ArticleHarm reduction journal2019
Justice involvement patterns, overdose experiences, and naloxone knowledge among men and women in criminal justice diversion addiction treatment.
Article in Harm reduction journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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Who cites it
14 citing papers in PubMed.
- Integrating harm reduction interventions for older adults in opioid treatment programs: a qualitative study of patient and provider perspectives.Harm reduction journal · 2026Article
- Article
- Implementation of harm reduction strategies in criminal-legal systems: a scoping review of the literature.Health & justice · 2025Review
- Overdose education and naloxone distribution among women with a history of OUD transitioning to the community following jail release.Health & justice · 2025Article
- Factors Associated with Gaps in Naloxone Knowledge: Evidence from a 2022 Great Plains Survey.Research square · 2023Article
- Prevalence and correlates of using opioids alone among individuals in a residential treatment program in Michigan: implications for overdose mortality prevention.Harm reduction journal · 2022Article
- Legal System Involvement and Opioid-Related Overdose Mortality in U.S. Department of Veterans Affairs Patients.American journal of preventive medicine · 2022Article
- "They're not doing enough.": women's experiences with opioids and naloxone in Toronto.Substance abuse treatment, prevention, and policy · 2021Article
- A scoping review of factors that influence opioid overdose prevention for justice-involved populations.Substance abuse treatment, prevention, and policy · 2021Article
- Opportunities to boost naloxone awareness among people who misuse opioid analgesics who have not used illegal opioids.Substance abuse · 2021Article
- Opioid-related overdose deaths among African Americans: Implications for research, practice and policy.Drug and alcohol review · 2020Article
- COVID-19 and People Who Use Drugs - A Commentary.Health behavior and policy review · 2020Article
- Barriers to and recommendations for take-home naloxone distribution: perspectives from opioid treatment programs in New Mexico.Harm reduction journal · 2020Article
- Naloxone analogy and opioid overdose terminology preferences among rural caregivers: Differences by race.Journal of the American Pharmacists Association : JAPhAArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundPersons in addiction treatment are likely to experience and/or witness drug overdoses following treatment and thus could benefit from overdose education and naloxone distribution (OEND) programs. Diverting individuals from the criminal justice system to addiction treatment represents one treatment engagement pathway, yet OEND needs among these individuals have not been fully described.
methodsWe characterized justice involvement patterns among 514 people who use opioids (PWUO) participating in a criminal justice diversion addiction treatment program during 2014-2016 using a gender-stratified latent class analysis. We described prevalence and correlates of naloxone knowledge using quasi-Poisson regression models with robust standard errors.
resultsOnly 56% of participants correctly identified naloxone as an opioid overdose treatment despite that 68% had experienced an overdose and 79% had witnessed another person overdose. We identified two latent justice involvement classes: low involvement (20.3% of men, 46.5% of women), characterized by older age at first arrest, more past-year arrests, and less time incarcerated; and high involvement (79.7% of men, 53.5% of women), characterized by younger age at first arrest and more lifetime arrests and time incarcerated. Justice involvement was not associated with naloxone knowledge. Male participants who had personally overdosed more commonly identified naloxone as an overdose treatment after adjustment for age, race, education level, housing status, heroin use, and injection drug use (prevalence ratio [95% confidence interval]: men 1.5 [1.1-2.0]).
conclusionsAll PWUO in criminal justice diversion programs could benefit from OEND given the high propensity to experience and witness overdoses and low naloxone knowledge across justice involvement backgrounds and genders.
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