Titre : | Impact of opioid substitution therapy for Scotland's prisoners on drug-related deaths soon after prisoner release (2015) |
Auteurs : | S. M. BIRD ; C. M. FISCHBACHER ; L. GRAHAM ; A. FRASER |
Type de document : | Article : Périodique |
Dans : | Addiction (Vol.110, n°10, October 2015) |
Article en page(s) : | 1617-1624 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus géographique ECOSSE ; ROYAUME-UNIThésaurus mots-clés PRISON ; TRAITEMENT DE MAINTENANCE ; SUBSTITUTION ; MORTALITE ; REDUCTION DES RISQUES ET DES DOMMAGES |
Résumé : |
Aim: To assess whether the introduction of a prison-based opioid substitution therapy (OST) policy was associated with a reduction in drug-related deaths (DRD) within 14 days after prison release.
Design: Linkage of Scotland's prisoner database with death registrations to compare periods before (1996-2002) and after (2003-07) prison-based OST was introduced. Setting: All Scottish prisons. Participants: People released from prison between 1 January 1996 and 8 October 2007 following an imprisonment of at least 14 days and at least 14 weeks after the preceding qualifying release. Measurements: Risk of DRD in the 12 weeks following release; percentage of these DRDs which occurred during the first 14 days. Findings: Before prison-based OST (1996-2002), 305 DRDs occurred in the 12 weeks after 80 200 qualifying releases, 3.8 per 1000 releases [95% confidence interval (CI) = 3.4-4.2]; of these, 175 (57%) occurred in the first 14 days. After the introduction of prison-based OST (2003-07), 154 DRDs occurred in the 12 weeks after 70 317 qualifying releases, a significantly reduced rate of 2.2 per 1000 releases (95% CI = 1.8-2.5). However, there was no change in the proportion which occurred in the first 14 days, either for all DRDs (87: 56%) or for opioid-related DRDs. Conclusions: Following the introduction of a prison-based opioid substitution therapy (OST) policy in Scotland, the rate of drug-related deaths in the 12 weeks following release fell by two-fifths. However, the proportion of deaths that occurred in the first 14 days did not change appreciably, suggesting that in-prison OST does not reduce early deaths after release. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 42 |
Affiliation : | MRC Biostatistics Unit, Cambridge, UK |
Cote : | Abonnement |
Lien : | http://dx.doi.org/10.1111/add.12969 |
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