Opioid Agonist Treatment Recipients within Criminal Justice-Involved Populations

Bibliographic Data

ID21645672
AuthorsWendy P Guastaferro (0000-0001-5331-0529, Florida Atlantic University, corresponding author), Deborah Koetzle (0000-0003-3705-7521, John Jay College of Criminal Justice), Laura Lutgen-Nieves (0009-0006-5243-4574, University of Southern Indiana), Brent Teasdale (0000-0002-2789-3123, Illinois State University)
Year2022
Volume57
Issue5
Pages698-707
Publication date2022-04-16
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2022.2034869
PMID35172673
OpenAlexW4213355791
LanguageEN
Citations received1
References cited53

Background: In 2014, nearly 2.5 million Americans had a substance use disorder for opioids (e.g., prescription pain medication or heroin) with over half estimated to have had prior contact with the criminal justice system. Despite strong evidence that opioid agonist treatment (OAT) is effective in reducing overdose, increasing treatment retention, and improving physical health and well-being outcomes, the use of OAT among justice-involved individuals is relatively rare. Methods: The current study uses national data of publicly funded admissions to substance abuse treatment to assess the extent to which OAT is used for cases referred to treatment by the criminal justice system. We explore the relationship between demographics, substance use severity, and access to treatment and OAT receipt. Results: Findings indicate that fewer than 6% of criminal justice cases received OAT as part of the treatment plan. Those with daily substance use, comorbid psychiatric problems, prior treatment, females, Latinos, and those who were older and those who were living independently were more likely to receive OAT, as were those living in the Northeast and with government health insurance. Conclusions: Improving the integration of the criminal justice system with substance use treatment programs would improve access to care and potentially reduce multiple health disparities faced by those in the justice system. As criminal justice responses to substance use disorder move toward a public health approach, it is imperative that the criminal justice system consider mechanisms for improving access and referrals to OAT

Business · Criminal justice · Criminology · Economic Justice · Heroin · Medical prescription · Methadone · Opioid · Opioid use disorder · Political science · Psychiatry · Public health · Receipt · Substance abuse · Medicine · Nursing · Opioid Use Disorder Treatment · Prenatal Substance Exposure Effects · Psychology · Substance Abuse Treatment and Outcomes · Internal Medicine

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