{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T06:25:27Z","timestamp":1787120727643,"version":"build-2736575974"},"reference-count":15,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"NIH Clinical and Translational Science Awards","award":["UL1TR001442"],"award-info":[{"award-number":["UL1TR001442"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Correct Health Care"],"published-print":{"date-parts":[[2025,12,1]]},"abstract":"<jats:p>\n                    Opioid education and naloxone distribution (OEND) programs are evidence-based interventions effective in reducing opioid-related deaths among adults but remain underutilized in juvenile detention settings. Our quality improvement initiative aimed to address this gap by implementing and evaluating an OEND program at a San Diego juvenile detention facility. The primary goal was to increase the percentage of youth receiving opioid education and naloxone simulation training from 0% to 50% over 6 months (March\u2013August 2023). The secondary aim assessed training impact through surveys. Participation was voluntary. A generalized mixed-effects model analyzed survey responses. More than 50% (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 51) of residents participated, with significant improvement in opioid identification, overdose recognition, and response confidence (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .05). Simulation was completed by 48 of 51 participants. There was no disruption in clinical workflow.\n                  <\/jats:p>","DOI":"10.1177\/10783458251389623","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T22:26:43Z","timestamp":1761690403000},"page":"391-396","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Extending the Reach: An Opioid Education and Naloxone Distribution Program in Juvenile Hall in San Diego"],"prefix":"10.1177","volume":"31","author":[{"given":"Gali","family":"Aljadeff","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Stanford Health Care, Palo Alto, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Cantu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Hospital Medicine, University of California San Diego, San Diego, California, USA."},{"name":"Youth Transitional Center Staff, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Pierce","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Hospital Medicine, University of California San Diego, San Diego, California, USA."},{"name":"Youth Transitional Center Staff, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jael","family":"Niebla","sequence":"additional","affiliation":[{"name":"Youth Transitional Center Staff, San Diego, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524839920950028"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000000235"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000038813"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/jchc.2021.0030"},{"key":"e_1_3_4_6_1","volume-title":"What is total quality control? 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Good Samaritan fatal overdose prevention and drug-induced homicide: Summary of state laws. https:\/\/legislativeanalysis.org\/wp-content\/uploads\/2024\/05\/Good-Samaritan-Fatal-Overdose-Prevention-Summary-of-State-Laws.pdf."},{"key":"e_1_3_4_10_1","unstructured":"Miech R. A. Johnston L. D. O\u2019Malley P. M. Bachman J. G. Schulenberg J. E. & Patrick M. E. (2023. Monitoring the Future national survey results on drug use 1975\u20132023: Secondary school students (Vol. 1). University of Michigan Institute for Social Research. https:\/\/monitoringthefuture.org\/wp-content\/uploads\/2023\/12\/mtf2023.pdf."},{"key":"e_1_3_4_11_1","unstructured":"National Institute on Drug Abuse. (2023. Unintentional drug overdose death rates among U.S. youth aged 15\u201319. https:\/\/nida.nih.gov\/research-topics\/trends-statistics\/infographics\/unintentional-drug-overdose-death-rates-among-us-youth-aged-15-19."},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2021.306306"},{"key":"e_1_3_4_13_1","unstructured":"San Diego Association of Governments. (2023. 2022 juvenile arrestee drug use in the San Diego region. https:\/\/www.sandag.org\/-\/media\/SANDAG\/Documents\/PDF\/data-and-research\/criminal-justice-and-public-safety\/criminal-justice-research-clearinghouse\/cj-bulletin\/cj-bulletin-2022-juvenile-arrestee-durg-use-san-diego-2023-07-27.pdf."},{"key":"e_1_3_4_14_1","unstructured":"Substance Abuse and Mental Health Services Administration. 2025. 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