Brinkley-Rubinstein Lauren, Cloud David H, Davis Chelsea, Zaller Nickolas, Delany-Brumsey Ayesha, Pope Leah, Martino Sarah, Bouvier Benjamin, Rich Josiah
Department of Social Medicine, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina, USA.
Center for Health Equity Research, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina, USA.
Int J Prison Health. 2017 Mar 13;13(1):25-31. doi: 10.1108/IJPH-08-2016-0039.
Purpose The purpose of this paper is to discuss overdose among those with criminal justice experience and recommend harm reduction strategies to lessen overdose risk among this vulnerable population. Design/methodology/approach Strategies are needed to reduce overdose deaths among those with recent incarceration. Jails and prisons are at the epicenter of the opioid epidemic but are a largely untapped setting for implementing overdose education, risk assessment, medication assisted treatment, and naloxone distribution programs. Federal, state, and local plans commonly lack corrections as an ingredient in combating overdose. Harm reduction strategies are vital for reducing the risk of overdose in the post-release community. Findings Therefore, the authors recommend that the following be implemented in correctional settings: expansion of overdose education and naloxone programs; establishment of comprehensive medication assisted treatment programs as standard of care; development of corrections-specific overdose risk assessment tools; and increased collaboration between corrections entities and community-based organizations. Originality/value In this policy brief the authors provide recommendations for implementing harm reduction approaches in criminal justice settings. Adoption of these strategies could reduce the number of overdoses among those with recent criminal justice involvement.
目的 本文旨在探讨有刑事司法经历者的药物过量问题，并推荐减少伤害策略，以降低这一弱势群体的药物过量风险。设计/方法/途径 需要采取策略来减少近期有监禁经历者的药物过量死亡。监狱处于阿片类药物流行的中心，但在实施药物过量教育、风险评估、药物辅助治疗和纳洛酮分发项目方面，很大程度上尚未得到充分利用。联邦、州和地方计划通常缺乏将惩教作为应对药物过量的一个要素。减少伤害策略对于降低释放后社区的药物过量风险至关重要。研究结果 因此，作者建议在惩教环境中实施以下措施：扩大药物过量教育和纳洛酮项目；建立全面的药物辅助治疗项目作为标准护理；开发针对惩教的药物过量风险评估工具；以及加强惩教实体与社区组织之间的合作。原创性/价值 在本政策简报中，作者提供了在刑事司法环境中实施减少伤害方法的建议。采用这些策略可以减少近期有刑事司法经历者的药物过量数量。
