Skip to main content
Article
Co-occurring risk factors for arrest among persons with opioid abuse and dependence: implications for developing interventions to limit criminal justice involvement
Family Medicine and Community Health Publications and Presentations
  • William H. Fisher, University of Massachusetts Lowell
  • Robin E. Clark, University of Massachusetts Medical School
  • Jeffrey D. Baxter, University of Massachusetts Medical School
  • Bruce A. Barton, University of Massachusetts Medical School
  • Elizabeth O'Connell, University of Massachusetts Medical School
  • Gideon Aweh, University of Massachusetts Medical School
UMMS Affiliation
Department of Family Medicine and Community Health; Department of Quantitative Health Sciences; Center for Health Policy and Research
Publication Date
9-1-2014
Document Type
Article
Subjects
Adult; Age Factors; Cohort Studies; Crime; Criminal Law; Female; Humans; Male; Mental Disorders; Opioid-Related Disorders; Risk Factors; Sex Factors; Socioeconomic Factors; Substance-Related Disorders
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.

Keywords
  • Co-occurring psychiatric illness,
  • Criminal justice involvement,
  • Opioid dependency and abuse
DOI of Published Version
10.1016/j.jsat.2014.05.002
Source
J 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
Related Resources
Link to Article in PubMed
PubMed ID
25012550
Citation Information
William H. Fisher, Robin E. Clark, Jeffrey D. Baxter, Bruce A. Barton, et al.. "Co-occurring risk factors for arrest among persons with opioid abuse and dependence: implications for developing interventions to limit criminal justice involvement" Vol. 47 Iss. 3 (2014) ISSN: 0740-5472 (Linking)
Available at: http://works.bepress.com/william_h_fisher/128/