Archives     Advertise     Editorial Calendar     Subscribe     Contact Us    


Women in Criminal Justice System Less Likely to Receive Evidence-Based Treatment for Opioid Use Disorder


 

Pregnant women involved in the criminal justice system are disproportionately not receiving medications for opioid use disorder, as compared to their peers, according to a Vanderbilt-led study published today in PLOS Medicine.

Researchers from Monroe Carell Jr. Children's Hospital at Vanderbilt and the Hennepin Healthcare Research Institute in Minneapolis analyzed data from the nation's treatment facilities and found that women referred for treatment by a criminal justice agency were half as likely to get evidence-based treatment.

"Medications for opioid use disorder save lives and improve pregnancy outcomes, but many pregnant women are not getting them," said senior author Stephen Patrick, MD, a neonatologist at Monroe Carell Jr. Children's Hospital at Vanderbilt and director of the Center for Child Health Policy.

"While policymakers have paid substantial attention to the opioid crisis, there has been little focus on pregnant women and even less toward pregnant women involved in the criminal justice system. There is an urgent need for well-funded, cross-sector approaches to improve outcomes for mothers and infants affected by the opioid crisis," he said.

Opioid use disorder (OUD) has increased in pregnant women by 400% over the last 25 years, according to the study. Between 1999 and 2017, overdose deaths increased 260%. Medication for opioid use disorder has become a standard of care, but just 50% of pregnant women receive such treatment, the study said.

Nearly 1 in 5 pregnant women with OUD are referred for treatment through a criminal justice agency, such as a court, probation or parole program.

"Pregnant women referred to opioid treatment from criminal justice agencies are less likely to receive first-line treatment with medication," said lead author Tyler Winkelman, MD, a primary care physician and co-director of the Health, Homelessness, and Criminal Justice Lab at Hennepin Healthcare Research Institute in Minneapolis.

The study also compared treatment rates in states that expanded Medicaid programs under the Affordable Care Act (ACA) and those that did not.

The rate of medications like buprenorphine and methadone were consistent between 2011 and 2013 in expansion states, and then increased by 68% between 2015 and 2017.

Medication rates in non-expansion states did not increase substantially after the ACA was implemented.

"Medicaid expansion was associated with substantial improvements in rates of medications for opioid use disorder and is an important tool to improve access to treatment for this vulnerable population," Winkelman said.

Based on these findings, the researchers recommend closer collaboration between criminal justice and public health agencies to improve access to medications for opioid use disorder. Expanding Medicaid programs could also help connect pregnant women to effective treatment, they said.

 
Share:

Related Articles:


Recent Articles

Spectrum Solutions Collaborates with UCLA on Saliva-Based Next-Gen Sequencing (NGS) Liquid Biopsy Research for the Early Detection of Lung Cancer

Study to focus on using saliva in the analysis of cell-free circulating tumor DNA (ctDNA) to accurately and non-invasively detect non-small cell lung cancer (NSCLC).

Read More

DRUG COMPANIES URGED TO PROVIDE DISCOUNTS TO 340B COMMUNITY PHARMACIES

Yesterday, counsel for the American Hospital Association and the five other national groups and three individual hospital systems that sued the Department of Health and Human Services (HHS) over its failure to halt drug company actions that undermine the 340B drug pricing program sent letters demanding that the offending drug companies immediately halt their illegal activities.

Read More

Study Shows Drastic Increases in Opioid-Affected Births

The rate of mothers who had an opioid-related diagnosis when delivering their baby increased by 131% from 2010-2017, as the incidence of babies diagnosed with drug withdrawal, known as neonatal abstinence syndrome (NAS), increased by 82% nationally during that same time period.

Read More

Case Management: Enhancing Revenue, Care Transitions and Patient Outcomes throughout the Hospital System

The importance of hospital and health system case management has grown exponentially over the past 10 years and is now getting attention from leaders throughout the healthcare industry.

Read More

TennCare Block Grant Waiver Approved

More than a year after submitting Amendment 42 to the Centers for Medicare and Medicaid Services (CMS) requesting a waiver to increase flexibility in the administration of the state's Medicaid program, Tennessee has received an affirmative nod to move forward.

Read More

OptumInsight and Change Healthcare Combine to Advance a More Modern, Information and Technology-Enabled Health Care Platform

Accelerates work to improve outcomes and experiences and lower the cost of health care

Read More

AHA Statement On Dc Circuit Court Of Appeals Decision On Mandated Disclosure Of Negotiated Rates

Read More

AHA STATEMENT ON COURT DELAY OF MOST FAVORED NATION MODEL INTERIM FINAL RULE

Read More

Sen. Alexander's Farewell Address

Read More

Alexander: Congress Set to End Surprise Medical Billing

Proposal to protect patients from surprise medical bills and resolve payment disputes between providers and insurers included in government funding legislation that the Congress will vote on this week

Read More

Email Print
 
 

 

 


Tags:
Addiction, Criminal Justice, Opioid Use Disorder, Pregnancy, Women’s Health
Powered by Bondware
News Publishing Software

The browser you are using is outdated!

You may not be getting all you can out of your browsing experience
and may be open to security risks!

Consider upgrading to the latest version of your browser or choose on below: