Initiation of buprenorphine during incarceration and retention in treatment upon release

Abstract We report here on a feasibility study of initiating buprenorphine/naloxone prior to release from incarceration and linking participants to community treatment providers upon release. The study consisted of a small number of Rhode Island (RI) prisoners ( N = 44) diagnosed with opioid depende...

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Veröffentlicht in:Journal of substance abuse treatment 2013-08, Vol.45 (2), p.222-226
Hauptverfasser: Zaller, Nickolas, Ph.D, McKenzie, Michelle, M.P.H, Friedmann, Peter D., M.D., M.P.H, Green, Traci C., Ph.D, McGowan, Samuel, B.A, Rich, Josiah D., M.D., M.P.H
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container_end_page 226
container_issue 2
container_start_page 222
container_title Journal of substance abuse treatment
container_volume 45
creator Zaller, Nickolas, Ph.D
McKenzie, Michelle, M.P.H
Friedmann, Peter D., M.D., M.P.H
Green, Traci C., Ph.D
McGowan, Samuel, B.A
Rich, Josiah D., M.D., M.P.H
description Abstract We report here on a feasibility study of initiating buprenorphine/naloxone prior to release from incarceration and linking participants to community treatment providers upon release. The study consisted of a small number of Rhode Island (RI) prisoners ( N = 44) diagnosed with opioid dependence. The study design is a single arm, open-label pilot study with a 6-month follow up interview conducted in the community. However, a natural experiment arose during the study comparing pre-release initiation of buprenorphone/naloxone to initiation post-release. Time to post-release prescriber appointment (mean days) for initiation of treatment outside Rhode Island Department of Corrections (RIDOC) versus inside RIDOC was 8.8 and 3.9, respectively ( p = .1). Median post release treatment duration (weeks) for outside RIDOC versus inside RIDOC was 9 and 24, respectively ( p = .007). We conclude that initiating buprenorphine/naloxone prior to release from incarceration may increase engagement and retention in community-based treatment.
doi_str_mv 10.1016/j.jsat.2013.02.005
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subjects Addiction
Addictive behaviors
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Buprenorphine - administration & dosage
Buprenorphine, Naloxone Drug Combination
Buprenorphine/naloxone
Community Health Services - methods
Comparative analysis
Desintoxication. Drug withdrawal
Drug addiction
Feasibility Studies
Female
Follow-Up Studies
HIV
Humans
Imprisonment
Incarceration
Male
Medical sciences
Middle Aged
Miscellaneous
Naloxone - administration & dosage
Opiate Substitution Treatment - methods
Opiates
Opioid-Related Disorders - rehabilitation
Patient Compliance
Pilot Projects
Prisoners
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Rhode Island
Substance abuse treatment
Time Factors
Treatments
title Initiation of buprenorphine during incarceration and retention in treatment upon release
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