AI Article Synopsis
- Opioid overdose deaths spike right after incarceration, and rural jails often underuse effective medications for opioid use disorder (MOUD).
- A study assessed the acceptability of telemedicine-based MOUD (tele-MOUD) in a detention center, finding that jail staff had low acceptance and effectiveness perceptions, along with present stigma.
- Results indicate a need for educational programs to improve staff attitudes, and future research should explore how training can enhance the acceptability of tele-MOUD in jails.
Article Abstract
Opioid overdose death is significantly increased immediately following incarceration. Evidence-based medications are underutilized in rural jails and detention centers. We have reported our efforts to address this gap through telemedicine-based medications for opioid use disorder treatment (tele-MOUD) for incarcerated patients. Staff acceptance and perceptions are critically important factors in the assurance of program validation. We assessed tele-MOUD acceptability and perceptions of effectiveness and stigma in one detention center. Overall, we found that jail staff's general acceptability of the program was rather low, as was perceived effectiveness of MOUD, while stigmatizing beliefs were present. Furthermore, tele-MOUD acceptability was positively correlated with perceptions of MOUD effectiveness and negatively correlated with stigmatizing notions of MOUD (' < 0.001). Findings suggest the need for educational interventions. Future research investigating the potential moderating effects of training on staff acceptability of jail-based tele-MOUD will support the implementation and sustainability of these life-saving programs.
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| http://dx.doi.org/10.1089/jchc.23.11.0097 | DOI Listing |
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