return to drug use and overdose after release from prison a qualitative study of risk and protective factors从监狱释放后回到吸毒和过量风险和保护因素的定性研究.pdfVIP

Binswanger et al. Addiction Science Clinical Practice 2012, 7:3 /content/7/1/3 RESEARCH Open Access Return to drug use and overdose after release from prison: a qualitative study of risk and protective factors 1,2* 3 4 5,6 7,8 9 Ingrid A Binswanger , Carolyn Nowels , Karen F Corsi , Jason Glanz , Jeremy Long , Robert E Booth and John F Steiner10 Abstract Background: Former inmates are at high risk for death from drug overdose, especially in the immediate post- release period. The purpose of the study is to understand the drug use experiences, perceptions of overdose risk, and experiences with overdose among former prisoners. Methods: This qualitative study included former prison inmates (N = 29) who were recruited within two months after their release. Interviewers conducted in-person, semi-structured interviews which explored participants’ experiences and perceptions. Transcripts were analyzed utilizing a team-based method of inductive analysis. Results: The following themes emerged: 1) Relapse to drugs and alcohol occurred in a context of poor social support, medical co-morbidity and inadequate economic resources; 2) former inmates experienced ubiquitous exposure to drugs in their living environments; 3) intentional overdose was considered “a way out” given situational stressors, and accidental overdose was perceived as related to decreased tolerance; and 4) protective factors included structured drug treatment programs, spirituality/religion, community-based resources (including self-help groups), and family. Conclusions: Former inmates return to environments that strongly trigger relapse to drug use and put them at risk for overdose. Interventions to preve