2022
How methadone becomes an intoxicant
Azbel L, Altice F. How methadone becomes an intoxicant. 2022, 203-220. DOI: 10.4324/9780429058141-17.Peer-Reviewed Original ResearchKyrgyz prisonsIntervention translationKyrgyz RepublicActor-network theoryEntire social groupsPractice of implementationGlobal evidence baseEvidence-based treatmentsParticipants' accountsAlternative enactmentsQualitative interviewsEvidence-based approachGlobal health communitySocial groupsOpioid useMaterial manifestationsPrisonHealth AccountsMethadone maintenance treatmentDistinct waysLocal networkMoral characterRepublicIntervention workPracticeInterest without uptake: A mixed-methods analysis of methadone utilization in Kyrgyz prisons
Liberman AR, Bromberg DJ, Litz T, Kurmanalieva A, Galvez S, Rozanova J, Azbel L, Meyer JP, Altice FL. Interest without uptake: A mixed-methods analysis of methadone utilization in Kyrgyz prisons. PLOS ONE 2022, 17: e0276723. PMID: 36282864, PMCID: PMC9595522, DOI: 10.1371/journal.pone.0276723.Peer-Reviewed Original ResearchConceptsKyrgyz prisonsCriminal justice systemDepth qualitative interviewsMethadone utilizationMethadone treatmentMixed-method analysisBrief interventionJustice systemPrison systemCriminal subcultureQualitative interviewsEastern EuropeEvidence-based HIV prevention strategiesCentral AsiaKyrgyz RepublicQualitative findingsPrison releaseHIV prevention strategiesPrisonInjection drug useMedication-assisted therapyMethadone uptakeInterpersonal relationshipsAttitudesHealth-related concerns
2021
Methadone within prison and linkage to and retention in treatment upon community release for people with opioid use disorder in Kyrgyzstan: Evaluation of a national program
Bachireddy C, Shrestha R, Bromberg DJ, Azbel L, Kurmanalieva A, Wegman M, Shumskaya N, Rozanova J, Meyer JP, Altice FL. Methadone within prison and linkage to and retention in treatment upon community release for people with opioid use disorder in Kyrgyzstan: Evaluation of a national program. International Journal Of Drug Policy 2021, 101: 103558. PMID: 34915426, PMCID: PMC9998103, DOI: 10.1016/j.drugpo.2021.103558.Peer-Reviewed Original ResearchConceptsHIV statusMean treatment durationOpioid use disorderPositive HIV statusDuration of treatmentMethadone doseHIV incidenceMethadone servicesMethadone treatmentIndependent correlatesHIV preventionUse disordersTreatment durationMethadoneNational programTreatmentHIVAdministrative dataCommunity releaseMonthsKyrgyz prisonsFirst evaluationIncarcerated peopleDurationReleaseAddiction Treatment as Prison Governance: A Critical Discourse Analysis of Methadone Delivery in Kyrgyz Prisons
Azbel L, Bromberg D, Dvoryak S, Altice F. Addiction Treatment as Prison Governance: A Critical Discourse Analysis of Methadone Delivery in Kyrgyz Prisons. Contemporary Drug Problems 2021, 49: 106-120. DOI: 10.1177/00914509211060723.Peer-Reviewed Original ResearchKyrgyz prisonsInformal governancePolicy textsEastern EuropeCentral AsiaCritical discourse analysisPost-structural approachesGlobal health policymakersPrison governanceNational legislative documentsPolicy discoursePrisoner subcultureKyrgyz caseSocial practicesPrison administrationFormal governancePolicy analysisDiscourse analysisSocial structureGovernment programsGovernanceLegislative documentsLegislative basisUnexamined assumptionsPrisonDecisional considerations for methadone uptake in Kyrgyz prisons: The importance of understanding context and providing accurate information
Liberman AR, Bromberg DJ, Azbel L, Rozanova J, Madden L, Meyer JP, Altice FL. Decisional considerations for methadone uptake in Kyrgyz prisons: The importance of understanding context and providing accurate information. International Journal Of Drug Policy 2021, 94: 103209. PMID: 33838398, PMCID: PMC8373625, DOI: 10.1016/j.drugpo.2021.103209.Peer-Reviewed Original ResearchConceptsKyrgyz prisonsInformal governance systemSecondary thematic analysisMethadone uptakePrison governanceGovernance systemPrison economyPrison administrationQualitative interviewsInterrelated themesSocial risksPrison contextEastern EuropePrisonCentral AsiaKyrgyz RepublicUnderstanding contextThematic analysisDecisional considerationsContent analysisMethadone treatmentRespondents' perceptionsHIV preventionMethadone utilizationInterviews
2020
A qualitative study of diphenhydramine injection in Kyrgyz prisons and implications for harm reduction
Meyer JP, Culbert GJ, Azbel L, Bachireddy C, Kurmanalieva A, Rhodes T, Altice FL. A qualitative study of diphenhydramine injection in Kyrgyz prisons and implications for harm reduction. Harm Reduction Journal 2020, 17: 86. PMID: 33129341, PMCID: PMC7603760, DOI: 10.1186/s12954-020-00435-7.Peer-Reviewed Original ResearchConceptsNeedle/syringe programsMethadone maintenance therapyHIV prevention effortsMental health consequencesDiphenhydramine injectionMaintenance therapyOpioid dependenceHIV transmissionState of euphoriaSyringe programsIllicit injectionSkin infectionsMethadone utilizationStudy participantsHarmful drugsHealth consequencesMethadonePrevention effortsHarm reductionAntihistaminesInjectionFurther investigationKyrgyz prisonsVisible woundsQualitative study