Sophia Dobischok, Daphne Guh, Kirsten Marchand, Scott MacDonald, Kurt Lock, Scott Harrison, Julie Lajeunesse, Martin Schechter, Eugenia Oviedo-Joekes
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Patients and Methods: This is a secondary analysis of police record data obtained from the Vancouver Police Department over a three-year period during the Study to Assess Longer-term Opioid Medication Effectiveness clinical trial. The data was obtained from participants (N = 192) enrolled in the trial through a release of information form. Results: During the three-year period, most charges (45.6%) were property offences, and 25.5% of participants were victims of crime. Participants with no treatment prior to randomization into the SALOME trial were 2.61 (95% CI = 1.64– 4.14) more likely to have been charged with a crime than during the iOAT state. Conclusion: IOAT can reduce individuals’ involvement with the criminal justice system and is thus a crucial part of the continuum of care. Addiction should be conceptualized as a healthcare rather than criminal issue. Keywords: heroin assisted treatment, diacetylmorphine, hydromorphone, crime, charges, police","PeriodicalId":22060,"journal":{"name":"Substance Abuse and Rehabilitation","volume":null,"pages":null},"PeriodicalIF":5.1000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Impact of Injectable Opioid Agonist Treatment (iOAT) on Involvement in Criminalized Activities: A Secondary Analysis from a Clinical Trial in Vancouver, BC\",\"authors\":\"Sophia Dobischok, Daphne Guh, Kirsten Marchand, Scott MacDonald, Kurt Lock, Scott Harrison, Julie Lajeunesse, Martin Schechter, Eugenia Oviedo-Joekes\",\"doi\":\"10.2147/sar.s438451\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Purpose: A significant portion of the economic consequences of untreated Opioid Use Disorder (OUD) relate to individuals’ involvement in the criminal justice system. The present study uncovers if treatment with iOAT is related to the number of criminal charges amongst participants, what type of crime participants were involved in, and the frequency with which participants were victims of crime. This study contributes to the body of research on the effectiveness of iOAT reducing criminal involvement. Patients and Methods: This is a secondary analysis of police record data obtained from the Vancouver Police Department over a three-year period during the Study to Assess Longer-term Opioid Medication Effectiveness clinical trial. The data was obtained from participants (N = 192) enrolled in the trial through a release of information form. Results: During the three-year period, most charges (45.6%) were property offences, and 25.5% of participants were victims of crime. Participants with no treatment prior to randomization into the SALOME trial were 2.61 (95% CI = 1.64– 4.14) more likely to have been charged with a crime than during the iOAT state. Conclusion: IOAT can reduce individuals’ involvement with the criminal justice system and is thus a crucial part of the continuum of care. Addiction should be conceptualized as a healthcare rather than criminal issue. 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引用次数: 0
摘要
目的:未经治疗的阿片类药物使用障碍(OUD)的经济后果的很大一部分与个人参与刑事司法系统有关。本研究揭示了iOAT治疗是否与参与者中刑事指控的数量、参与者参与的犯罪类型以及参与者成为犯罪受害者的频率有关。这项研究有助于研究iOAT减少犯罪参与的有效性。患者和方法:这是对在评估长期阿片类药物有效性临床试验研究期间从温哥华警察局获得的三年警务记录数据的二次分析。数据通过信息发布表从参与试验的参与者(N = 192)中获得。结果:在三年期间,大部分被控罪行(45.6%)是财产罪行,而25.5%的参与者是罪行的受害者。在随机分配到SALOME试验之前未接受治疗的参与者被指控犯罪的可能性比在iOAT状态时高2.61 (95% CI = 1.64 - 4.14)。结论:IOAT可以减少个人对刑事司法系统的参与,因此是连续护理的关键部分。成瘾应该被定义为一个医疗问题,而不是一个犯罪问题。关键词:海洛因辅助治疗,二乙酰吗啡,氢吗啡酮,犯罪,指控,警察
The Impact of Injectable Opioid Agonist Treatment (iOAT) on Involvement in Criminalized Activities: A Secondary Analysis from a Clinical Trial in Vancouver, BC
Purpose: A significant portion of the economic consequences of untreated Opioid Use Disorder (OUD) relate to individuals’ involvement in the criminal justice system. The present study uncovers if treatment with iOAT is related to the number of criminal charges amongst participants, what type of crime participants were involved in, and the frequency with which participants were victims of crime. This study contributes to the body of research on the effectiveness of iOAT reducing criminal involvement. Patients and Methods: This is a secondary analysis of police record data obtained from the Vancouver Police Department over a three-year period during the Study to Assess Longer-term Opioid Medication Effectiveness clinical trial. The data was obtained from participants (N = 192) enrolled in the trial through a release of information form. Results: During the three-year period, most charges (45.6%) were property offences, and 25.5% of participants were victims of crime. Participants with no treatment prior to randomization into the SALOME trial were 2.61 (95% CI = 1.64– 4.14) more likely to have been charged with a crime than during the iOAT state. Conclusion: IOAT can reduce individuals’ involvement with the criminal justice system and is thus a crucial part of the continuum of care. Addiction should be conceptualized as a healthcare rather than criminal issue. Keywords: heroin assisted treatment, diacetylmorphine, hydromorphone, crime, charges, police