Overdose education and naloxone distribution in jails: Examining the impact of the Communities That HEAL intervention in 4 states

作者：Timothy Hunt, Carrie B. Oser, Peter D. Friedmann, Nicole Mack, Peter Balvanz, Bridget Freisthler, Redonna K. Chandler, Karli R. Hochstatter, Daniel R. Harris, LaShawn Glasgow, Lauren D’Costa, Mary Russo, Barry Eggleston, Arnie Aldridge, Paul E. Bellair, Allyson G Cogan, James L. David, Nabila El–Bassel, Dawn Goddard‐Eckrich, Steve Gomori, Holly Hagan, Steve Hanson, JaNae Holloway, Elizabeth N. Kinnard, Charles Knott, Michael W. Konstan, Sharon Walsh, Patricia LeBaron, Michael S. Lyons, Margaret McGladrey, Joan Papp, Sean M. Murphy, Sandra A. Springer, Emmanuel Oga, Michele Staton, Elizabeth Schady, Fernando Montero, Hilary L. Surratt, Danelle Stevens‐Watkins, John Winhusen, Gary A. Zarkin, Greer A. Hamilton, Joel G. Sprunger · 发表于：Health & Justice · 年份：2025 · DOI：10.1186/s40352-025-00353-5 · 被引用次数：3 · 研究领域：Opioid Use Disorder Treatment、Substance Abuse Treatment and Outcomes、HIV, Drug Use, Sexual Risk

BACKGROUND: Opioid-related overdose is the leading cause of mortality among individuals recently released from incarceration in the U.S. Naloxone is an FDA-approved opioid antagonist medication designed to rapidly reverse opioid overdose. Despite evidence of its acceptability and effectiveness at reducing the risk of opioid overdose death after release from incarceration, only an estimated 25% of US jails provide naloxone upon release. This study examines the effectiveness of the HEALing Communities Study (HCS) Communities That HEAL (CTH) intervention on enhancing access to overdose education and naloxone distribution (OEND) in participating jails in Kentucky, New York, Massachusetts, and Ohio. METHODS: Communities were randomized to intervention (n = 34) or wait-list control (n = 33) arms stratified by state. Jail-based surveys (n = 59) were implemented at three time points during 2019 to 2022. Generalized linear mixed models (GLMM) with imputation captured intervention effects during the evaluation period (July 1, 2021-June 30, 2022). Interpretation of results was informed by the Practical, Robust Implementation and Sustainability Model framework. RESULTS: The CTH intervention was significantly associated with the hypothesized outcome, resulting in a greater number of jails providing overdose education (H1, relative riskAdj = 1.51 [95% CI: 1.09, 2.08], p = 0.013) and the number of jails providing naloxone upon release (H2, relative riskAdj = 1.49 [95% CI: 1.05, 2.13)], p = ...