Evidence map›Paper›PMID 37910486›Full record

ArticlePLOS global public health2023

Aligning public health and public safety: Probation as a touchpoint to identify and link patients with opioid use disorder to opioid agonist treatment.

Daniel J Bromberg, Samy J Galvez de Leon, Taylor Litz, Lyu Azbel, Amanda R Liberman, Maxim Polonsky, Sergii Dvoriak, Nataliia Saichuk, Faye Taxman, Frederick L Altice

Abstract read
In one paragraph

Article in PLOS global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Daniel J BrombergYale University School of Public Health, New Haven, Connecticut, United States of America.ORCID https://orcid.org/0000-0003-0584-7238
Samy J Galvez de LeonYale Center for Interdisciplinary Research on AIDS, Yale University, New Haven, Connecticut, United States of America.
Taylor LitzYale University School of Medicine, New Haven, Connecticut, United States of America.
Lyu AzbelYale University School of Medicine, New Haven, Connecticut, United States of America.
Amanda R LibermanYale University School of Medicine, New Haven, Connecticut, United States of America.ORCID https://orcid.org/0000-0002-3998-4313
Maxim PolonskyYale University School of Medicine, New Haven, Connecticut, United States of America.
Sergii DvoriakUkrainian Institute on Public Health Policy, Kyiv, Ukraine.
Nataliia SaichukUkrainian Institute on Public Health Policy, Kyiv, Ukraine.
Faye TaxmanGeorge Mason University Schar School of Policy and Government, Arlington, Virginia, United States of America.
Frederick L AlticeYale University School of Public Health, New Haven, Connecticut, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople in criminal justice settings (CJS) have high rates of opioid use disorder (OUD) and HIV. Probation is part of the CJS and congregates many individuals with high rates of mental health and substance use disorders relative to the general population; nevertheless, probation remains a major improvement to incarceration. As a steppingstone to full decarceration efforts, community supervision settings like probation can be leveraged as "touchpoints" to identify and link people with OUD (and other co-morbid conditions) to treatment and reduce criminal activity. METHODOLOGY: To determine the feasibility of a modified screening, brief intervention and referral to treatment (SBIRT) strategy to link probationers to opioid agonist therapies (OAT) in the newly created probation system in Ukraine, we conducted a single-arm SBIRT intervention in eight probation centers in four Ukrainian administrative regions. For those screening positive for OUD, interest in OAT was assessed before and after a brief intervention. Those interested in OAT were referred to community OAT services. Participants with OUD also underwent HIV testing. PRINCIPAL

findingsOf the 1,298 consecutive individuals screened, 208 (16.0%) met criteria for opioid dependence. Of these, 122 (58.7%) enrolled in brief intervention, of which 54 (44.3%) had HIV and 14 (25.9%) of these were newly diagnosed. After the brief intervention, interest in starting OAT increased significantly from a median of 7.0 to 8.0 (P = <0.001) using a 10-point scale. Thirty (N = 30; 24.6%) of the enrolled participants initiated OAT and 21 of these (70%) were retained in treatment for 6 months. SIGNIFICANCE: The prevalence of OUD (and HIV) is high among people in probation in Ukraine. SBIRT can identify a large number of people eligible for OAT, many of whom were willing to initiate and remain on OAT. Integrating SBIRT into probation can potentially assist with OAT scale-up and help address HIV prevention efforts.

Identifiers

PMID37910486
PMCPMC10619786

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