Evaluating the implementation of a prisoner re-entry initiative for individuals with opioid use and mental health disorders: Application of the consolidated framework for implementation research in a cross-system initiative
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Authors
Hanna, JulieKubiak, Sheryl
Pasman, Emily
Gaba, Ayorkor
Andre, Michael
Smelson, David A.
Pinals, Debra A.
UMass Chan Affiliations
Implementation Science and Practice Advances Research CenterDepartment of Psychiatry
Document Type
Journal ArticlePublication Date
2019-06-20Keywords
Co-occurring disordersCriminal justice
Implementation research
Medication assisted treatment
Opioids
Criminology and Criminal Justice
Health Services Administration
Health Services Research
Mental and Social Health
Psychiatry
Psychiatry and Psychology
Substance Abuse and Addiction
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Show full item recordAbstract
Given the interrelated nature of opioid use, criminal justice interaction, and mental health issues, the current opioid crisis has created an urgent need for treatment, including medication assisted treatment, among justice-involved populations. Implementation research plays an important role in improving systems of care and integration of evidence-based practices within and outside of criminal justice institutions. The current study is a formative qualitative evaluation of the implementation of a cross-system (corrections and community-based) opioid use treatment initiative supported by Opioid State Targeted Response (STR) funding. The purpose of the study is to assess the fit of the Consolidated Framework for Implementation Research (CFIR) to a cross-system initiative, and to identify key barriers and facilitators to implementation. The process evaluation showed that adaptability of the clinical model and staff flexibility were critical to implementation. Cultural and procedural differences across correctional facilities and community-based treatment programs required frequent and structured forums for cross-system communication. Challenges related to recruitment and enrollment, staffing, MAT, and data collection were addressed through the collaborative development and continuous review of policies and procedures. This study found CFIR to be a useful framework for understanding implementation uptake and barriers. The framework was particularly valuable in reinforcing the use of implementation research as a means for continuous process improvement. CFIR is a comprehensive and flexible framework that may be adopted in future cross-system evaluations.Source
J Subst Abuse Treat. 2019 Jun 20. pii: S0740-5472(19)30061-3. doi: 10.1016/j.jsat.2019.06.012. [Epub ahead of print] Link to article on publisher's site
DOI
10.1016/j.jsat.2019.06.012Permanent Link to this Item
http://hdl.handle.net/20.500.14038/46321PubMed ID
31285078Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.jsat.2019.06.012