The Relationship between Lifetime Opioid Use and Mental and Physical Health among Incarcerated Individuals.

This article examines the relationships between lifetime opioid use, mental health disorders, and physical health among incarcerated individuals nearing community reentry. Using baseline data from a multistate randomized controlled trial, the study found that incarcerated individuals with a history of opioid use reported significantly greater physical role limitations, lower emotional well-being, and poorer overall health compared to those without such history. Additionally, lifetime opioid use was associated with higher rates of depression, generalized and social anxiety disorders, alcohol use disorder, and other substance use disorders. The findings highlight the need for integrated, comprehensive service delivery models within correctional settings that address co-occurring opioid use disorder (OUD), mental health, and physical health conditions to support successful reentry and reduce health disparities among justice-involved populations.