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Anticipated Barriers to Sustained Engagement in Treatment With Medications for Opioid Use Disorder After Release From Incarceration.

Publication ,  Journal Article
Kaplowitz, E; Truong, A; Macmadu, A; Berk, J; Martin, H; Burke, C; Rich, JD; Brinkley-Rubinstein, L
Published in: J Addict Med
January 2023

BACKGROUND: Although the burden of opioid use disorder is disproportionately high among persons who are incarcerated, medications for opioid use disorder are often unavailable in correctional settings. The Rhode Island Department of Corrections provides all 3 classes of medications for opioid use disorder to clinically eligible persons who are incarcerated. Despite a decrease in fatal overdoses among persons with recent criminal legal system involvement since the program's implementation, barriers to continued engagement in treatment after release from incarceration still exist. METHODS: We conducted 40 semistructured, qualitative interviews with people who were incarcerated and enrolled in the comprehensive medications for opioid use disorder program at the Rhode Island Department of Corrections. Analysis applied a general, inductive approach using NVivo 12. RESULTS: Participants discussed barriers to treatment engagement before incarceration, as well as anticipated barriers to medications to treat opioid use disorder continuation after release from incarceration. Structural factors including housing, health insurance, transportation, and the treatment program structure, as well as social factors such as social support networks were perceived to influence retention in medications to treat opioid use disorder post-release. CONCLUSION: Our findings suggest that people with opioid use disorder who are incarcerated encounter unique challenges upon community reentry. Addressing structural factors that pose barriers to post-release engagement is essential to sustaining retention. We recommend utilization of peer recovery specialists to alleviate some of the stress of navigating the structural barriers identified by participants.

Duke Scholars

Published In

J Addict Med

DOI

EISSN

1935-3227

Publication Date

January 2023

Volume

17

Issue

1

Start / End Page

54 / 59

Location

Netherlands

Related Subject Headings

  • Substance Abuse
  • Rhode Island
  • Prisoners
  • Opioid-Related Disorders
  • Opiate Substitution Treatment
  • Humans
  • Drug Overdose
  • Criminals
  • Analgesics, Opioid
  • 5203 Clinical and health psychology
 

Citation

APA
Chicago
ICMJE
MLA
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Kaplowitz, E., Truong, A., Macmadu, A., Berk, J., Martin, H., Burke, C., … Brinkley-Rubinstein, L. (2023). Anticipated Barriers to Sustained Engagement in Treatment With Medications for Opioid Use Disorder After Release From Incarceration. J Addict Med, 17(1), 54–59. https://doi.org/10.1097/ADM.0000000000001029
Kaplowitz, Eliana, Ashley Truong, Alexandria Macmadu, Justin Berk, Harrison Martin, Caroline Burke, Josiah D. Rich, and Lauren Brinkley-Rubinstein. “Anticipated Barriers to Sustained Engagement in Treatment With Medications for Opioid Use Disorder After Release From Incarceration.J Addict Med 17, no. 1 (January 2023): 54–59. https://doi.org/10.1097/ADM.0000000000001029.
Kaplowitz E, Truong A, Macmadu A, Berk J, Martin H, Burke C, et al. Anticipated Barriers to Sustained Engagement in Treatment With Medications for Opioid Use Disorder After Release From Incarceration. J Addict Med. 2023 Jan;17(1):54–9.
Kaplowitz, Eliana, et al. “Anticipated Barriers to Sustained Engagement in Treatment With Medications for Opioid Use Disorder After Release From Incarceration.J Addict Med, vol. 17, no. 1, Jan. 2023, pp. 54–59. Pubmed, doi:10.1097/ADM.0000000000001029.
Kaplowitz E, Truong A, Macmadu A, Berk J, Martin H, Burke C, Rich JD, Brinkley-Rubinstein L. Anticipated Barriers to Sustained Engagement in Treatment With Medications for Opioid Use Disorder After Release From Incarceration. J Addict Med. 2023 Jan;17(1):54–59.

Published In

J Addict Med

DOI

EISSN

1935-3227

Publication Date

January 2023

Volume

17

Issue

1

Start / End Page

54 / 59

Location

Netherlands

Related Subject Headings

  • Substance Abuse
  • Rhode Island
  • Prisoners
  • Opioid-Related Disorders
  • Opiate Substitution Treatment
  • Humans
  • Drug Overdose
  • Criminals
  • Analgesics, Opioid
  • 5203 Clinical and health psychology