对阿片类药物使用障碍的监狱和监狱药物治疗方案的实施:叙事合成
Cosima Lenz1, Minna Song1, Sachini Bandara1
1Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Medical care research and review : MCRR
|June 26, 2025
概括
在监狱中治疗阿片类药物使用障碍 (MOUD) 的药物可以减少释放后过量服用的风险. 实施需要资源,解决转移和耻辱感,并需要强有力的社区协调治疗的连续性.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 药物治疗阿片类药物使用障碍 (MOUD) 对于减少监禁后过量死亡至关重要.
- 越来越多的努力专注于在监狱环境中扩大MOUD计划.
- 要了解美国监狱设施中MOUD的实施,需要进行证据综合.
研究的目的:
- 综合关于美国监狱设施中MOUD实施的证据.
- 确定监狱MOUD计划实施的促进者和障碍.
- 为未来的战略提供信息,以便在惩教机构中有效地提供MOUD.
主要方法:
- 2019年至2023年间发表的36项研究的叙述性综述.
- 基于探索,准备,实施,维持 (EPIS) 框架的分析.
- 综合了与资源,转移,耻辱和利益相关者协调有关的发现.
主要成果:
- 监狱MOUD项目需要大量的资源,基础设施和人员.
- 情绪转移是一个普遍存在的问题,具有多样化的程序性反应.
- 耻辱感,特别是对于孕妇来说,以及需要释放后的护理连续性是重大挑战.
- COVID-19加速了监狱MOUD计划中远程医疗的采用.
结论:
- 成功的监狱MOUD实施取决于足够的资源,解决转移和耻辱,以及与社区合作伙伴的强有力的协调.
- 确保释放后的护理连续性对于持续的康复至关重要.
- 未来的研究应该集中在扩大MOUD计划和导航政策和可持续性.
相关概念视频
Drug Therapy
107
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
107
Opioid Analgesics: Synthetic and Semisynthetic Opioids
446
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
446
Healthcare Agencies II
758
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
758
Drug Abuse and Addiction: Pharmacological Phenomena
659
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
659
Psychosis: Goals of Pharmacotherapy
214
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
214
Community Based Intervention
97
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
97


