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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
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.
Rights and Permissions
Citation: 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
Keywords
  • Co-occurring psychiatric illness,
  • Criminal justice involvement,
  • Opioid dependency and abuse
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/