Co-occurring risk factors for arrest among persons with opioid abuse and dependence: implications for developing interventions to limit criminal justice involvement.

Abstract:

:Persons 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.

journal_name

J Subst Abuse Treat

authors

Fisher WH,Clark R,Baxter J,Barton B,O'Connell E,Aweh G

doi

10.1016/j.jsat.2014.05.002

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

197-201

issue

3

eissn

0740-5472

issn

1873-6483

pii

S0740-5472(14)00083-X

journal_volume

47

pub_type

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