监狱中的参与,障碍和促进者之间的差异.
- 评估实施支持战略的有效性.
主要方法:
- 对计划规划和维护会议会议会议记录进行了定性分析.
- 根据PRISM-RE-AIM框架进行模板分析,用于编码数据.
- 实施方便者,联系人员和监狱联络人员参加了这些会议.
主要成果:
- 在五个监狱中,277名参与者进行了1119次访问,其中26次与社区MOUD治疗有关.
- 项目整合涉及监狱基础设施,法律因素的导航,以及调整干预措施以满足特定地点的需求.
- 组织间协调和人员/法律因素影响了计划的维持,所有监狱都遵循这一原则.
结论:
- 尽管得到了密集的支持,但只有约10%的参与者接受了社区MOUD治疗.
- 监狱高度重视联结计划,并为其维持计划.
- 建议将MOUD查和治疗整合到监狱预订流程中,以克服重新入境的复杂性.
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