Skogseth Emma M, Strong-Jones Sienna, Brant Kristina, Quadri Oluwaseyi H, Jones Abenaa A
The Pennsylvania State University.
Crim Justice Behav. 2025 Jul;52(7):1049-1066. doi: 10.1177/00938548251326174. Epub 2025 Mar 25.
This study investigated barriers to accessing mental health care among criminal-legal involved women with opioid use disorder (OUD) by triangulating perspectives across affected women ( = 20), criminal legal professionals ( = 10), and substance use disorder (SUD) treatment professionals ( = 12). Themes from qualitative interviews conducted in 2022 identified two primary types of barriers: physical access and stigma. Findings converged regarding challenges associated with accessing mental health care during incarceration and reentry and difficulties accessing timely care. However, while women expressed concern about stigma around seeking mental health medications, some of the professionals expressed stigmatizing views about potential misuse of medications. These findings highlight a need for system-level changes in correctional facilities to reduce stigma and bolster well-being and SUD treatment outcomes among criminal-legal involved individuals with dual diagnoses. Future work should strive to expand the literature around interconnected issues associated with concurrent OUD and mental health challenges.
本研究通过对受影响女性（n = 20）、刑事法律专业人员（n = 10）和物质使用障碍（SUD）治疗专业人员（n = 12）的观点进行三角互证，调查了患有阿片类物质使用障碍（OUD）且涉及刑事法律问题的女性在获得心理健康护理方面的障碍。2022年进行的定性访谈中的主题确定了两种主要类型的障碍：实际可及性和污名化。在监禁和重新进入社会期间获得心理健康护理相关的挑战以及难以获得及时护理方面，研究结果趋于一致。然而，虽然女性对寻求心理健康药物存在的污名化表示担忧，但一些专业人员对药物潜在滥用表达了污名化观点。这些发现凸显了惩教设施需要进行系统层面的变革，以减少污名化，并改善同时患有双重诊断的涉及刑事法律问题个体的幸福感和物质使用障碍治疗效果。未来的工作应努力扩展围绕与阿片类物质使用障碍和心理健康挑战并发相关的相互关联问题的文献。
