Evidence map›Paper›PMID 34134868›Full record

ArticleJournal of substance abuse treatment2021

Views of barriers and facilitators to continuing methadone treatment upon release from jail among people receiving patient navigation services.

Shannon Gwin Mitchell, Caroline Harmon-Darrow, Elizabeth Lertch, Laura B Monico, Sharon M Kelly, James L Sorensen, Robert P Schwartz

Open access · greenAbstract read
In one paragraph

Article in Journal of substance abuse treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 3% of its field
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Access to Services for Pregnant People With Opioid Use Disorder in Jails in the United States.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

7 authors at 3 institutions in 1 country.

Shannon Gwin MitchellFriends Research Institute, 1040 Park Avenue, Suite 103, Baltimore, MD, USA. Electronic address: smitchell@friendsresearch.org.
Caroline Harmon-DarrowUniversity of Maryland Baltimore School of Social Work, 525 W Redwood St, Baltimore, MD, USA. Electronic address: CHARMON@ssw.umaryland.edu.
Elizabeth LertchFriends Research Institute, 1040 Park Avenue, Suite 103, Baltimore, MD, USA. Electronic address: elertch@friendsresearch.org.
Laura B MonicoFriends Research Institute, 1040 Park Avenue, Suite 103, Baltimore, MD, USA. Electronic address: lmonico@friendsresearch.org.
Sharon M KellyFriends Research Institute, 1040 Park Avenue, Suite 103, Baltimore, MD, USA. Electronic address: skelly@friendsresearch.org.
James L SorensenUCSF Department of Psychiatry and Behavioral Sciences at Zuckerberg San Francisco General Hospital, 1001 Potrero Avenue, SFGH Building 20, Rm. 2117, San Francisco, CA, USA. Electronic address: James.Sorensen@ucsf.edu.
Robert P SchwartzFriends Research Institute, 1040 Park Avenue, Suite 103, Baltimore, MD, USA. Electronic address: rschwartz@friendsresearch.org.
Friends Research Institute · USSan Francisco General Hospital · USUniversity of Maryland, Baltimore · US

Funding

A Randomized Trial of Interim Methadone and Patient Navigation Initiated in JailU01DA013636 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI SCHWARTZ, ROBERT P · 2013 to 2016
$2.4M
NIDA NIH HHS U01 DA013636
6 · The paper itself

Abstract

backgroundPatient navigation has potential for assisting patients who initiate methadone during pretrial detention to enter and remain in treatment following release, but we know little about participants' experiences with this service.

methodsThis study drew a purposive sample of male and female participants (N = 17) from participants enrolled in a randomized trial of initiating methadone with vs. without patient navigation while in the Baltimore City Detention Center. The study interviewed participants in the community at 1 and 3 months following release and asked them about their experiences of reentry, methadone treatment continuation, drug use, and interactions with the patient navigator. The study recorded, transcribed, coded using Atlas.ti, and analyzed thematically the interviews.

resultsParticipants reported encountering four key challenges in the community: getting to treatment following release, assembling basic supports, managing criminal justice system demands, and staying in treatment. Participants' experiences of the patient navigator's support to address these challenges fell into six thematic groups: showing nonjudgmental caring and persistence, advocating within programs, brokering resources, managing interactions with the criminal justice system, balancing encouragement and self-determination, and offering genuine and familial-type support.

conclusionNearly all participants appreciated the navigator's support and deemed it helpful. The previously reported randomized trial found that participants assigned to initiate methadone treatment with navigation had higher rates of receiving their first "guest" methadone dose in the community but did not have significantly different rates of treatment enrollment or of illicit opioid use compared to those assigned to begin methadone treatment without navigation. Treatment programs should work to improve retention and postrelease outcomes among this population.

Indexed as

Opioid-Related DisordersPatient NavigationAnalgesics, OpioidFemaleHumansJailsMaleMethadoneOpiate Substitution TreatmentAnalgesics, OpioidMethadoneJailMethadone treatmentOpioid use disorderPatient navigationReentry

Identifiers

PMID34134868
PMCPMC8217714
OpenAlexW3134205742

What OpenQuestion holds

Textmetadata
LicenceTDM
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.