Digital Health Interventions for Mental Health, Substance Use, and Co-occurring Disorders in the Criminal Justice Population: A Scoping Review

Frontiers in Psychiatry

Psychiatry

David Smelson¹  Ayorkor Gaba¹  Paige M. Shaffer¹  Rebecca Leach²  Stephanie Carreiro² 

[1] Department of Addiction Psychiatry, University of Massachusetts Chan Medical School, Worcester, MA, United States;Division of Medical Toxicology, Department of Emergency Medicine, University of Massachusetts Chan Medical School, Worcester, MA, United States;

关键词: digital health;    mHealth;    telehealth;    substance use disorder;    mental health;    co-occurring disorder;    criminal justice;   

DOI  :  10.3389/fpsyt.2021.794785

 received in 2021-10-14, accepted in 2021-12-07,  发布年份 2022

来源: Frontiers

【 摘 要 】

BackgroundSubstance use disorder (SUD), mental health disorders (MHD), and co-occurring mental health and substance use disorders are common among criminal justice populations. Digital health interventions (DHI) represent an opportunity to expand co-occurring disorder treatment for justice involved populations, but efficacy data are lacking.ObjectivesThe current scoping review aims to address this gap via following objectives: (1) Describe trends involving DHIs for MHD, SUD, or co-occurring disorders studied in criminal justice settings; and (2) review available evidence for the impact of DHIs on criminal justice-, substance-, and mental health-related outcomes.MethodsPubMed was searched for relevant articles that met the follow inclusion criteria: (1) focus on criminal justice-involved individuals; (2) description of an intervention focused on SUD, MHD, or co-occurring disorders; and (3) use of DHI. Articles were assessed using standardized data abstraction and quality assessment tools.ResultsFour-hundred unique articles were identified on initial search, and 19 were included in the final review. The most common focus of the intervention was SUDs. The most common modalities were telehealth and computer assisted interventions, with most utilized as an adjunct to treatment as usual. No DHIs used wearable devices, and one included justice involved youth. Feasibility and acceptability were high, and the studies that measured substance and mental health-related outcomes reported equivocal or positive results. No studies focused on long-term justice-related outcomes.ConclusionsLiterature on DHIs for criminal justice involved populations diagnosed with SUD, MHD and co-occurring disorders is limited, and largely focuses on telehealth or eHealth, with less data on mHealth approaches. Future research should focus on the inclusion of diverse populations and include objective monitoring tools.

【 授权许可】

Unknown   
Copyright © 2022 Leach, Carreiro, Shaffer, Gaba and Smelson.