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Jail-based medication for opioid use disorder and patterns of reincarceration and acute care use after release: A sequence analysis.
- Source :
-
Journal of Substance Use & Addiction Treatment . Mar2024, Vol. 158, pN.PAG-N.PAG. 1p. - Publication Year :
- 2024
-
Abstract
- Treatment with methadone and buprenorphine medications for opioid use disorder (MOUD) during incarceration may lead to better community re-entry, but evidence on these relationships have been mixed. We aimed to identify community re-entry patterns and examine the association between in-jail MOUD and a pattern of successful reentry defined by rare occurrence of reincarceration and preventable healthcare utilization. Data came from a retrospective, observational cohort study of 6066 adults with opioid use disorder who were incarcerated in New York City jails and released to the community during 2011–14. An outcome was community re-entry patterns identified by sequence analysis of 3-year post-release reincarceration, emergency department visits, and hospitalizations. An exposure was receipt of in-jail MOUD versus out-of-treatment (42 % vs. 58 %) for the last 3 days before discharge. The study accounted for differences in baseline demographic, clinical, behavioral, housing, and criminal legal characteristics between in-jail MOUD and out-of-treatment groups via propensity score matching. This study identified five re-entry patterns: stability (64 %), hospitalization (23 %), delayed reincarceration (7 %), immediate reincarceration (4 %), and continuous incarceration (2 %). After addressing confounding, 64 % and 57 % followed the stability pattern among MOUD and out-of-treatment groups who were released from jail in 2011, respectively. In 2012–14, the prevalence of following the stability pattern increased year-by-year while a consistently higher prevalence was observed among those with in-jail MOUD. Sequence analysis helped define post-release stability based on health and criminal legal system involvement. Receipt of in-jail MOUD was associated with a marker of successful community re-entry. • Sequence analysis identified five community re-entry patterns. • 64 % of the cohort members followed the stability pattern. • Receipt of in-jail MOUD contributed to a positive outcome of community re-entry. • In-jail MOUD has potential to break a vicious cycle of reincarceration and addiction. [ABSTRACT FROM AUTHOR]
- Subjects :
- *METHADONE treatment programs
*NARCOTIC laws
*SUBSTANCE abuse
*IMPRISONMENT
*CORRECTIONAL institutions
*COMPULSIVE behavior
*SCIENTIFIC observation
*EMERGENCY room visits
*HOSPITAL care
*DESCRIPTIVE statistics
*RETROSPECTIVE studies
*PRISONERS
*LONGITUDINAL method
*DRUGS
*CRITICAL care medicine
*SEQUENCE analysis
*BUPRENORPHINE
Subjects
Details
- Language :
- English
- ISSN :
- 29498767
- Volume :
- 158
- Database :
- Academic Search Index
- Journal :
- Journal of Substance Use & Addiction Treatment
- Publication Type :
- Academic Journal
- Accession number :
- 176037178
- Full Text :
- https://doi.org/10.1016/j.josat.2023.209254