Evidence map›Paper›PMID 26478853›Full record

ArticleHealth & justice2015

Finding the loopholes: a cross-sectional qualitative study of systemic barriers to treatment access for women drug court participants.

Diane S Morse, Jennifer Silverstein, Katherine Thomas, Precious Bedel, Catherine Cerulli

Abstract read
In one paragraph

Article in Health & justice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Female Opioid Court Participants' Narratives of Siloed Medical, Legal, and Social Service Sector Interactions to Inform Future Integrated Interventions.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Does a Primary Health Clinic for Formerly Incarcerated Women Increase Linkage to Care?Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Diane S MorseUniversity of Rochester School of Medicine, Department of Psychiatry, 300 Crittenden Blvd. Rochester NY 14642, USA ; University of Rochester School of Medicine, Women's Initiative Supporting Health Center for Community Health, 300 Crittenden Blvd. Rochester, NY 14642, USA.
Jennifer SilversteinUniversity of Rochester School of Medicine, Department of Psychiatry, 300 Crittenden Blvd. Rochester NY 14642, USA.
Katherine ThomasUniversity of Rochester School of Medicine, Department of Psychiatry, 300 Crittenden Blvd. Rochester NY 14642, USA.
Precious BedelUniversity of Rochester School of Medicine, Department of Psychiatry, 300 Crittenden Blvd. Rochester NY 14642, USA.
Catherine CerulliUniversity of Rochester School of Medicine, Department of Psychiatry, 300 Crittenden Blvd. Rochester NY 14642, USA ; University of Rochester School of Medicine, LIVV and Susan B. Anthony Center for Women's Leadership, 300 Crittenden Blvd. Rochester, NY 14642, USA.

Funding

Virology/Immunology CoreP30AI078498 · NIAID · UNIVERSITY OF ROCHESTER · PI DEWHURST, STEPHEN · 2008 to 2018
$14.6M
Supporting Health in Drug Treatment Court for Women with HIV or Hepatitis CK23DA031612 · NIDA · UNIVERSITY OF ROCHESTER · PI MORSE, DIANE S · 2012 to 2016
$861k
NIAID NIH HHS P30 AI078498NIDA NIH HHS K23 DA031612
6 · The paper itself

Abstract

backgroundTherapeutic diversion courts seek to address justice-involved participants' underlying problems leading to their legal system involvement, including substance use disorder, psychiatric illness, and intimate partner violence. The courts have not addressed systemic hurdles, which can contribute to a cycle of substance use disorder and recidivism, which in turn hinder health and wellness. The study purpose is to explore the systemic issues faced by women participants in drug treatment court from multiple perspectives to understand how these issues may relate to health and wellness in their lives.

methodsQualitative thematic framework analysis of five separate focus groups consisting of female drug treatment court participants, community providers, and court staff (

resultsNumerous systemic factors impacted women's access to treatment. Laws and legal policies (governance) excluded those who could potentially have benefitted from therapeutic court and did not allow consideration of parenting issues. Macroeconomic policies limit housing options for those with convictions. Social policies limited transportation, education, and employment options. Public policies limited healthcare and social protection and ability to access available resources. Culture and societal values, including stigma, limited treatment options.

conclusionsBy understanding the social determinant of health for women in drug treatment court and stakeholder's perceptions, the legal system can implement public policy to better address the health needs of women drug court participants.

Indexed as

And socio ecological modelDrug treatment courtJustice-involved womenSocial determinants of health

Identifiers

PMID26478853
PMCPMC4607061

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.