期刊
HEALTH & JUSTICE
卷 9, 期 1, 页码 -出版社
SPRINGERNATURE
DOI: 10.1186/s40352-021-00130-0
关键词
XR-NTX; Rural offenders; OUD; Community supervision
资金
- National Institute on Drug Abuse (NIDA) [R34 DA045856, T32DA035200]
This study illustrates the adaptation of XR-NTX protocol in a non-traditional community criminal justice setting using the ADAPT-ITT framework, as well as the expansion of services by a local FQHC provider. Findings suggest critical adaptations are needed in both content and context of the existing protocol for initiating XR-NTX in the jail and continuing administrations in the community.
Background: Despite a growing body of empirical support for the effectiveness of extended-release naltrexone (XR-NTX) to reduce opioid relapse among people with opioid use disorder (OUD) transitioning from a correctional facility to the community, continuity of care following release remains challenging. This paper describes a research-based adaptation of a state's standard of care XR-NTX protocol using the ADAPT-ITT framework for delivery in a non-traditional, non-treatment, community criminal justice setting (P&P office), as well as the expansion of services by a local Federally Qualified Health Center (FQHC) provider who would, for the first time, be going to the jail and P&P office to provide XR-NTX and related treatment. Method: The present study focuses on the first seven phases (Assessment through Training) of the ADAPT-ITT framework in the adaptation of the Department of Corrections (DOC) protocol in preparation for a pilot trial for induction in a rural jail and during the transition to a rural community. Expert clinical review and focus groups with key stakeholders in criminal justice supervision and the local providers in the FQHC informed the needed adaptations to the existing XR-NTX protocol for initiation at the jail and ongoing administrations in the community. Results: Findings from stakeholder focus groups, study team review, topical expert review, and a theater test suggested that there were critical adaptations needed in both content and context at the patient and clinic level. Conclusion: Health and justice officials should consider the need to tailor and adapt evidence-based approaches for real-world locations that high-risk, justice-involved individuals visit in order to reduce barriers and increase access to critically needed treatment for OUD.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据