A mapping review of take-home naloxone for people released from correctional settings

Horton, Meredith; McDonald, Rebecca; Green, Traci C.; Nielsen, Suzanne; Strang, John; Degenhardt, Louisa; Larney, Sarah

doi:10.1016/j.drugpo.2017.05.015

Cited by 26 publications

(25 citation statements)

References 34 publications

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“…The findings from this study are consistent with the existing literature [ 13 ], much of which highlights the effectiveness of education in improving knowledge of how to manage an opioid overdose and how to distinguish its symptoms from those of other medical conditions [ 18 – 20 , 32 – 34 ]. The majority of witnesses to an opioid overdose are willing to take countermeasure actions [ 35 ], even though some of these actions might be misinformed [ 22 , 36 ].…”

Section: Discussionsupporting

confidence: 89%

“…This elevated risk of drug-related death following liberation makes prisons a natural setting for opioid overdose prevention training with peer-administered naloxone. These trainings have been implemented upon prison release in the UK and the USA [ 13 ]. Following the implementation of Scotland’s national naloxone distribution program, they found a 36% reduction in overdose deaths during the first 4 weeks following prison inmates’ release [ 14 ] with an even greater reduction 5 years after the start of the program [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Overdose prevention training with naloxone distribution in a prison in Oslo, Norway: a preliminary study

Petterson

Madah-Amiri

2017

Harm Reduct J

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BackgroundPrison inmates face a ten times increased risk of experiencing a fatal drug overdose during their first 2 weeks upon release than their non-incarcerated counterparts. Naloxone, the antidote to an opioid overdose, has been shown to be feasible and effective when administered by bystanders. Given the particular risk that newly released inmates face, it is vital to assess their knowledge about opioid overdoses, as well as the impact of brief overdose prevention training conducted inside prisons.MethodsPrison inmates nearing release (within 6 months) in Oslo, Norway, voluntarily underwent a brief naloxone training. Using a questionnaire, inmates were assessed immediately prior to and following a naloxone training. Descriptive statistics were performed for main outcome variables, and the Wilcoxon signed-rank test was used to compare the participants’ two questionnaire scores from pre-and post-training.ResultsParticipating inmates (n = 31) were found to have a high baseline knowledge of risk factors, symptoms, and care regarding opioid overdoses. Nonetheless, a brief naloxone training session prior to release significantly improved knowledge scores in all areas assessed (p < 0.001). The training appears to be most beneficial in improving knowledge regarding the naloxone, including its use, effect, administration, and aftercare procedures.ConclusionsGiven the high risk of overdosing that prison inmates face upon release, the need for prevention programs is critical. Naloxone training in the prison setting may be an effective means of improving opioid overdose response knowledge for this particularly vulnerable group. Naloxone training provided in the prison setting may improve the ability of inmates to recognize and manage opioid overdoses after their release; however, further studies on a larger scale are needed.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Overdose prevention training with naloxone distribution in a prison in Oslo, Norway: a preliminary study

Petterson

Madah-Amiri

2017

Harm Reduct J

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“…Naloxone is considered a safe drug to use with little probability of complications, since it has no agonistic activity at the μ-opioid receptor [23]. Since opioid abuse has been declared an epidemic in the USA [4], naloxone has been made more accessible to the relatives of opioid users, which decreases potentially fatal overdoses around 30-40% [72,73].…”

Section: Opiate Antagonist Therapiesmentioning

confidence: 99%

Present and Future Pharmacological Treatments for Opioid Addiction

Blanco-Gandía¹,

Montagud‐Romero²,

Rodrı́guez-Arias³

2020

Opioids - From Analgesic Use to Addiction

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When treating opioid addiction, multidisciplinary treatment is highly recommended, but pharmacotherapy plays a key role. Although the ideal goal is to achieve complete abstinence, an elevated percentage of opioid addicts requires maintenance substitution therapy. In the first section of this chapter, we will focus on the current pharmacological interventions to treat opioid addiction, such as methadone, buprenorphine, and naltrexone. Thanks to these medications, people are able to go back to their normal lives, by preventing withdrawal symptoms, reducing craving, and increasing their adherence to psychotherapy. In the second section, based on the evidence that addiction induces neuroadaptive changes in several neurotransmission systems, we focus on the wide range of possible pharmacological developments at the preclinical and clinical levels, which in recent years have increased considerably.

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“…Inmates during their loss of freedom of movement must still be introduced to the community and should not be exiled. This problem can indeed lead to misunderstanding or can be considered a difficult problem to understand (Horton et al, 2017).…”

Section: Pre-release and Correctional Treatment I Observation Of Prementioning

confidence: 99%

Pre-Release Treatment in Class II A Correctional Institution of Pekalongan

Muslim

2019

JLLR

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Implementing pre-release treatment for a convict is one of the tasks of a correctional institution as a Technical Implementation Unit in the field of contruction. Thus, a correctional institution, in implementing correctional guidance, must consider human right protections aspects for them to be balanced with the public interest. Convict constructions in a correctional institution is an effort conducted to enforce the law. This study, entitled “The Juridical Observation of Pre-Release Treatment in Class II A Correctional Institution of Pekalongan”, has two research questions, including how the pre-release treatment is a determined in Indonesia positif law and what obstacles are faced in the pre-release treatment process in Class II A Correctional Institution of Pekalongan. The study aims at finding out the provisions of the pre-release treatment in Indonesian positive law, The provision of pre-release treatment is one form of society contruction processes that is conducted based on correctional system which aims to prepare the convicts to be able to integrate with the society. Therefore, they are able to play a role as a society member who owns freedom and responsibility before they are actually released.

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A mapping review of take-home naloxone for people released from correctional settings

Cited by 26 publications

References 34 publications

Overdose prevention training with naloxone distribution in a prison in Oslo, Norway: a preliminary study

Overdose prevention training with naloxone distribution in a prison in Oslo, Norway: a preliminary study

Present and Future Pharmacological Treatments for Opioid Addiction

Pre-Release Treatment in Class II A Correctional Institution of Pekalongan

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