2024 Addiction Medicine Board Certification Review Course-2024 - Substance Disorders in Correctional Settings

Video Transcription

Video Summary

In this presentation on substance use disorders and criminal justice settings by Tony Decker, various important topics were covered. Dr. John Löpple's work was discussed, focusing on the prevalence of substance use disorders in the criminal justice system in the U.S. Key points included the impact of substance use on criminal behaviors, the delivery of healthcare in correctional settings, and opportunities for prevention and treatment of substance use disorders. Special considerations were highlighted when working with alcohol withdrawal syndrome and medications for opioid use disorders. The effectiveness of providing medications for opioid use disorders in reducing incarceration rates was emphasized. The discussion also addressed the high rates of fatal overdoses in the post-incarceration phase, particularly due to the fentanyl epidemic. Problem-solving courts and drug courts were discussed as alternative approaches to traditional incarceration. The importance of providing medications for opioid use disorders in jails and prisons to reduce recidivism and improve outcomes was underscored. Finally, legal aspects, regulatory barriers, and challenges in correctional healthcare were outlined, along with references for further reading. A focus on patient evaluation, withdrawal management, medications available, and the effectiveness of drug treatment courts was emphasized throughout the presentation.

Keywords

substance use disorders

criminal justice

opioid use disorders

alcohol withdrawal

fentanyl epidemic

drug courts

correctional healthcare

recidivism

post-incarceration