Examining use of telehealth in jails: linking women to community OUD services.

Autor: Staton M; College of Medicine, Department of Behavioral Science, University of Kentucky, 1100 Veterans Drive, Lexington, KY, 40536, USA. mstaton@uky.edu., Levi M; College of Arts & Sciences, Department of Psychology, University of Kentucky, 106 Kastle Hall, Lexington, KY, 40506, USA., Winston E; Center on Drug and Alcohol Research, University of Kentucky, 643 Maxwelton Court, Lexington, KY, 40506, USA., B Oser C; College of Arts & Sciences, Department of Sociology, University of Kentucky, 1531 Patterson Office Tower, 40506, Lexington, KY, USA., Fallin-Bennett A; College of Nursing, University of Kentucky, 751 Rose Street, 40536, Lexington, KY, USA., Dickson M; College of Medicine, Department of Behavioral Science, University of Kentucky, 1100 Veterans Drive, Lexington, KY, 40536, USA., Matthew Webster J; College of Medicine, Department of Behavioral Science, University of Kentucky, 1100 Veterans Drive, Lexington, KY, 40536, USA., Leukefeld C; College of Medicine, Department of Behavioral Science, University of Kentucky, 1100 Veterans Drive, Lexington, KY, 40536, USA., Tillson M; Center on Drug and Alcohol Research, University of Kentucky, 643 Maxwelton Court, Lexington, KY, 40506, USA.
Jazyk: angličtina
Zdroj: BMC women's health [BMC Womens Health] 2024 Oct 04; Vol. 24 (1), pp. 549. Date of Electronic Publication: 2024 Oct 04.
DOI: 10.1186/s12905-024-03394-4
Abstrakt: Background: Opioid use disorder (OUD) remains a significant health care need for women, particularly those involved in the criminal legal system (CLS). There are no studies to date that focus on the utilization of telehealth as a platform for assessment and linkage to medications to treat opioid use disorder (MOUD) at community re-entry for women, despite the fact that women have unique risk factors that may contribute to opioid relapse in the community. The purpose of this mixed-methods study is to provide an overview of the innovative use of telehealth for linking incarcerated women to community MOUD treatment in the Kentucky-hub of the Justice Community Opioid Innovation Network (JCOIN).
Methods: This study incorporates qualitative and quantitative data collection with MOUD providers, recovery staff involved in peer navigation services, and women who are incarcerated to understand perceptions of the use of telehealth prior to jail release as a linkage to community services.
Results: Findings from this study suggest overall support for the use of telehealth between community MOUD treatment providers and women who are incarcerated using videoconferencing technology. On average, there was very little variation in provider favorable feedback related to clinical engagement or in face-to-face comparability, as well as how telehealth allowed the participant to discuss personal and sensitive issues during the clinical assessment.
Conclusions: Study findings suggest benefits associated with the use of telehealth in increasing access to treatment for women with OUD. Jails are critical venues for telehealth interventions because they provide the opportunity to reach women who have been actively using illicit substances, often have advanced-stage substance use disorders which have compromised their health and mental health, and often have not been previously identified as needing treatment.
Trial Registration: This study was originally registered on 8/23/19, ClinicalTrials.gov, #NCT04069624.
(© 2024. The Author(s).)
Databáze: MEDLINE
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