Abstract

Jails are often the first point of assessment after arrest. This structural position provides an early opportunity to document and treat opioid use disorder (OUD). This paper describes the findings of the Building Bridges Planning Initiative, a project which prepared jail staff and their community treatment partners for the implementation and/or expansion of the use of medications for opioid use disorder (MOUDs) in 16 different jurisdictions across the U.S. From August 2019 through April 2020, 123 staff participants from 16 different counties in the U.S. completed surveys at baseline and again at one-year follow-up for staff still engaged in the project documenting changes in knowledge about, and the perceived helpfulness of, six different MOUDs. Participants were predominantly female (61%), averaged 49 years of age (SD = 11), and worked in jail (60%). Bivariate and multivariate results suggest that respondents’ perceived knowledge of/helpfulness of all MOUDs increased from baseline to follow-up, though findings for naltrexone-based MOUDs were mixed, with only depot naltrexone demonstrating significant increases in perceived helpfulness. Findings presented here suggest that over the course of the intervention, familiarity with and attitudes about MOUDs improved among individuals working within treatment centers and individuals working within correctional facilities.

摘要

监狱通常是被捕后的第一个评估点。这种结构位置为记录和治疗阿片类药物使用障碍（OUD）提供了早期机会。本文介绍了“桥梁建设规划倡议”的调查结果，该项目旨在帮助监狱工作人员及其社区治疗合作伙伴做好准备，以便在美国 16 个不同的司法管辖区实施和/或扩大阿片类药物使用障碍 (MOUD) 药物的使用。从 2019 年 8 月到 2020 年 4 月，来自 16 个司法管辖区的 123 名工作人员参与美国不同县完成了基线调查，并在一年的随访中再次对仍在参与该项目的工作人员进行了调查，记录了六种不同 MOUD 的知识变化和感知的有用性。参与者主要为女性 (61%)，平均年龄 49 岁（SD = 11），并在监狱工作（60%）。双变量和多变量结果表明，受访者对所有 MOUD 的感知知识/有用性从基线到随访均有所增加，尽管基于纳曲酮的 MOUD 的结果好坏参半，只有长效纳曲酮表现出感知有用性显着增加。本文的研究结果表明，在干预过程中，治疗中心工作人员和惩教机构工作人员对 MOUD 的熟悉程度和态度有所改善。