在英国监狱中实施的药物滥用治疗过程和结果的系统审查。

IF 1.3 4区 医学 Q3 CRIMINOLOGY & PENOLOGY
Kim Barnett, Noor Butt, Rosie Allen, Pauline Goodlad, Anne Krayer, Adam O'Neill, Peter Huxley, Catherine Robinson, Emily Peckham, Rob Poole
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引用次数: 0

摘要

背景:随着监狱人口的增加,其中很大一部分被确定为药物滥用者,了解治疗途径的可用性,其成功和需要改进的领域非常重要。考虑到国家因素在刑事司法和药物使用服务提供方面的重要性,我们选择将重点放在一个国家。目的:回顾在英国监狱中实施的药物滥用治疗和此类治疗的结果。方法:检索2000年1月1日至2024年6月5日期间的Ovid MEDLINE、Ovid Embase、APA PsycINFO、CINAHL Plus、Sociology Collection、Web of Science核心Collection和Social Science Premium Collection,采用混合方法进行系统评价。其中包括对英国男性监狱药物滥用方案的过程和结果进行的经验性、同行评议的研究。主要结果包括药物使用的变化、戒断症状和干预措施的经历,而次要结果包括生活质量、控制点和精神健康。由于研究设计的异质性,不可能进行meta分析。分析遵循JBI方法和收敛综合。结果:纳入14项研究:8项定性研究,5项定量研究,其中3项为随机对照试验(rct), 1项混合方法研究,共有4037名参与者参与阿片类药物替代治疗(OST)和/或社会心理干预。出现了四个关键主题:有目的活动的力量,加强支持系统,将患者需求与治疗计划联系起来,以及对于阿片类药物规划中的人员,阿片类药物替代治疗的经验和参与。结论:参与者明确表达了不同的治疗需求,强调了个性化和量身定制的减少或维持计划的必要性。治疗需要采取综合办法,目的是促进有效的社会融合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Systematic Review of Substance Misuse Treatment Processes and Outcomes as Implemented in Prisons for Men in the UK.

Background: With a rising prison population, a substantial portion of whom are identified as substance misusers, it is important to understand the availability of treatment pathways, their successes and areas for improvement. Given the likely importance of national factors in criminal justice and substance use service provision, we chose to focus on one country.

Aim: To review substance misuse treatment and outcomes for such treatments as implemented in British prisons for men.

Methods: We conducted a mixed-methods systematic review, searching Ovid MEDLINE, Ovid Embase, APA PsycINFO, CINAHL Plus, Sociology Collection, Web of Science Core Collection and Social Science Premium Collection between 1 January 2000 and 5 June 2024. Included were empirical, peer-reviewed studies of processes and outcomes of UK male prison-based substance misuse programmes. Primary outcomes included changes in substance use, withdrawal symptoms and experiences of interventions, whereas secondary outcomes encompassed quality of life, locus of control and mental health. Because of study design heterogeneity, meta-analysis was not possible. Analysis followed JBI methodology with a convergent synthesis.

Results: Fourteen studies were included: 8 qualitative, 5 quantitative studies of which 3 were randomised control trials (RCTs) and 1 mixed-methods study, with a combined sample of 4037 participants engaged in opioid substitute treatment (OST) and/or psychosocial interventions. Four key themes emerged: the power of purposeful activity, strengthening support systems, bridging patient needs with treatment plans and, for those in opiate programmes, experiences and engagement with opioid substitution treatments.

Conclusions: Participants articulated diverse treatment needs, highlighting the necessity of individualised and tailored reduction or maintenance plans. Treatment requires a comprehensive approach with the aim of facilitating effective social integration.

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
40
期刊介绍: Criminal Behaviour & Mental Health – CBMH – aims to publish original material on any aspect of the relationship between mental state and criminal behaviour. Thus, we are interested in mental mechanisms associated with offending, regardless of whether the individual concerned has a mental disorder or not. We are interested in factors that influence such relationships, and particularly welcome studies about pathways into and out of crime. These will include studies of normal and abnormal development, of mental disorder and how that may lead to offending for a subgroup of sufferers, together with information about factors which mediate such a relationship.
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