Evidence map›Paper›PMID 39681954›Full record

ArticleBMC global and public health2024

Influences of the criminal justice system on use of medications for opioid use disorder: a qualitative study.

Emmeline Taylor, Caroline Gray, Matthew Stimmel, Ingrid A Binswanger, Erica Morse, Christine Timko, Alex H S Harris, David Smelson, Andrea K Finlay

Abstract read
In one paragraph

Article in BMC global and public health, 2024. 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

9 authors.

Emmeline TaylorCenter for Innovation to Implementation (Ci2i), VA Palo Alto Healthcare System, 795 Willow Road (MPD-152), Menlo Park, CA, 94025, USA.
Caroline GrayCenter for Innovation to Implementation (Ci2i), VA Palo Alto Healthcare System, 795 Willow Road (MPD-152), Menlo Park, CA, 94025, USA.
Matthew StimmelVeterans Justice Programs, U.S. Department of Veterans Affairs, Washington, D.C., USA.
Ingrid A BinswangerInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, USA.
Erica MorseInstitute for Health Research, Kaiser Permanente Colorado, Aurora, CO, USA.
Christine TimkoCenter for Innovation to Implementation (Ci2i), VA Palo Alto Healthcare System, 795 Willow Road (MPD-152), Menlo Park, CA, 94025, USA.
Alex H S HarrisCenter for Innovation to Implementation (Ci2i), VA Palo Alto Healthcare System, 795 Willow Road (MPD-152), Menlo Park, CA, 94025, USA.
David SmelsonCenter for Organization and Implementation Science, Edith Nourse Rogers VA Medical Center, Bedford, MA, USA.
Andrea K FinlayCenter for Innovation to Implementation (Ci2i), VA Palo Alto Healthcare System, 795 Willow Road (MPD-152), Menlo Park, CA, 94025, USA. Andrea.Finlay@va.gov.

Funding

Improving Access to Pharmacotherapy for Opioid Use Disorder Among Justice Involved VeteransR21DA041489 · NIDA · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI FINLAY, ANDREA K · 2017 to 2018
$473k
HSRD VA IK6 HX002840HSRD VA IK6 HX003906NIDA NIH HHS R21 DA041489
6 · The paper itself

Abstract

backgroundLegal-involved veterans with opioid use disorder (OUD) have lower receipt of medications for opioid use disorder (MOUD) than other veterans served at the Veterans Health Administration (VHA). This qualitative study examined the influence of the criminal justice system on access to MOUD for legal-involved veterans in the U.S.

methodsVHA facilities (n = 14) that varied in their provision of MOUD to legal-involved veterans were selected for qualitative interviews. Interviewees included legal-involved veterans (n = 18), VHA Veterans Justice Programs Specialists (n = 15), substance use disorder treatment providers (n = 5), and criminal justice staff (n = 12). Team members applied codes to meaningful units of analysis (quotations) in the transcribed interviews. Using a matrix approach, team members created a spreadsheet matrix with codes, facility rate of MOUD, and relevant quotations summarized for each participant. Themes and connections between individual participants and cross-interview concepts were explored. Participants were not asked to provide feedback on the findings.

resultsThemes identified were as follows: (1) Veterans Treatment Court policies both enhanced and limited MOUD treatment access and utilization among participants; (2) cross-system collaboration strengths and challenges existed; and (3) criminal justice system treatment preferences and policies both enhanced and limited MOUD in jails and prisons.

conclusionsThe influence of the criminal justice system on MOUD has led to variable access to MOUD for legal-involved veterans. Our findings can help inform recommendations to enhance access to MOUD for veterans within the criminal justice system, including the development of a national database of MOUD education materials for Veterans Treatment Courts, strengthening community-court relationships, allowing individuals to use their own healthcare coverage within jails and prisons and extend Medicaid coverage into criminal justice settings, and applying national quality measures for MOUD to criminal justice settings and develop a national system for tracking these quality measures.

Indexed as

Criminal JusticeOpioid Use DisorderQualitative ResearchVeteran

Identifiers

PMID39681954
PMCPMC11622969

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.