ArticleAddiction science & clinical practice2018
Barriers to addiction treatment among formerly incarcerated adults with substance use disorders.
Article in Addiction science & clinical practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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.
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.
Who cites it
17 citing papers in PubMed, 40 citations in OpenAlex.
- Recent incarceration and minoritized racial status as barriers to the effectiveness of recovery management checkups.Substance abuse treatment, prevention, and policy · 2025Trial
- "I refused to drink but they still forced me": A mixed-methods approach to understanding the pathways to reduce alcohol use among Vietnamese people with HIV.Social science & medicine (1982) · 2022Trial
- Impact of social determinants on opioid use disorder treatment engagement after release from jail: a case note content analysis.Addiction science & clinical practice · 2026Article
- "You're doing it because your freedom is on the line": a qualitative study exploring how people who use opioids and methamphetamine navigate legal involvement and carceral treatment for substance use disorder.Harm reduction journal · 2026Article
- A qualitative examination of barriers and facilitators to HIV prevention and treatment for people involved with the criminal justice system.Health & justice · 2025Article
- Understanding the active ingredients, barriers, and facilitators to implement brief psychological interventions for substance misuse in Indian prisons: A qualitative study.Indian journal of psychiatry · 2025Article
- Provision of health care services related to substance use disorder in southern U.S. jails.Journal of substance use and addiction treatment · 2024Article
- Examining facilitative services for entry into substance use disorder treatment: A cluster analysis of treatment facilities.PloS one · 2024Article
- Article
- Gaps and barriers in drug and alcohol treatment following implementation of the affordable care act.Drug and alcohol dependence reports · 2022Article
- Barriers and facilitators to opioid agonist treatment (OAT) engagement among individuals released from federal incarceration into the community in Ontario, Canada.International journal of qualitative studies on health and well-being · 2022Article
- Opioid agonist treatment take-home doses ('carries'): Are current guidelines resulting in low treatment coverage among high-risk populations in Canada and the USA?Harm reduction journal · 2022Review
- A longitudinal cross-sectional analysis of substance use treatment trends for individuals experiencing homelessness, criminal justice involvement, both, or neither - United States, 2006-2018.Lancet regional health. Americas · 2022Article
- Barriers and Facilitators to Substance Use Disorder Treatment: An Overview of Systematic Reviews.Substance abuse : research and treatment · 2022Review
- Access to Harm Reduction Treatment Among Formerly Incarcerated Individuals During the COVID-19 Era.Health security · 2021Article
- Using alcohol consumption diary data from an internet intervention for outcome and predictive modeling: a validation and machine learning study.BMC medical research methodology · 2020Article
- Introduction to the special issue.Addiction science & clinical practice · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAddiction treatment improves substance use and criminal recidivism outcomes among justice-involved individuals with substance use disorders, but is underutilized. Although information exists regarding barriers to addiction treatment among individuals with substance use disorders more generally, less is known about barriers among individuals with previous justice involvement. The purpose of this pilot study was to describe barriers to addiction treatment in a sample of adults with a substance use disorder who participated in a pilot trial of brief interventions and were recently released from jail.
methodsIncarcerated individuals who were arrested for an alcohol- or drug-related crime and reported moderate or high alcohol use on the ASSIST (n = 28; 96.4% men) were recruited for a pilot trial of brief interventions to reduce substance use, which were delivered just prior to release from jail. After their release, participants completed the Barriers to Treatment Inventory (BTI), which included 25 numerical items and one open-ended question on additional barriers that provided qualitative data. We described frequency of quantitative responses and qualitatively coded open-ended data using seven previously identified domains of the BTI.
resultsThe most commonly reported barriers assessed quantitatively were items related to Absence of Problem: "I do not think I have a problem with drugs" (42.8%), Privacy Concerns: "I do not like to talk about my personal life with other people" (35.8%), and Admission Difficulty: "I will have to be on a waiting list for treatment" (28.6%). Items related to Negative Social Support (e.g., "Friends tell me not to go to treatment") were rarely endorsed in this sample. Responses to the open-ended question also related to Absence of Problem, Privacy Concerns, and Admission Difficulty. Additional categories of barriers emerged from the qualitative data, including Ambivalence and Seeking Informal Assistance.
conclusionsIn this small sample of adults with a substance use disorder recently released from jail, barriers to treatment were frequently endorsed. Future research on larger samples is needed to understand barriers to treatment specific to justice-involved populations. Clinicians may consider using open-ended questions to explore and address barriers to addiction treatment among individuals with current or recent justice involvement.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.