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A scoping review of factors that influence opioid overdose prevention for justice-involved populations

机译：影响阿片类药物过量预防职业诉讼人口的因素的范围

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There is a high risk of death from opioid overdose following release from prison. Efforts to develop and implement overdose prevention programs for justice-involved populations have increased in recent years. An understanding of the gaps in knowledge on prevention interventions is needed to accelerate development, implementation, and dissemination of effective strategies. A systematic search process identified 43 published papers addressing opioid overdose prevention in criminal justice settings or among justice-involved populations from 2010 to February 2020. Cross-cutting themes were identified, coded and qualitatively analyzed. Papers were coded into five categories: acceptability (n?=?8), accessibility (n?=?4), effectiveness (n?=?5), feasibility (n?=?7), and participant overdose risk (n?=?19). Common themes were: (1) Acceptability of naloxone is associated with injection drug use, overdose history, and perceived risk within the situational context; (2) Accessibility of naloxone is a function of the interface between corrections and community; (3) Evaluations of overdose prevention interventions are few, but generally show increases in knowledge or reductions in opioid overdose; (4) Coordinated efforts are needed to implement prevention interventions, address logistical challenges, and develop linkages between corrections and community providers; (5) Overdose is highest immediately following release from prison or jail, often preceded by service-system interactions, and associated with drug-use severity, injection use, and mental health disorders, as well as risks in the post-release environment. Study findings can inform the development of overdose prevention interventions that target justice-involved individuals and policies to support their implementation across criminal justice and community-based service systems.
机译：在监狱释放后，阿片类药物过量的死亡风险很高。近年来努力制定和实施过量的职业预防计划的努力。需要了解有关预防干预措施的差距，以加速发展，实施和传播有效策略。系统搜索过程确定了刑事司法环境中的43篇发表的论文，或者在2010年到2月20日至2月的司法人口中涉及司法人口。横向削减主题是确定，编码和定性分析。论文被编码为五类：可接受性（N？=？8），可访问性（N？=？4），有效性（n？=？5），可行性（n？=？7），以及参与者过量风险（n？ =？19）。共同主题是：（1）纳洛酮的可接受性与注射药物使用，过量历史和情境范围内的风险相关; （2）纳洛酮的可访问性是校正和社区之间的界面的函数; （3）过量预防干预的评估很少，但通常表现出阿片类药物过量的知识或减少的增加; （4）需要协调努力，以实施预防干预措施，解决后勤挑战，以及制定更正和社区提供者之间的联系; （5）从监狱或监狱释放后，过量源是最高的，通常在服务系统相互作用之前，以及药用严重程度，注射用途和心理健康障碍以及后释后环境的风险。研究调查结果可以向制定过量的预防干预措施，以支持司法的个人和政策，以支持他们在刑事司法和基于社区的服务系统中的实施。

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