Providing peer navigation services to women with a history of opioid misuse pre- and post-release from jail: A program description
Abstract Background: Justice system-involved women with opioid use disorder (OUD) experience layered health risks and stigma, yet peer navigation services during reentry may support positive outcomes. This manuscript offers a program description of a women’s peer navigation intervention delivered...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-01-01
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| Series: | Journal of Clinical and Translational Science |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2059866122004411/type/journal_article |
| _version_ | 1811156484384358400 |
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| author | Martha Tillson Amanda Fallin-Bennett Michele Staton |
| author_facet | Martha Tillson Amanda Fallin-Bennett Michele Staton |
| author_sort | Martha Tillson |
| collection | DOAJ |
| description |
Abstract
Background:
Justice system-involved women with opioid use disorder (OUD) experience layered health risks and stigma, yet peer navigation services during reentry may support positive outcomes. This manuscript offers a program description of a women’s peer navigation intervention delivered pre- and post-release from jail to remove barriers to women’s access to OUD treatment, including medications for opioid use disorder (MOUD).
Methods:
All data were collected as part of a NIH/NIDA-funded national cooperative, the Justice Community Opioid Innovation Network (JCOIN) project. Through the larger study’s intervention, women in jail with OUD are connected via videoconference to a peer navigator, who provides an initial reentry recovery assessment and 12+ weeks of recovery support sessions post-release. Qualitative analyses examined peers’ notes from initial sessions with women (N = 50) and in-depth interviews with peers (N = 3).
Results:
Peers’ notes from initial sessions suggest that women anticipate challenges to successful recovery and community reentry. More than half of women (51.9%) chose OUD treatment as their primary goal, while others selected more basic needs (e.g. housing, transportation). In qualitative interviews, peers described women’s transitions to the community as unpredictable, creating difficulties for reentry planning, particularly for rural women. Peers also described challenges with stigma against MOUD and establishing relationships via telehealth, but ultimately believed their role was valuable in providing resource referrals, support, and hope for recovery.
Conclusions:
For women with OUD, peer navigation can offer critical linkages to services at release from jail, in addition to hope, encouragement, and solidarity. Findings provide important insights for future peer-based interventions.
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| first_indexed | 2024-04-10T04:52:29Z |
| format | Article |
| id | doaj.art-42a276a799114bd3a8eeb572851e8ae6 |
| institution | Directory Open Access Journal |
| issn | 2059-8661 |
| language | English |
| last_indexed | 2024-04-10T04:52:29Z |
| publishDate | 2022-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Clinical and Translational Science |
| spelling | doaj.art-42a276a799114bd3a8eeb572851e8ae62023-03-09T12:31:05ZengCambridge University PressJournal of Clinical and Translational Science2059-86612022-01-01610.1017/cts.2022.441Providing peer navigation services to women with a history of opioid misuse pre- and post-release from jail: A program descriptionMartha Tillson0https://orcid.org/0000-0002-9269-0285Amanda Fallin-Bennett1Michele Staton2https://orcid.org/0000-0002-5093-8131University of Kentucky Center on Drug and Alcohol Research, Lexington, KY, USA University of Kentucky College of Arts and Sciences, Department of Sociology, Lexington, KY, USAUniversity of Kentucky College of Nursing, Lexington, KY, USA Voices of Hope, Lexington, KY, USAUniversity of Kentucky Center on Drug and Alcohol Research, Lexington, KY, USA University of Kentucky College of Medicine, Department of Behavioral Science, Lexington, KY, USA Abstract Background: Justice system-involved women with opioid use disorder (OUD) experience layered health risks and stigma, yet peer navigation services during reentry may support positive outcomes. This manuscript offers a program description of a women’s peer navigation intervention delivered pre- and post-release from jail to remove barriers to women’s access to OUD treatment, including medications for opioid use disorder (MOUD). Methods: All data were collected as part of a NIH/NIDA-funded national cooperative, the Justice Community Opioid Innovation Network (JCOIN) project. Through the larger study’s intervention, women in jail with OUD are connected via videoconference to a peer navigator, who provides an initial reentry recovery assessment and 12+ weeks of recovery support sessions post-release. Qualitative analyses examined peers’ notes from initial sessions with women (N = 50) and in-depth interviews with peers (N = 3). Results: Peers’ notes from initial sessions suggest that women anticipate challenges to successful recovery and community reentry. More than half of women (51.9%) chose OUD treatment as their primary goal, while others selected more basic needs (e.g. housing, transportation). In qualitative interviews, peers described women’s transitions to the community as unpredictable, creating difficulties for reentry planning, particularly for rural women. Peers also described challenges with stigma against MOUD and establishing relationships via telehealth, but ultimately believed their role was valuable in providing resource referrals, support, and hope for recovery. Conclusions: For women with OUD, peer navigation can offer critical linkages to services at release from jail, in addition to hope, encouragement, and solidarity. Findings provide important insights for future peer-based interventions. https://www.cambridge.org/core/product/identifier/S2059866122004411/type/journal_articleCriminal justice systempeer navigationwomenopioid use disordertreatment accessprogram descriptiontelehealth |
| spellingShingle | Martha Tillson Amanda Fallin-Bennett Michele Staton Providing peer navigation services to women with a history of opioid misuse pre- and post-release from jail: A program description Journal of Clinical and Translational Science Criminal justice system peer navigation women opioid use disorder treatment access program description telehealth |
| title | Providing peer navigation services to women with a history of opioid misuse pre- and post-release from jail: A program description |
| title_full | Providing peer navigation services to women with a history of opioid misuse pre- and post-release from jail: A program description |
| title_fullStr | Providing peer navigation services to women with a history of opioid misuse pre- and post-release from jail: A program description |
| title_full_unstemmed | Providing peer navigation services to women with a history of opioid misuse pre- and post-release from jail: A program description |
| title_short | Providing peer navigation services to women with a history of opioid misuse pre- and post-release from jail: A program description |
| title_sort | providing peer navigation services to women with a history of opioid misuse pre and post release from jail a program description |
| topic | Criminal justice system peer navigation women opioid use disorder treatment access program description telehealth |
| url | https://www.cambridge.org/core/product/identifier/S2059866122004411/type/journal_article |
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