Court Navigators and Opportunities for Disseminating Overdose Prevention Strategies.
Objective. Describe how navigator programs from three New England states (Connecticut, Maine, and Massachusetts) function to connect individuals using court services to community-based treatment and services. Hypothesis. Implementation science frameworks can be used to analyze how multiple court pro...
| Publicado en: | Health Promotion Practice Vol. 26; no. 4; pp. 785 - 796 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jul2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185811827&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185811827 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15248399 IS2 jtl: Health Promotion Practice issn: 15248399 maglogo: Y pubinfo: dt: Jul2025 vid: 26 iid: 4 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 185811827 179657886 185811827 185811827 10.1177/15248399241275623 185811827 ppf: 785 ppct: 11 formats: tig: atl: Court Navigators and Opportunities for Disseminating Overdose Prevention Strategies. aug: au: Ray, Bradley Jensen, Sarah Desjardins, Monica Haggerty, John Larson, Melissia affil: Research Triangle Institute International, Research Triangle Park, NC, USA sug: subj: Substance Use Disorders Therapy Overdose Prevention and Control Health Promotion Community Health Services New England Implementation Science Program Evaluation Patient Navigation Human New England Male Female Semi-Structured Interview Multimethod Studies Exploratory Research Naloxone Therapeutic Use Referral and Consultation Harm Reduction Support, Social Health Services Accessibility Thematic Analysis Male Female ab: Objective. Describe how navigator programs from three New England states (Connecticut, Maine, and Massachusetts) function to connect individuals using court services to community-based treatment and services. Hypothesis. Implementation science frameworks can be used to analyze how multiple court programs function to inform replication and address gaps in the use of overdose prevention strategies. Method. The Template for Intervention Description and Replication (TIDieR) Implementation informed semi-structured interviews as part of an exploratory mixed-methods analysis of court navigator programs. Analysis of interviews based on the TIDieR and administrative data on client contacts (n = 436) were analyzed. A subsample of clients with additional background information (n = 249) was used to examine court navigator recommendations. Results. The TIDieR revealed court navigator programs shared basic intervention characteristics but varied dramatically by resources and organization contexts. Nearly half (46.5%) of clients were self-referred and more than two-thirds (69.1%) approved follow-up but varied by program. Of those allowing follow-up, more than one-third (35.7%) had previously experienced an overdose. Court navigators were significantly more likely to refer clients with a history of overdose to locations where they can receive naloxone (the opioid overdose antidote) though only one program had naloxone on hand. Conclusion. Navigators are employed by community organizations with access to courthouses to provide resources to those passing through. These efforts can be implemented to support linkages to treatment and services but there is a significant gap in the allocation of overdose prevention strategies in court settings and court navigator programs have the potential to address this unmet need. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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