Initiating methadone in jail and in the community: Patient differences and implications of methadone treatment for reducing arrests

The extent to which patient characteristics differ between individuals entering methadone treatment through community programs and jail-based programs is not known. Such differences could impact the likelihood of relapse and recidivism in these two populations and inform efforts at targeting interve...

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Veröffentlicht in:Journal of substance abuse treatment 2019-02, Vol.97, p.7-13
Hauptverfasser: Schwartz, Robert P., Kelly, Sharon M., Mitchell, Shannon Gwin, Gryczynski, Jan, O'Grady, Kevin E., Jaffe, Jerome H.
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container_end_page 13
container_issue
container_start_page 7
container_title Journal of substance abuse treatment
container_volume 97
creator Schwartz, Robert P.
Kelly, Sharon M.
Mitchell, Shannon Gwin
Gryczynski, Jan
O'Grady, Kevin E.
Jaffe, Jerome H.
description The extent to which patient characteristics differ between individuals entering methadone treatment through community programs and jail-based programs is not known. Such differences could impact the likelihood of relapse and recidivism in these two populations and inform efforts at targeting interventions. We compared treatment-entry characteristics of participants enrolling in methadone treatment in two studies conducted in Baltimore, one conducted in community programs (N = 295) and the other in a jail-based program (N = 225). Controlling for age, race, and gender, individuals starting methadone treatment in jail compared to the community, had more severe drug use and criminal justice profiles. These different characteristics suggest that patients initiating methadone in a jail-based program could have greater likelihood of future arrest compared to patients entering community-based treatment. Clinicaltrials.gov NCT 02334215 and NCT 01442493. •Engaging arrestees in methadone treatment during incarceration may be a useful public health and safety strategy.•This study found that controlling for age, race, and gender, individuals starting methadone treatment in jail compared to the community, had more severe drug use and criminal justice profiles.•These different characteristics suggest that patients initiating methadone in a jail-based program could have greater likelihood of future arrest compared to patients entering community-based treatment.
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source MEDLINE; Elsevier ScienceDirect Journals; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Adult
Arrests
Baltimore
Community Health Services - statistics & numerical data
Community-based treatment
Criminal justice
Criminal Law - statistics & numerical data
Drug abuse
Female
Humans
Imprisonment
Incarceration
Male
Methadone
Methadone - therapeutic use
Methadone treatment
Middle Aged
Narcotics
Narcotics - therapeutic use
Opiate Substitution Treatment - statistics & numerical data
Opioid addiction treatment
Opioid agonist treatment
Opioid-Related Disorders - drug therapy
Outcome and Process Assessment, Health Care
Prisoners - statistics & numerical data
Prisons - statistics & numerical data
Race
Recidivism
Relapse
Substance abuse treatment
title Initiating methadone in jail and in the community: Patient differences and implications of methadone treatment for reducing arrests
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