Examining use of telehealth in jails: linking women to community OUD services.


Journal

BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690

Informations de publication

Date de publication:
04 Oct 2024
Historique:
received: 29 08 2024
accepted: 27 09 2024
medline: 5 10 2024
pubmed: 5 10 2024
entrez: 4 10 2024
Statut: epublish

Résumé

Opioid use disorder (OUD) remains a significant health care need for women, particularly those involved in the criminal legal system (CLS). There are no studies to date that focus on the utilization of telehealth as a platform for assessment and linkage to medications to treat opioid use disorder (MOUD) at community re-entry for women, despite the fact that women have unique risk factors that may contribute to opioid relapse in the community. The purpose of this mixed-methods study is to provide an overview of the innovative use of telehealth for linking incarcerated women to community MOUD treatment in the Kentucky-hub of the Justice Community Opioid Innovation Network (JCOIN). This study incorporates qualitative and quantitative data collection with MOUD providers, recovery staff involved in peer navigation services, and women who are incarcerated to understand perceptions of the use of telehealth prior to jail release as a linkage to community services. Findings from this study suggest overall support for the use of telehealth between community MOUD treatment providers and women who are incarcerated using videoconferencing technology. On average, there was very little variation in provider favorable feedback related to clinical engagement or in face-to-face comparability, as well as how telehealth allowed the participant to discuss personal and sensitive issues during the clinical assessment. Study findings suggest benefits associated with the use of telehealth in increasing access to treatment for women with OUD. Jails are critical venues for telehealth interventions because they provide the opportunity to reach women who have been actively using illicit substances, often have advanced-stage substance use disorders which have compromised their health and mental health, and often have not been previously identified as needing treatment. This study was originally registered on 8/23/19, ClinicalTrials.gov, #NCT04069624.

Sections du résumé

BACKGROUND BACKGROUND
Opioid use disorder (OUD) remains a significant health care need for women, particularly those involved in the criminal legal system (CLS). There are no studies to date that focus on the utilization of telehealth as a platform for assessment and linkage to medications to treat opioid use disorder (MOUD) at community re-entry for women, despite the fact that women have unique risk factors that may contribute to opioid relapse in the community. The purpose of this mixed-methods study is to provide an overview of the innovative use of telehealth for linking incarcerated women to community MOUD treatment in the Kentucky-hub of the Justice Community Opioid Innovation Network (JCOIN).
METHODS METHODS
This study incorporates qualitative and quantitative data collection with MOUD providers, recovery staff involved in peer navigation services, and women who are incarcerated to understand perceptions of the use of telehealth prior to jail release as a linkage to community services.
RESULTS RESULTS
Findings from this study suggest overall support for the use of telehealth between community MOUD treatment providers and women who are incarcerated using videoconferencing technology. On average, there was very little variation in provider favorable feedback related to clinical engagement or in face-to-face comparability, as well as how telehealth allowed the participant to discuss personal and sensitive issues during the clinical assessment.
CONCLUSIONS CONCLUSIONS
Study findings suggest benefits associated with the use of telehealth in increasing access to treatment for women with OUD. Jails are critical venues for telehealth interventions because they provide the opportunity to reach women who have been actively using illicit substances, often have advanced-stage substance use disorders which have compromised their health and mental health, and often have not been previously identified as needing treatment.
TRIAL REGISTRATION BACKGROUND
This study was originally registered on 8/23/19, ClinicalTrials.gov, #NCT04069624.

Identifiants

pubmed: 39367439
doi: 10.1186/s12905-024-03394-4
pii: 10.1186/s12905-024-03394-4
doi:

Banques de données

ClinicalTrials.gov
['NCT04069624']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

549

Subventions

Organisme : NIDA NIH HHS
ID : UG1DA050069
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1DA050069
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1DA050069
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1DA050069
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1DA050069
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1DA050069
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1DA050069
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1DA050069
Pays : United States
Organisme : NIDA NIH HHS
ID : UG1DA050069
Pays : United States

Informations de copyright

© 2024. The Author(s).

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Auteurs

Michele Staton (M)

College of Medicine, Department of Behavioral Science, University of Kentucky, 1100 Veterans Drive, Lexington, KY, 40536, USA. mstaton@uky.edu.

Mary Levi (M)

College of Arts & Sciences, Department of Psychology, University of Kentucky, 106 Kastle Hall, Lexington, KY, 40506, USA.

Erin Winston (E)

Center on Drug and Alcohol Research, University of Kentucky, 643 Maxwelton Court, Lexington, KY, 40506, USA.

Carrie B Oser (C)

College of Arts & Sciences, Department of Sociology, University of Kentucky, 1531 Patterson Office Tower, 40506, Lexington, KY, USA.

Amanda Fallin-Bennett (A)

College of Nursing, University of Kentucky, 751 Rose Street, 40536, Lexington, KY, USA.

Megan Dickson (M)

College of Medicine, Department of Behavioral Science, University of Kentucky, 1100 Veterans Drive, Lexington, KY, 40536, USA.

J Matthew Webster (J)

College of Medicine, Department of Behavioral Science, University of Kentucky, 1100 Veterans Drive, Lexington, KY, 40536, USA.

Carl Leukefeld (C)

College of Medicine, Department of Behavioral Science, University of Kentucky, 1100 Veterans Drive, Lexington, KY, 40536, USA.

Martha Tillson (M)

Center on Drug and Alcohol Research, University of Kentucky, 643 Maxwelton Court, Lexington, KY, 40506, USA.

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