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    Imprisonment of opioid-dependent people in New South Wales, Australia, 2000-2012: A retrospective linkage study

    Access Status
    Open access via publisher
    Authors
    Degenhardt, L.
    Larney, S.
    Gisev, N.
    Trevena, J.
    Burns, L.
    Kimber, J.
    Shanahan, M.
    Butler, Tony
    Mattick, R.
    Weatherburn, D.
    Date
    2014
    Type
    Journal Article
    
    Metadata
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    Citation
    Degenhardt, L. and Larney, S. and Gisev, N. and Trevena, J. and Burns, L. and Kimber, J. and Shanahan, M. et al. 2014. Imprisonment of opioid-dependent people in New South Wales, Australia, 2000-2012: A retrospective linkage study. Australian and New Zealand Journal of Public Health. 38 (2): pp. 165-170.
    Source Title
    Australian and New Zealand Journal of Public Health
    DOI
    10.1111/1753-6405.12123
    ISSN
    1326-0200
    School
    National Drug Research Institute (NDRI)
    URI
    http://hdl.handle.net/20.500.11937/9984
    Collection
    • Curtin Research Publications
    Abstract

    Objective: There are few data about the incarceration of opioid-dependent people involving large representative cohorts. We aimed to determine the prevalence and duration of incarceration in a large cohort of opioid-dependent people in Australia using data linkage methods, and estimate the costs associated with their incarceration. Method: Retrospective linkage study of all entrants to opioid substitution therapy (OST) for the treatment of opioid dependence in NSW, 1985-2010, with data on incarceration, 2000-2012. The number and duration of incarcerations were calculated. The average daily cost of incarceration was applied to days of incarceration in the cohort. Results: Among 47,196 opioid-dependent people, 37% (43% of men and 24% of women) had at least one episode of incarceration lasting one or more days. Men had a median of three (ranging between 1-47) incarcerations, and women, two (1-35). Indigenous men spent 23% of follow-up time incarcerated, compared with 8% for non-Indigenous men; similarly, Indigenous women spent a substantially greater proportion of time incarcerated than non-Indigenous women (8% vs. 2%). Costs of incarceration of this cohort between 2000 and 2012 totalled nearly AUD$3 billion. Conclusions: This is the first study to examine incarceration of opioid-dependent people across an entire population of such users. Our findings suggest that a substantial minority of opioid-dependent people experience incarceration, usually on multiple occasions and at significant cost. Treatment for opioid dependence, inside and outside prisons, may help reduce incarceration of this cohort. © 2013 The Authors. ANZJPH © 2013 Public Health Association of Australia.

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