Evidence map›Paper›PMID 36434706›Full record

ArticleSubstance abuse treatment, prevention, and policy2022

Stimulant use disorder diagnosis and opioid agonist treatment dispensation following release from prison: a cohort study.

Heather Palis, Bin Zhao, Pam Young, Mo Korchinski, Leigh Greiner, Tonia Nicholls, Amanda Slaunwhite

Open access · goldAbstract read
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Heather PalisBC Centre for Disease Control, University of British Columbia, 655 W 12Th Avenue, BC, V5Z 4R4, Vancouver, Canada. Heather.palis@bccdc.ca.
Bin ZhaoBC Centre for Disease Control, University of British Columbia, 655 W 12Th Avenue, BC, V5Z 4R4, Vancouver, Canada.
Pam YoungUnlocking the Gates Services Society, 22838 Lougheed Hwy. Unit 104, Maple Ridge, BC, V2X 2V6, Canada.
Mo KorchinskiUnlocking the Gates Services Society, 22838 Lougheed Hwy. Unit 104, Maple Ridge, BC, V2X 2V6, Canada.
Leigh GreinerBC Corrections, 1001 Douglas St, Victoria, BC, V8W 2C5, Canada.
Tonia NichollsDepartment of Psychiatry, University of British Columbia, 2255 Wesbrook Mall, Vancouver, BC, V6T 2A1, Canada.
Amanda SlaunwhiteBC Centre for Disease Control, University of British Columbia, 655 W 12Th Avenue, BC, V5Z 4R4, Vancouver, Canada.
BC Centre for Disease Control · CAUniversity of British Columbia · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundConcurrent opioid and stimulant use is on the rise in North America. This increasing trend of use has been observed in the general population, and among people released from prison in British Columbia (BC), who face an elevated risk of overdose post-release. Opioid agonist treatment is an effective treatment for opioid use disorder and reduces risk of overdose mortality. In the context of rising concurrent stimulant use among people with opioid use disorder, this study aims to investigate the impact of stimulant use disorder on opioid agonist treatment dispensation following release from prison in BC.

methodsLinked health and corrections records were retrieved for releases between January 1

resultsCases of release among people with an opioid use disorder were identified (N = 13,380). Approximately 25% (N = 3,328) of releases ended in opioid agonist treatment dispensation within two days post-release. A statistically significant interaction of stimulant use disorder and mental illness was identified. Stratified odds ratios (ORs) found that in the presence of mental illness, stimulant use disorder was associated with lower odds of obtaining OAT [(OR) = 0.73, 95% confidence interval (CI) = 0.64-0.84)] while in the absence of mental illness, this relationship did not hold [OR = 0.89, 95% CI = 0.70-1.13].

conclusionsPeople with mental illness and stimulant use disorder diagnoses have a lower odds of being dispensed agonist treatment post-release compared to people with mental illness alone. There is a critical need to scale up and adapt opioid agonist treatment and ancillary harm reduction, and treatment services to reach people released from prison who have concurrent stimulant use disorder and mental illness diagnoses.

Indexed as

Central Nervous System StimulantsDrug OverdoseOpioid-Related DisordersAnalgesics, OpioidCohort StudiesHumansOpiate Substitution TreatmentPrisonsAnalgesics, OpioidCentral Nervous System StimulantsIncarcerationMental healthOpioid agonist treatmentOpioid use disorderPrisonStimulant use disorder

Identifiers

PMID36434706
PMCPMC9694574
OpenAlexW4309941532

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.