Co-occurring risk factors for arrest among persons with opioid abuse and dependence: implications for developing interventions to limit criminal justice involvement
AuthorsFisher, William H.
Clark, Robin E.
Baxter, Jeffrey D.
Barton, Bruce A.
UMass Chan AffiliationsCenter for Health Policy and Research
Department of Quantitative Health Sciences
Department of Family Medicine and Community Health
Co-occurring psychiatric illness
Criminal justice involvement
Opioid dependency and abuse
Health Law and Policy
Social Control, Law, Crime, and Deviance
Substance Abuse and Addiction
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AbstractPersons who abuse or are dependent on opioids are at elevated risk for arrest. Co-occurring behavioral health problems may exacerbate that risk, although the extent of any such increase has not been described. This study examines such risk factors among 40,238 individuals with a diagnosis of opioid abuse or dependence who were enrolled in the Massachusetts Medicaid program in 2010. Medicaid data were merged with statewide arrest data to assess the effects of co-existing mental illness, substance abuse, and previous arrests on arrest during 2010. Persons with serious mental illnesses (psychotic and bipolar disorders) and those with two or more pre-2010 arrests had significantly increased greater odds of arrest. We believe this to be the first study examining effects of co-occurring risk factors on arrest in a large population with opioid dependency/abuse. These findings identify predictors of arrest that could be used to design interventions targeting specific co-occurring risk factors.
SourceJ Subst Abuse Treat. 2014 Sep;47(3):197-201. doi: 10.1016/j.jsat.2014.05.002. Epub 2014 Jun 14. Link to article on publisher's site
Permanent Link to this Itemhttp://hdl.handle.net/20.500.14038/30947
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