This article explains how jail diversion introduced in one Midwestern county changed its focus over time from persons with serious mental illness (PSMI) to persons with opioid use disorder (POUD). Applying the theory of institutional isomorphism, the authors use both qualitative interview and quantitative program data to explore the isomorphic pressures that caused programming change resulting from an opioid addiction crisis at the expense of arrested PSMI not appropriate for treatment with Vivitrol^®.

中文翻译：

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监狱改道的同构压力：从严重的心理疾病到阿片类药物使用障碍

本文介绍了中西部一个县引入的监狱改道如何随着时间的推移将重点从严重精神疾病（PSMI）变为阿片类药物使用障碍（POUD）。运用制度同构理论，作者用定性访谈和定量的程序数据，探讨导致从被捕PSMI的代价不适合治疗Vivitrol阿片类成瘾危机造成的编程变化同构的压力^®。