Criminal justice continuum for opioid users at risk of overdose

The United States (US) is in the midst of an epidemic of opioid use; however, overdose mortality disproportionately affects certain subgroups. For example, more than half of state prisoners and approximately two-thirds of county jail detainees report issues with substance use. Overdose is one of the...

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Bibliographic Details
Main Authors: Brinkley-Rubinstein, L. (Author), Cloud, D.H (Author), Heise, A. (Author), Martino, S. (Author), McCauley, E. (Author), Seal, D. (Author), Zaller, N. (Author)
Format: Article
Language:English
Published: Elsevier Ltd 2018
Subjects:
Online Access:View Fulltext in Publisher
LEADER 03545nam a2200757Ia 4500
001 10.1016-j.addbeh.2018.02.024
008 220706s2018 CNT 000 0 und d
020 |a 03064603 (ISSN) 
245 1 0 |a Criminal justice continuum for opioid users at risk of overdose 
260 0 |b Elsevier Ltd  |c 2018 
856 |z View Fulltext in Publisher  |u https://doi.org/10.1016/j.addbeh.2018.02.024 
520 3 |a The United States (US) is in the midst of an epidemic of opioid use; however, overdose mortality disproportionately affects certain subgroups. For example, more than half of state prisoners and approximately two-thirds of county jail detainees report issues with substance use. Overdose is one of the leading causes of mortality among individuals released from correctional settings. Even though the criminal justice (CJ) system interacts with a disproportionately high number of individuals at risk of opioid use and overdose, few CJ agencies screen for opioid use disorder (OUD). Even less provide access to medication assisted treatment (e.g. methadone, buprenorphine, and depot naltrexone), which is one of the most effective tools to combat addiction and lower overdose risk. However, there is an opportunity to implement programs across the CJ continuum in collaboration with law enforcement, courts, correctional facilities, community service providers, and probation and parole. In the current paper, we introduce the concept of a “CJ Continuum of Care for Opioid Users at Risk of Overdose” grounded by the Sequential Intercept Model. We present each step on the CJ Continuum and include a general overview and highlight opportunities for: 1) screening for OUD and overdose risk, 2) treatment and/or diversion, and 3) overdose prevention and naloxone provision. © 2018 Elsevier Ltd 
650 0 4 |a Analgesics, Opioid 
650 0 4 |a Article 
650 0 4 |a buprenorphine 
650 0 4 |a criminal justice 
650 0 4 |a Criminal justice 
650 0 4 |a criminal law 
650 0 4 |a Criminal Law 
650 0 4 |a delayed release formulation 
650 0 4 |a Delayed-Action Preparations 
650 0 4 |a drug overdose 
650 0 4 |a Drug Overdose 
650 0 4 |a health care access 
650 0 4 |a health care cost 
650 0 4 |a health program 
650 0 4 |a high risk patient 
650 0 4 |a human 
650 0 4 |a Humans 
650 0 4 |a intoxication 
650 0 4 |a Judicial Role 
650 0 4 |a jurisprudence 
650 0 4 |a law enforcement 
650 0 4 |a Law Enforcement 
650 0 4 |a mass screening 
650 0 4 |a Mass Screening 
650 0 4 |a mental health care 
650 0 4 |a methadone 
650 0 4 |a naltrexone 
650 0 4 |a Naltrexone 
650 0 4 |a narcotic analgesic agent 
650 0 4 |a narcotic antagonist 
650 0 4 |a Narcotic Antagonists 
650 0 4 |a opiate 
650 0 4 |a opiate addiction 
650 0 4 |a opiate substitution treatment 
650 0 4 |a Opiate Substitution Treatment 
650 0 4 |a Opioid overdose 
650 0 4 |a Opioid-Related Disorders 
650 0 4 |a patient education 
650 0 4 |a prison 
650 0 4 |a Prisons 
650 0 4 |a public health 
650 0 4 |a public-private partnership 
650 0 4 |a risk assessment 
650 0 4 |a Risk Assessment 
650 0 4 |a screening test 
650 0 4 |a United States 
700 1 |a Brinkley-Rubinstein, L.  |e author 
700 1 |a Cloud, D.H.  |e author 
700 1 |a Heise, A.  |e author 
700 1 |a Martino, S.  |e author 
700 1 |a McCauley, E.  |e author 
700 1 |a Seal, D.  |e author 
700 1 |a Zaller, N.  |e author 
773 |t Addictive Behaviors