Providing peer navigation services to women with a history of opioid misuse pre- and post-release from jail: A program description

Tillson, Martha; Fallin‐Bennett, Amanda; Staton, Michele

doi:10.1017/cts.2022.441

Cited by 13 publications

(6 citation statements)

References 33 publications

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“…In initial interviews, peers described transitions as unpredictable and discussed barriers related to stigma and establishing relationships via telehealth. However, they also discussed that peer navigation can offer critical linkages to services for women during release from jail ( 37 ).…”

Section: Resultsmentioning

confidence: 99%

“…Third, programs demonstrated that education on MOUD helps improve long-term health and reincarceration outcomes when coupled with other treatment assistance ( 26 ). Finally, while the records showed mixed results, care and/or peer navigation show potential in facilitating treatment engagement within the community ( 26 , 34 , 37 ). Future efforts should scale up these interventions and programs and explore generalizability and long-term effectiveness.…”

Section: Discussionmentioning

confidence: 99%

“…For example, one program showed the positive impacts using peer navigators. However, patients still experienced barriers related to stigma and developing relationships via telehealth ( 37 ). Future work should explore how to reduce stigma related to MOUD and this patient population.…”

Section: Discussionmentioning

confidence: 99%

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Access to medications for opioid use disorder for formerly incarcerated individuals during community reentry: a mini narrative review

Chladek,

Chui

2024

Front. Public Health

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Medications for opioid use disorder (MOUD) are especially important for formerly incarcerated individuals with opioid use disorder (OUD) and can reduce the risk of re-arrest and overdose during community reentry. Unfortunately, few formerly incarcerated individuals are able to access MOUD within the community, missing a critical tool for rehabilitation. A mini narrative review was conducted to highlight the published work that has been done to improve access to MOUD for formerly incarcerated individuals during reentry. The results yielded 15 records describing intervention evaluations, program descriptions, and research in progress. Most work is ongoing, showing promise that researchers have identified the importance of this problem. However additional research should be done to include other stakeholders and address the limitations of existing interventions and programs. Continued efforts can help ensure that formerly incarcerated individuals can safely and successfully reintegrate into society.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Access to medications for opioid use disorder for formerly incarcerated individuals during community reentry: a mini narrative review

Chladek,

Chui

2024

Front. Public Health

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“…A particularly promising area of OUD recovery research is how peer-led interventions can help affected women navigate MOUD treatment and reintegration into work and home life (Tillson et al, 2022). In the present study, peer recovery coaches were identified as providing invaluable assistance to women in recovery, with extant literature also highlighting the benefits of integrating peer recovery supports into traditional MOUD treatment programs (Bergman et al, 2019; Kelly et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

The impact of family systems and social networks on substance use initiation and recovery among women with substance use disorders.

Jones,

Strong-Jones,

Bishop

et al. 2024

Psychology of Addictive Behaviors

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Objective: While social networks influence individuals with substance use disorders (SUDs), the mechanisms for such influence are under-explored among women who use drugs. This study triangulates the perspectives of criminal justice professionals, SUD treatment professionals, and women with past and current experiences with substance use to explore these dynamics. Method: We conducted semistructured interviews (N = 42) in 2022 with women with current or past opioid use disorder (n = 20), SUD treatment professionals (n = 12), and criminal justice professionals (n = 10) who work with women with opioid use disorder. Interviews centered around participants' backgrounds, perceived barriers and facilitators to medications for opioid use disorder (MOUD) treatment, and gender-specific issues in MOUD treatment. All interviews were audio-recorded, transcribed, and deidentified. We used a four-step qualitative data analysis process to code transcripts. Results: Across these participants' accounts, we identified mechanisms by which women's social networks influenced their opioid use trajectories: intergenerational substance use, family support and strain, intimate partner influence, and peer support and pressure. Overall, the emergent themes in the present study reflect the embedded nature of support within social systems. Women who had access to and engaged with various forms of social support tended to be those who use/used MOUD and self-identified as in recovery. Conclusions: Combining MOUD treatment with psychosocial interventions allows women to heal from trauma, learn effective coping skills, and receive valuable resources to support recovery. Interventions focusing on family resilience and peer recovery support can disrupt the cycle of addiction and promote MOUD treatment success. Public Health Significance StatementBarriers to SUD treatment and recovery exist at many levels. Interventions focusing on family resilience, fostering a healthy intimate partner relationship among couples in which one or both partners use drugs, and peer recovery support are crucially needed.

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“…Emerging evidence supports the effectiveness of the Transitions Clinics Network model, which addresses the social determinants of health while providing OUD treatment (Howell et al, 2021). Peer navigation is another emerging method for providing support to individuals with OUD who are re-integrating into the community (Belenko et al, 2021;Bellamy et al, 2019;Tillson et al, 2022). Digital technology could also offer a novel method for providing or extending re-entry supports.…”

Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 on the treatment of opioid use disorder in carceral facilities: a cross-sectional study

et al. 2022

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While the COVID-19 pandemic disrupted healthcare delivery everywhere, persons with carceral system involvement and opioid use disorder (OUD) were disproportionately impacted and vulnerable to severe COVID-associated illness. Carceral settings and community treatment programs (CTPs) rapidly developed protocols to sustain healthcare delivery while reducing risk of COVID-19 transmission. This survey study assessed changes to OUD treatment, telemedicine use, and re-entry support services among carceral and CTPs participating in the National Institute on Drug Abuse (NIDA)-funded study, Long-Acting Buprenorphine vs. Naltrexone Opioid Treatments in Criminal Justice System-Involved Adults (EXIT-CJS) study. In December 2020, carceral sites (n = 6; median pre-COVID 2020 monthly census = 3468 people) and CTPs (n = 7; median pre-COVID 2020 monthly census = 550 patients) participating in EXIT-CJS completed a cross-sectional web-based survey. The survey assessed changes pre- (January–March 2020) and post- (April–September 2020) COVID-19 in OUD treatment, telemedicine use, re-entry supports and referral practices. Compared to January–March 2020, half of carceral sites (n = 3) increased the total number of persons initiating medication for opioid use disorder (MOUD) from April–September 2020, while a third (n = 2) decreased the number of persons initiated. Most CTPs (n = 4) reported a decrease in the number of new admissions from April–September 2020, with two programs stopping or pausing MOUD programs due to COVID-19. All carceral sites with pre-COVID telemedicine use (n = 5) increased or maintained telemedicine use, and all CTPs providing MOUD (n = 6) increased telemedicine use. While expansion of telemedicine services supported MOUD service delivery, the majority of sites experienced challenges providing community support post-release, including referrals to housing, employment, and transportation services. During the COVID-19 pandemic, this small sample of carceral and CTP sites innovated to continue delivery of treatment for OUD. Expansion of telemedicine services was critical to support MOUD service delivery. Despite these innovations, sites experienced challenges providing reintegration supports for persons in the community. Pre-COVID strategies for identifying and engaging individuals while incarcerated may be less effective since the pandemic. In addition to expanding research on the most effective telemedicine practices for carceral settings, research exploring strategies to expand housing and employment support during reintegration are critical.

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Providing peer navigation services to women with a history of opioid misuse pre- and post-release from jail: A program description

Abstract: This version may be subject to change during the production process.

Cited by 13 publications

References 33 publications

Access to medications for opioid use disorder for formerly incarcerated individuals during community reentry: a mini narrative review

Access to medications for opioid use disorder for formerly incarcerated individuals during community reentry: a mini narrative review

The impact of family systems and social networks on substance use initiation and recovery among women with substance use disorders.

The impact of COVID-19 on the treatment of opioid use disorder in carceral facilities: a cross-sectional study

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