Offering recovery rather than punishment: Implementation of a law enforcement-led pre-arrest diversion-to-treatment program for adults with substance use disorders

被引：3

作者：

Zhang, Alice ^{[1
]}

Balles, Joseph A. ^{[2
]}

Henningfield, Mary F. ^{[3
]}

Nyland, Jennifer E. ^{[4
]}

Nguyen, Thao H. ^{[5
]}

Zgierska, Aleksandra E. ^{[6
,7
]}

机构：

[1] Penn State Coll Med, Dept Family & Community Med, 500 Univ Dr, Hershey, PA 17033 USA

[2] Safe Communities Madison Dane Cty Inc, City Madison Police Dept, 211 S Carroll St, Madison, WI 53703 USA

[3] Univ Wisconsin Madison, Dept Family Med & Community Hlth, 1100 Delaplaine Ct, Madison, WI 53715 USA

[4] Penn State Coll Med, Dept Neural & Behav Sci, 500 Univ Dr, Hershey, PA 17033 USA

[5] Family Hlth Ctr San Diego, 5454 El Cajon Blvd, San Diego, CA 92115 USA

[6] Penn State Coll Med, Dept Family & Community Med Publ Hlth Sci, 500 Univ Dr, Hershey, PA 17033 USA

[7] Penn State Coll Med, Dept Anesthesiol & Perioperat Med, 500 Univ Dr, Hershey, PA 17033 USA

来源：

JOURNAL OF SUBSTANCE USE & ADDICTION TREATMENT | 2024年 / 159卷

关键词：

Pre -arrest diversion; Crime; Substance use disorder; Opioid use disorder; Addiction; Treatment; DRUG-USE; INCARCERATION; OVERDOSE; CRIME; RISK;

D O I：

10.1016/j.josat.2023.209274

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background: The opioid epidemic has strained the US criminal justice system. Law enforcement frequently encounters persons with substance use disorder (SUD). Law enforcement-led, pre-arrest diversion programs linking individuals with SUD to addiction treatment instead of arrest and prosecution has the potential to reduce crime, overdoses, and other community harms. We implemented a pre-arrest diversion-to-treatment program-the Madison Addiction Recovery Initiative (MARI)-from September 2017 to August 2020, and describe the key components of MARI's effective implementation.Methods: Adults who committed an eligible, drug use-related crime were offered a 6-month MARI participation with referral to treatment in lieu of arrest; criminal charges for that crime were "voided" upon the successful MARI completion. Formative evaluation, with stakeholder feedback and team meeting minutes, assessed key factors influencing implementation. Process evaluation consisted of tracking participant referrals, enrollment, and engagement. Police officers, MARI participants, and treatment center staff members were surveyed about program experiences and attitudes. The study used descriptive statistics to describe quantitative survey responses; thematic qualitative analysis identified major themes in qualitative responses.Results: Of 263 participants, 160 initiated program engagement, with 100 successfully completing MARI. Interim evaluations and community partner feedback informed program protocol adjustments to increase participant enrollment, retention and diversity, streamline the referral processes, and transition to telehealth during the COVID-19 pandemic.Conclusion: Rigorous evaluation and community partner feedback are essential components of effective implementation and sustainability of a law enforcement-led pre-arrest diversion-to-treatment program, which has the potential to both reduce crime and overdose, and change the lives of people with SUD.

引用

页数：9

共 2 条

[1] Law enforcement-led, pre-arrest diversion-to-treatment may reduce crime recidivism, incarceration, and overdose deaths: Program evaluation outcomes
Nyland, Jennifer E.
Zhang, Alice
Balles, Joseph A.
Nguyen, Thao H.
White, Veronica
Albert, Laura A.
Henningfield, Mary F.
Zgierska, Aleksandra E.
JOURNAL OF SUBSTANCE USE & ADDICTION TREATMENT, 2024, 165
[2] Pre-Arrest Diversion-To-Treatment for Adults with Substance Use Disorder: Health Outcomes and Predictors of Program Completion
Zhang, Alice
Nyland, Jennifer E.
Balles, Joseph A.
Henningfield, Mary F.
Zgierska, Aleksandra E.
JUSTICE EVALUATION JOURNAL, 2025,

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