Evidence map›Paper›PMID 34304335›Full record

ArticleHealth & justice2021

The impact of the opioid crisis on U.S. state prison systems.

Christy K Scott, Michael L Dennis, Christine E Grella, Allison F Mischel, John Carnevale

Open access · goldAbstract read
In one paragraph

Article in Health & justice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
10.2field-weighted citation impact, top 1% 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

42 citing papers in PubMed, 72 citations in OpenAlex.

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  3. Infection Control in Carceral Facilities.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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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 at 1 institution in 1 country.

Christy K ScottChestnut Health Systems, 221 W. Walton St, Chicago, IL, 60610, USA. cscott@chestnut.org.ORCID http://orcid.org/0000-0002-5233-4702
Michael L DennisChestnut Health Systems, 448 Wylie Dr, Normal, IL, 61761, USA.
Christine E GrellaChestnut Health Systems, 221 W. Walton St, Chicago, IL, 60610, USA.
Allison F MischelChestnut Health Systems, 221 W. Walton St, Chicago, IL, 60610, USA.
John CarnevaleCarnevale Associates LLC, 4 Belinder Rd, Gaithersburg, MD, 20878, USA.
Chestnut Health Systems · US

Funding

Improving Retention across the OUD Service Cascade upon Re-entry from Jail using Recovery Management CheckupsUG1DA050065 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI DENNIS, MICHAEL L., GRELLA, CHRISTINE E · 2019 to 2023
$9.3M
TRIALS Coordinating Center to Reduce Substance Use, HIV Risk Behaviors, & CrimeU01DA036221 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI DENNIS, MICHAEL L., SCOTT, CHRISTY K · 2013 to 2019
$5.6M
NIDA NIH HHS U01 DA036221NIDA NIH HHS U01DA036221NIDA NIH HHS UG1 DA050065
6 · The paper itself

Abstract

backgroundPrior studies have documented limited use of medications to treat opioid use disorders (OUD) for people incarcerated within state prisons in the United States. Using the framework of the criminal justice OUD service cascade, this study interviewed representatives of prison systems in states most heavily impacted by opioid overdose regarding the provision of medications for OUD (MOUD).

methodsA stratified sampling strategy included states with high indicators of opioid-overdose deaths. Two sampling strata targeted states with: 1) OUD overdose rates significantly higher than the per capita national average; or 2) high absolute number of OUD overdose fatalities. Interviews were completed with representatives from 21 of the 23 (91%) targeted states in 2019, representing 583 prisons across these states. Interviews assessed service provision across the criminal justice OUD service cascade, including OUD screening, withdrawal management, MOUD availability and provision, overdose prevention, re-entry services, barriers, and needs for training and technical assistance.

resultsMOUD (buprenorphine, methadone, or naltrexone) was available in at least one prison in approximately 90% of the state prison systems and all three medications were available in at least one prison in 62% of systems. However, MOUD provision was limited to subsets of prisons within these systems: 15% provided buprenorphine, 9% provided methadone, 36% provided naltrexone, and only 7% provided all three. Buprenorphine and methadone were most frequently provided to pregnant women or individuals already receiving these at admission, whereas naltrexone was primarily used at release. Funding was the most frequently cited barrier for all medications.

conclusionStudy findings yield a complex picture of how, when, and to whom MOUD is provided across prisons within prison systems in states most heavily impacted by opioid overdose in the United States and have implications for expanding availability.

Indexed as

Medications for opioid use disorder (MOUD)Opioid use disorder (OUD)OUD service cascadeState prison systems

Identifiers

PMID34304335
PMCPMC8310396
OpenAlexW3184832836

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.