Strategies to improve implementation of medications for opioid use disorder reported by veterans involved in the legal system: A qualitative study

Morse, Erica; Binswanger, Ingrid A.; Taylor, Emmeline; Gray, Caroline; Stimmel, Matthew; Timko, Christine; Harris, Alex H. S.; Smelson, David A.; Finlay, Andrea K.

doi:10.1016/j.jsat.2021.108353

Cited by 4 publications

(7 citation statements)

References 59 publications

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“…This broad topic includes characteristics surrounding the individual with substance use who is presenting for treatment; this would include information about whether alcohol use co-occurs with other substance use and whether mental health diagnoses are comorbid with SUDs (e.g., Boland and Rosenfeld, 2018 ; Gertner et al, 2019 ; Hanna et al, 2020 ; McHugo et al, 2021 ; Miller et al, 2017 ; Morse et al, 2017 ; Pinals et al, 2019 ; Robertson et al, 2018 ; Robertson et al, 2020 ). It also includes whether the participant was part of a unique or under-served subgroup within the criminal justice system in need of specially designed services such as women ( Black and Amaro, 2019 , Gorvine et al, 2021 , Holmstrom et al, 2017 , Morse et al, 2017 , Nyamathi et al, 2017b , Scott et al, 2017 , Thomas et al, 2019 , Nyamathi et al, 2017a ), veterans ( Finlay et al, 2020 , Morse et al, 2021 ), people who are homeless ( Friese and Wilson, 2021 , Nyamathi et al, 2017b , Nyamathi et al, 2017a ) and people who are HIV or HCV positive ( Aronson et al, 2017 , Bachhuber et al, 2018 ; Bernard 2020 ; Biondi et al, 2021 ; Scott et al, 2017 ; Wimberly et al, 2018 ).…”

Section: Resultsmentioning

confidence: 99%

“…Participant Characteristics Co-occurring Alc. Misuse; MH Diagnosis Special Populations: Women Special Populations: Veterans Special Populations: Homeless Special Populations: PWHIV+ Articles identified Boland and Rosenfeld, 2018 ; Black and Amaro, 2019 ; Finlay et al, 2020 ; Friese and Wilson, 2021 ; Aronson et al, 2017 ; Gertner et al, 2019 ; Gorvine et al, 2021 ; Morse et al, 2021 . Nyamathi et al, 2017b , Nyamathi et al, 2017a ; Bachhuber et al, 2018 ; Hanna et al, 2020 ; Holmstrom et al, 2017 ; Nyamathi et al, 2017b , Nyamathi et al, 2017a .…”

Section: Resultsmentioning

confidence: 99%

“… Kelly et al, 2020 . Friese and Wilson, 2021 ; Lee et al, 2017 ; Maruca et al, 2021 ; Morse et al, 2021 ; Reingle Gonzalez et al, 2019 . Note.…”

Section: Resultsunclassified

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Community-based substance use treatment programs for reentering justice-involved adults: A scoping review

Graves,

Fendrich

2024

Drug and Alcohol Dependence Reports

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Community-based substance use treatment programs for reentering justice-involved adults: A scoping review

Graves,

Fendrich

2024

Drug and Alcohol Dependence Reports

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“…Future research should focus on how to help patients better engage with peer navigators and balance priorities. Notably, a focus on telehealth, patient relationships, and social support aligns with strategies deemed important by justice-impacted patients ( 46 ).…”

Section: Discussionmentioning

confidence: 99%

Access to medications for opioid use disorder for formerly incarcerated individuals during community reentry: a mini narrative review

Chladek,

Chui

2024

Front. Public Health

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Medications for opioid use disorder (MOUD) are especially important for formerly incarcerated individuals with opioid use disorder (OUD) and can reduce the risk of re-arrest and overdose during community reentry. Unfortunately, few formerly incarcerated individuals are able to access MOUD within the community, missing a critical tool for rehabilitation. A mini narrative review was conducted to highlight the published work that has been done to improve access to MOUD for formerly incarcerated individuals during reentry. The results yielded 15 records describing intervention evaluations, program descriptions, and research in progress. Most work is ongoing, showing promise that researchers have identified the importance of this problem. However additional research should be done to include other stakeholders and address the limitations of existing interventions and programs. Continued efforts can help ensure that formerly incarcerated individuals can safely and successfully reintegrate into society.

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“…In the first hours after release from incarceration, people with OUD faced many barriers to community re-entry, including problems accessing methadone treatment engagement, shelter and employment, and difficulty managing social relationships. Future investigations should consider examining the feasibility of widespread transitional program implementation with a focus on education about the overdose crisis within carceral settings, supporting and maintaining relationships during and post-incarceration as well as linkage to outpatient MOUD programs as interventions to reduce mortality during re-entry and enable people with OUD to return safely to the community ( 65 – 67 ).…”

Section: Discussionmentioning

confidence: 99%

“Just fighting for my life to stay alive”: a qualitative investigation of barriers and facilitators to community re-entry among people with opioid use disorder and incarceration histories

Hoffman

Thompson

Gaeta

et al. 2023

Addict Sci Clin Pract

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Background During the period of community re-entry immediately following release from jail or prison, individuals with opioid use disorder (OUD) face structural barriers to successful re-entry and high risk of overdose. Few published studies investigate experiences in the immediate period (i.e., first 24 h) of re-entry among people with OUD. Aim To understand the barriers and facilitators to treatment and reintegration of people with OUD during the initial transition from carceral settings back into the community. Methods From January–December 2017, we conducted 42 semi-structured qualitative interviews with patients with a history of incarceration who were receiving methadone at a not-for-profit, low-barrier opioid treatment program. Interviews probed participants’ community re-entry experiences immediately following incarceration. Interviews were transcribed and analyzed using a Thematic Analysis approach. Results The main themes described the experiences during the 24 h following release, reacclimating and navigating re-entry barriers, and re-entry preparedness and planning. Participants noted the initial 24 h to be a period of risk for returning to substance use or an opportunity to engage with OUD treatment as well as a tenuous period where many lacked basic resources such as shelter or money. When discussing the subsequent re-entry period, participants noted social challenges and persistent barriers to stable housing and employment. Participants overall described feeling unprepared for release and suggested improvements including formal transition programs, improved education, and support to combat the risk of overdose and return to substance use after incarceration. Conclusions In this study that qualitatively examines the experiences of people with incarceration histories and OUD enrolled in methadone treatment, we found that participants faced many barriers to community re-entry, particularly surrounding basic resources and treatment engagement. Participants reported feeling unprepared for release but made concrete suggestions for interventions that might improve the barriers they encountered. Future work should examine the incorporation of these perspectives of people with lived experience into the development of transition programs or re-entry classes.

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Strategies to improve implementation of medications for opioid use disorder reported by veterans involved in the legal system: A qualitative study

Cited by 4 publications

References 59 publications

Community-based substance use treatment programs for reentering justice-involved adults: A scoping review

Community-based substance use treatment programs for reentering justice-involved adults: A scoping review

Access to medications for opioid use disorder for formerly incarcerated individuals during community reentry: a mini narrative review

“Just fighting for my life to stay alive”: a qualitative investigation of barriers and facilitators to community re-entry among people with opioid use disorder and incarceration histories

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