Medications for Opioid Use Disorder in the Criminal/Legal System: Knowledge, Beliefs, and Attitudes Among Rural Community-Based Stakeholders

The aim of this study was to describe rural community stakeholders’ attitudes and perceptions of providing medication for opioid use disorder (MOUD) to individuals in the criminal/legal system. Data were utilized from a technical assistance initiative aimed at strengthening community-based OUD treat...

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Bibliographic Details
Main Author: Victor, Grant (Author)
Contributors: Lee, Guijin ; Pozo, Brandon del ; Silverstein, Sydney ; Zettner, Catherine ; Cason, Rahni ; Ray, Bradley
Format: Electronic Article
Language:English
Published: 2022
In: Journal of drug issues
Year: 2022, Volume: 52, Issue: 3, Pages: 389-405
Online Access: Volltext (lizenzpflichtig)
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Summary:The aim of this study was to describe rural community stakeholders’ attitudes and perceptions of providing medication for opioid use disorder (MOUD) to individuals in the criminal/legal system. Data were utilized from a technical assistance initiative aimed at strengthening community-based OUD treatment within criminal/legal systems. A mixed-methods approach was applied. Survey responses were used to compare stakeholders’ who had and had not attended an MOUD training, and semistructured interviews were conducted with a convenience sample of rural criminal/legal and treatment stakeholders. MOUD training was associated with endorsing the effectiveness of methadone, oral naltrexone, and injectable naltrexone. Three primary themes emerged from the stakeholder interviews: 1) acceptance of MOUD uptake; 2) stigma of MOUD and diversion concerns; and 3) gaps in MOUD treatment. Most interviewees noted that there is a scarcity of treatment options in their community, and among the existing services, there are considerable barriers to care.
ISSN:1945-1369
DOI:10.1177/00220426221076800