Treating Opioid Use Disorder and Related Infectious Diseases in the Criminal Justice System

• Autores: Daniel Winetsky, Aaron Fox, Ank E. Nijhawan, Josiah D. Rich
• Localización: Infectious disease clinics of North America, ISSN 0891-5520, Vol. 34, Nº. 3, 2020 (Ejemplar dedicado a: Infectious Disease Complications of Opioid Use and Other Substance Use Disorders), págs. 585-603
• Idioma: inglés
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• Resumen

  • Opioid use disorder and its infectious complications are highly prevalent among criminal justice populations. Incarcerated patients with opioid use disorder, human immunodeficiency virus, and hepatitis C virus should be provided with medical treatment in line with the community standard of care. For opioid use disorder and chronic infections, screening practices and access to medications vary widely among correctional facilities. The transition from a correctional setting to the community represents a highly vulnerable period, marked by high rates of relapse to substance use, loss to medical follow up for human immunodeficiency virus and other infections, and fatal overdose.A patient-centered approach can promote health and improve engagement with medical treatment for opioid use disorder and its infectious complications.