National consensus statement on opioid agonist treatment in custodial settings Article Swipe
Jocelyn Chan
,
Jon Cook
,
M. David Curtis
,
Adrian Dunlop
,
Ele Morrison
,
Suzanne Nielsen
,
Rebecca Winter
,
Thileepan Naren
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.5694/mja2.52603
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.5694/mja2.52603
Introduction Opioid use and dependence are prevalent among incarcerated people, contributing to elevated rates of overdose and other harms in this population. Opioid agonist treatment (OAT) has been shown to be an effective intervention to mitigate these risks. However, challenges to health care implementation in the custodial sector result in suboptimal and variable access to OAT in prisons nationally. Main recommendations Among a national multidisciplinary expert panel, we conducted a modified Delphi study that yielded 19 recommendations to government, relevant health authorities and custodial health services. These recommendations cover five core domains: induction or continuation of OAT, OAT options and administration, transition of care to the community, special populations, and organisational support. Key recommendations include prompt recognition and treatment of opioid withdrawal, active linkage to community‐based OAT providers upon release, and ensuring appropriate organisational support through local protocols, adequate funding, and monitoring of key program indicators. Changes in management as a result of this statement This consensus statement addresses a significant gap in national policy on OAT in Australian prisons. The recommendations, finalised in July 2024, set forth best practice standards grounded in evidence and expert consensus. We expect that implementing these recommendations will enhance the quality, consistency and continuity of OAT both within prison and upon release. Optimising OAT provision is crucial for improving health outcomes and addressing the risk of overdose, which is the leading cause of death among people released from prison.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.5694/mja2.52603
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.5694/mja2.52603
- OA Status
- bronze
- Cited By
- 2
- References
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- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4408124219Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.5694/mja2.52603Digital Object Identifier
- Title
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National consensus statement on opioid agonist treatment in custodial settingsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-03-02Full publication date if available
- Authors
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Jocelyn Chan, Jon Cook, M. David Curtis, Adrian Dunlop, Ele Morrison, Suzanne Nielsen, Rebecca Winter, Thileepan NarenList of authors in order
- Landing page
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https://doi.org/10.5694/mja2.52603Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.5694/mja2.52603Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.5694/mja2.52603Direct OA link when available
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Delphi method, Medicine, Population, Health care, Prison, Best practice, Intervention (counseling), Government (linguistics), Nursing, Family medicine, Environmental health, Political science, Mathematics, Statistics, Linguistics, Law, PhilosophyTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
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2025: 2Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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