Center for Innovation To Implementation (Ci2i), VA Palo Alto Health Care System, 795 Willow Road (MPD-152), Menlo Park, CA, 94025, USA.
Department of Veterans Affairs, National Center on Homelessness Among Veterans, Menlo Park, CA, USA.
Addict Sci Clin Pract. 2020 Feb 5;15(1):5. doi: 10.1186/s13722-020-0182-0.
This special issue of Addiction Science & Clinical Practice, "Addiction treatment access and utilization among criminal justice involved populations", presents a series of articles on substance use disorder treatment access and utilization by people who have contact with the criminal justice system (e.g., jails, prisons, and courts). Despite the high prevalence of substance use disorders among people who experience these settings, evidence-based treatment for substance use disorders may be unavailable and/or care may be fragmented during transitions between settings. Articles in this special issue address several gaps in the literature and present a conceptual model of opioid overdose risk, the results of a randomized controlled trial to increase treatment uptake and retention during and after incarceration, descriptions of barriers to treatment after release from incarceration, and data from nationally representative surveys of substance use disorders and treatment use among people who have been involved in the criminal justice system. Importantly, the voices of people with lived experience in the criminal justice system were incorporated in two manuscripts. Together these articles advance our understanding of how to improve care coordination and expansion of services across systems and organizations to prevent overdose, improve treatment utilization, and ultimately, improve health outcomes among criminal justice involved populations in the United States who have substance use disorders or use substances.
本期《成瘾科学与临床实践》特刊的主题是“刑事司法涉案人群的成瘾治疗获取与利用”,介绍了一系列有关接触刑事司法系统(如监狱、看守所和法庭)人群的物质使用障碍治疗获取与利用的文章。尽管在经历这些环境的人群中,物质使用障碍的患病率很高,但基于证据的物质使用障碍治疗可能无法获得,并且在环境之间的转换过程中,治疗可能会支离破碎。本期特刊中的文章解决了文献中的几个空白,并提出了阿片类药物过量风险的概念模型,一项旨在增加监禁期间和监禁后治疗参与和保留率的随机对照试验结果,描述了从监禁释放后治疗的障碍,以及来自全国代表性调查的物质使用障碍和治疗使用数据,这些数据来自涉及刑事司法系统的人群。重要的是,在两篇论文中纳入了有刑事司法系统生活经历的人的声音。这些文章共同增进了我们对如何改善跨系统和组织的护理协调和服务扩展的理解,以预防过量用药,提高治疗利用率,并最终改善美国有物质使用障碍或使用物质的刑事司法涉案人群的健康结果。