title: Screaming Behind a Door: The Experiences of Individuals Incarcerated Without Medication-Assisted Treatment.
abstract: OBJECTIVE
  Medication-assisted treatment (MAT) is an evidence-based method of treating opioid addiction. Of incarcerated individuals in the United States, 50% to 85% have a history of substance abuse, and > 80% of inmates with opioid addiction history do not receive treatment. The purpose of this study was to explore individuals' experiences after being tapered from MAT upon incarceration.
  
  
  METHODS
  Interpretative phenomenological analysis was employed using in-depth interviewing of 10 participants.
  
  
  RESULTS
  Analysis identified six themes that captured the essence of the participants' experiences.
  
  
  CONCLUSIONS
  Losing MAT upon incarceration was described as an extremely stressful experience for many individuals and may create issues for both inmates and facility staff. Further research is needed to discover ways to improve addiction treatment in prison.
authors.affiliation: University of Vermont, Burlington, VT, USA svaronow@uvm.edu.
authors.forename: Shoshana V
authors.initials: SV
authors.lastname: Aronowitz
authors.affiliation: University of Vermont, Burlington, VT, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Laurent
mesh_terms: D000328:Adult; D003266:Continuity of Patient Care; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D058850:Opiate Substitution Treatment / Q000379:methods*; D011330:Prisons; D019966:Substance-Related Disorders / Q000188:drug therapy* / Q000523:psychology*; D014481:United States
keywords: correctional health care; medication-assisted treatment; mental health; opioid maintenance treatment; substance abuse