HPV vaccination for boys in PEI has had a successful launch, almost reaching the Canadian Immunization Committee recommendations of >80% for the early years of a program. PEI has a highly organized Public Health Nursing program that is involved in all childhood and school-based vaccinations in PEI and in this context very high coverage rates were obtained. Areas to target for improving uptake include the boys and the students in the French Language School Board.
Drug - including opioid - dependence is common in correctional populations, however little research exists on interventions for women offenders. Based on retrospective administrative data, we examined rates of return to custody (RTC) among three samples of Canadian federal women offenders with problematic opioid use (total n = 137): (1) a group initiated on MMT during incarceration who continued MMT post-release (MMT-C; n = 25); (2) a group initiated on MMT but who terminated treatment post-release (MMT-T; n = 67), and (3) a non-MMT control group (MMT-N; n = 45). Study groups were similar regarding socio-demographic, drug use and criminogenic indicators. Based on an unadjusted Cox proportional hazards model, the MMT-C group had a 65% lower risk of RTC than the MMT-N (reference) group (HR 0.35, CI 0.13-0.90); RTC risk was not different between the MMT-T and the reference group. Most RTCs were for technical revocations (e.g. violation of a legal condition of their release). Continuous MMT following release from corrections appears to be effective in reducing recidivism in women offenders with opioid problems; barriers to MMT in the study population should be better understood and ameliorated.
Methadone maintenance treatment (MMT) can benefit post-release outcomes for correctional populations with opioid dependence, yet few outcome data exist for Canada. This retrospective study examined return to custody (RTC) outcomes following correctional release among three samples of male federal offenders with problematic opioid use (n = 856): offenders who continued MMT post-release (MMT-C) and offenders who discontinued MMT post-release (MMT-T) after being initiated on correctional MMT, and a non-MMT treated control group (MMT-N). MMT status was determined by community-based urinalysis; administrative data were used for outcomes. While the rate of continued MMT was lower, the MMT-C group had a 36% lower risk of RTC than the MMT-N group; RTC risk was not significantly different between the MMT-T and the MMT-N groups. Continuous MMT for correctional offenders with opioid dependence appears to be related to decreased post-release recidivism, and thus to social reintegration outcomes. Better understanding and improvement of corrections-to-community transition dynamics concerning MMT are required.
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