Drug courts began in 1989 in Miami-Dade County, FL. Due to their success in treating substance use disorders and reducing criminal recidivism, they have expanded globally and are currently operating in countries such as Australia, Canada, and Scotland, to name a few. Drug courts can be a key intervention in addressing the opioid epidemic. This is the first known qualitative study to ask drug court participants (n = 38) who have opioid use disorders questions related to their lived experiences in drug court, as well as direct questions related to the use of medication-assisted treatments (MATs) in drug court. Overall, drug court participants felt that MATs were helpful for treating their opioid use disorders; however, some participants reported using other drugs while on MATs and they viewed their recovery through a harm reduction lens. Additionally, participants emphasized the importance of using MATs in combination with counseling that used cognitive and behavioral therapies. Implications for drug court practice and future research are discussed.

中文翻译：

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在毒品法庭治疗阿片类药物使用障碍：参与者对使用药物辅助治疗 (MAT) 支持康复的看法

毒品法庭于 1989 年在佛罗里达州迈阿密戴德县成立。由于他们在治疗药物滥用障碍和减少犯罪累犯方面取得成功，他们已在全球范围内扩展，目前在澳大利亚、加拿大和苏格兰等国家开展业务，仅举几例。毒品法庭可以成为解决阿片类药物流行问题的关键干预措施。这是第一个已知的定性研究，询问患有阿片类药物使用障碍的毒品法庭参与者（n = 38）与他们在毒品法庭的生活经历有关的问题，以及与使用药物辅助治疗 (MAT) 相关的直接问题毒品法庭。总体而言，毒品法庭参与者认为 MAT 有助于治疗他们的阿片类药物使用障碍；然而，一些参与者报告说在使用 MAT 时使用了其他药物，他们通过减少危害的角度看待他们的康复。此外，参与者强调了将 MAT 与使用认知和行为疗法的咨询相结合的重要性。讨论了对毒品法庭实践和未来研究的影响。