Opioid Use Disorder among Criminal Justice-Involved Women: Integrating Trauma-Informed and Gender-Specific Care with Medication-Assisted Treatment

涉及刑事司法的女性中的阿片类药物使用障碍：将创伤知情和针对性别的护理与药物辅助治疗相结合

• 批准号: 10461173
• 负责人: Abenaa Acheampong Jones
• 金额: $ 18.07万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10461173
• 关键词: AIDS/HIV problem; Address; Adverse effects; Affect; Age; Behavior Therapy; Caring; Cessation of life; Clinical Trials; Communities; Criminal Justice; Drug Addiction; Drug usage; Evidence based intervention; Fentanyl; Gender; Goals; HIV; HIV risk; HIV/HCV; Health; Health Care Costs; Health Personnel; Health Services; Hepatitis C Transmission; Heroin; Imprisonment; Improve Access; Individual; International; Intervention; Interview; Jail; Justice; Lead; Left; Link; Medical; Mentors; Minority Women; National Institute of Drug Abuse; National Institute on Minority Health and Health Disparities; Opiate Addiction; Opioid; Outcome; Overdose; Pharmaceutical Preparations; Pharmacotherapy; Pilot Projects; Population; Poverty; Prevention; Prisons; Randomized Controlled Trials; Research; Research Training; Resources; Risk Behaviors; Sampling; Social Work; Social outcome; Social support; Substance Use Disorder; Supervision; System; Training; Trauma; United States; Woman; Work; addiction; adverse outcome; career; comorbidity; cost; design; drug abuse prevention; drug structure; dual diagnosis; effective intervention; evidence base; health disparity populations; high risk; high risk population; high risk sexual behavior; illicit opioid; improved; male; marginalized community; medication-assisted treatment; men; minority health disparity; opioid abuse; opioid epidemic; opioid mortality; opioid overdose; opioid use; opioid use disorder; overdose death; parole; peer; prescription opioid; probation; public health priorities; recidivism; recruit; reduced substance use; response; sexual victimization; skills; social; social factors; societal costs; sociodemographic group; substance use; synthetic opioid; therapy design; treatment program; violence exposure; virtual; vulnerable community

Project Summary Opioid-related overdose deaths and incarceration rates have skyrocketed and have disproportionately affected women. Despite having a higher burden of substance use disorders and HIV/AIDS than criminal justice-involved (CJI) men, CJI women are less likely to have access to substance use and HIV treatment. The proposed intervention will link and retain women with recent CJI in medication-assisted treatment (MAT) programs, identify and connect women with necessary social services, and provide women with opioid overdose response training. Specifically, the candidate aims to 1) conduct in-depth interviews with CJI women, MAT providers, and criminal justice professionals to identify facilitators and barriers to illicit opioid use cessation and decreases in HIV risk behaviors and exposure to violence among CJI women; 2) develop a gender-specific and trauma-informed intervention that utilizes peer navigation to connect CJI women with OUD to MAT programs, necessary health and social services, and provides opioid overdose response training; and 3) conduct a pilot study (randomized control trial) to assess the adequacy in which components of the gender-specific and trauma-informed intervention function together using a sample of 50 community-recruited CJI women who use opioids illicitly. In order to complete the proposed research tasks, the candidate has composed a team of internationally recognized scholars as mentors. Through this proposed K01, the candidate will expand the breadth of her work to treatment for opioid use disorders and common comorbidities. The research and training outlined in this proposal will allow the candidate to gain content expertise on social factors that lead to sub-optimal outcomes among CJI women with OUD, trauma among substance-using and CJI women, while simultaneously developing her skills in implementing and evaluating clinical trials. The candidate’s long-term career goal is to develop evidence-based interventions to reduce substance use and its co-occurring health and social consequences among marginalized and vulnerable communities. The proposed work helps her make further strides to accomplishing this goal by enabling her to design, implement, and evaluate a pilot intervention designed for CJI women.

项目摘要 阿片类药物相关的过量死亡和监禁率飙升，并且已经飙升 受影响不成比例的妇女。尽管使用较高的物质使用障碍 和艾滋病毒/艾滋病比刑事司法涉及司法的男性，CJI妇女不太可能拥有 获得药物使用和HIV治疗。拟议的干预将连接并保留 最近患有药物辅助治疗（MAT）计划的CJI的妇女，识别和联系 具有必要社会服务的妇女，并为妇女提供阿片类药物过量反应 训练。特别是，候选人的目的是1）对CJI妇女，MAT进行深入的采访 提供者和刑事司法专业人士确定促进者和非法使用障碍 艾滋病毒风险行为的停止和下降以及CJI妇女暴力的暴露； 2） 开发针对性别特定和创伤的干预措施，该干预措施利用同行导航 将CJI妇女与Oud连接到MAT计划，必要的健康和社会服务以及 提供阿片类药物过量反应培训； 3）进行试点研究（随机对照 试验）评估适当的性别特异性和创伤的组成部分 干预功能使用50个使用的CJI妇女的样本一起使用 OOPIOED非法。为了完成拟议的研究任务，候选人已经组成了 一支国际公认的学者是导师。通过此提议的K01， 候选人将扩大其工作的广度，以治疗阿片类药物使用障碍和常见 合并症。该提案中概述的研究和培训将使候选人获得 有关社会因素的内容专业知识，导致CJI女性的次级优势 oud，用物质和CJI妇女之间的创伤，同时发展她 实施和评估临床试验的技能。候选人的长期职业目标是 制定基于证据的干预措施，以减少药物使用及其同时发生的健康和 边缘化和脆弱社区之间的社会后果。拟议的工作 通过使她能够设计，实施， 并评估专为CJI妇女设计的试点干预。