Evidence map›Paper›PMID 37156423›Full record

ArticleJournal of substance use and addiction treatment2023

Allocation of federal funding to address the opioid overdose crisis in the criminal legal system.

Samantha J Harris, Amanda J Abraham, Felipe Lozano-Rojas, Sophia Negaro, Christina M Andrews, Colleen M Grogan

Abstract read
In one paragraph

Article in Journal of substance use and addiction treatment, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

6 authors.

Samantha J HarrisJohns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management, 306 Hampton House, 624 N Broadway, Baltimore, MD 21205, USA. Electronic address: samanthaharris@jhu.edu.
Amanda J AbrahamUniversity of Georgia School of Public and International Affairs, Department of Public Administration and Policy, 280F Baldwin Hall, Athens, GA 30602, USA. Electronic address: aabraham@uga.edu.
Felipe Lozano-RojasUniversity of Georgia School of Public and International Affairs, Department of Public Administration and Policy, 203B Baldwin Hall, Athens, GA 30602, USA. Electronic address: flozano@uga.edu.
Sophia NegaroUniversity of South Carolina Arnold School of Public Health, Department of Health Service Policy and Management, 915 Greene Street, Columbia, SC 29208, USA. Electronic address: snegaro@mailbox.sc.edu.
Christina M AndrewsUniversity of South Carolina Arnold School of Public Health, Department of Health Service Policy and Management, 344 Discovery Building, 915 Greene Street, Columbia, SC 29208, USA. Electronic address: candrews@mailbox.sc.edu.
Colleen M GroganUniversity of Chicago Crown Family School of Social Work, Policy, and Practice, 969 E. 60th Street, Chicago, IL 60637, USA. Electronic address: cgrogan@uchicago.edu.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Technical Assistance CoreU2CDA050097 · NIDA · GEORGE MASON UNIVERSITY · PI Jessica Hulsey Nickel · 2019 to 2026
$37.0M
HEAL Accelerator: Leveraging Partnerships and Targeted Dissemination to Advance UptakeOT2OD034479 · OD · GEORGE MASON UNIVERSITY · PI TAXMAN, FAYE S · 2022 to 2023
$5.6M
NCATS NIH HHS UL1 TR001863NIDA NIH HHS U2C DA050097NIH HHS OT2 OD034479
6 · The paper itself

Abstract

introductionThe opioid overdose crisis remains a chief public health concern in the United States, and people involved in the criminal legal system are among the most vulnerable to opioid related harms. This study aimed to identify all discretionary federal funding allocated to states, cities, and counties targeting the overdose crisis for criminal legal system-involved populations in fiscal year (FY) 2019. We then aimed to assess the extent to which federal funding was allocated to states with the highest need.

methodsWe collected data from publicly available government databases (N = 22) to identify federal funding targeting opioid use disorder in criminal legal system-involved populations. Descriptive analyses examined the extent to which funding allocated per person in the criminal legal system-involved population was associated with funding need, proxied by a composite measure of opioid mortality and drug-related arrests. We created a generosity measure and dissimilarity index to assess the degree to which funding matched need across states.

resultsMore than 590 million dollars were allocated across 517 grants by 10 federal agencies in FY 2019. About half of states received less than $100.00 dollars per capita in the state criminal legal system-involved population. Funding generosity ranged from 0 % to 504.2 %, with more than half of states (52.9 %, n = 27) receiving fewer dollars per opioid problem than the US average. Further, a dissimilarity index indicated that about 34.2 % of funding (~$202.3 million) would have to be reallocated to distribute funding more evenly across states.

conclusionsResults suggest that additional efforts are needed to more equitably distribute funds to meet the needs of states with more severe opioid problems.

Indexed as

CriminalsDrug OverdoseOpiate OverdoseOpioid-Related DisordersAnalgesics, OpioidFinancing, GovernmentHumansUnited StatesAnalgesics, OpioidCriminal justiceCriminal legal system-involved populationsFederal grant funding allocationMedications for opioid use disorderOpioid use disorder

Identifiers

PMID37156423
PMCPMC10330579

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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.