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 |
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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. |
doi_str_mv | 10.1016/j.jsat.2018.11.006 |
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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.</description><identifier>ISSN: 0740-5472</identifier><identifier>EISSN: 1873-6483</identifier><identifier>DOI: 10.1016/j.jsat.2018.11.006</identifier><identifier>PMID: 30577902</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Journal of substance abuse treatment, 2019-02, Vol.97, p.7-13</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright © 2018 Elsevier Inc. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. Feb 2019</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-20267f8af3b559b855a072ee8a63a68188feff56f14473ec15ccfbad6f49b05f3</citedby><cites>FETCH-LOGICAL-c509t-20267f8af3b559b855a072ee8a63a68188feff56f14473ec15ccfbad6f49b05f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jsat.2018.11.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,777,781,882,3537,27905,27906,30980,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30577902$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schwartz, Robert P.</creatorcontrib><creatorcontrib>Kelly, Sharon M.</creatorcontrib><creatorcontrib>Mitchell, Shannon Gwin</creatorcontrib><creatorcontrib>Gryczynski, Jan</creatorcontrib><creatorcontrib>O'Grady, Kevin E.</creatorcontrib><creatorcontrib>Jaffe, Jerome H.</creatorcontrib><title>Initiating methadone in jail and in the community: Patient differences and implications of methadone treatment for reducing arrests</title><title>Journal of substance abuse treatment</title><addtitle>J Subst Abuse Treat</addtitle><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.</description><subject>Adult</subject><subject>Arrests</subject><subject>Baltimore</subject><subject>Community Health Services - statistics & numerical data</subject><subject>Community-based treatment</subject><subject>Criminal justice</subject><subject>Criminal Law - statistics & numerical data</subject><subject>Drug abuse</subject><subject>Female</subject><subject>Humans</subject><subject>Imprisonment</subject><subject>Incarceration</subject><subject>Male</subject><subject>Methadone</subject><subject>Methadone - therapeutic use</subject><subject>Methadone treatment</subject><subject>Middle Aged</subject><subject>Narcotics</subject><subject>Narcotics - therapeutic use</subject><subject>Opiate Substitution Treatment - statistics & numerical data</subject><subject>Opioid addiction treatment</subject><subject>Opioid agonist treatment</subject><subject>Opioid-Related Disorders - drug therapy</subject><subject>Outcome and Process Assessment, Health Care</subject><subject>Prisoners - statistics & numerical data</subject><subject>Prisons - statistics & numerical data</subject><subject>Race</subject><subject>Recidivism</subject><subject>Relapse</subject><subject>Substance abuse treatment</subject><issn>0740-5472</issn><issn>1873-6483</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kUuLFDEUhYMoTjv6B1xIgesqb1KVR4sIw-BjYEAXug7p1M10iq6kTVIDs_aPm6LHYdy4SuB-99zDOYS8ptBRoOLd1E3ZlI4BVR2lHYB4QjZUyb4Vg-qfkg3IAVo-SHZGXuQ8AQBjoJ6Tsx64lFtgG_L7KvjiTfHhppmx7M0YAzY-NJPxh8aEcf2XPTY2zvNS2bv3zfeKYyjN6J3DhMFiPpHz8eBtHcaQm-ge6ZWEpszrjoupSTgudj1oUsJc8kvyzJlDxlf37zn5-fnTj8uv7fW3L1eXF9et5bAtLQMmpFPG9TvOtzvFuQHJEJURvRGKKuXQOS4cHQbZo6XcWrczo3DDdgfc9efk40n3uOxmHG31k8xBH5OfTbrT0Xj97yT4vb6Jt1r0tIYrq8Dbe4EUfy3Vup7ikkL1rBmVTAwCpKgUO1E2xZwTuocLFPRanJ70Wpxei9OU6qpdl9489vaw8repCnw4AVgTuvWYdLZ-zX70CW3RY_T_0_8Dj7Wt_w</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Schwartz, Robert P.</creator><creator>Kelly, Sharon M.</creator><creator>Mitchell, Shannon Gwin</creator><creator>Gryczynski, Jan</creator><creator>O'Grady, Kevin E.</creator><creator>Jaffe, Jerome H.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K7.</scope><scope>K9.</scope><scope>5PM</scope></search><sort><creationdate>20190201</creationdate><title>Initiating methadone in jail and in the community: Patient differences and implications of methadone treatment for reducing arrests</title><author>Schwartz, Robert P. ; Kelly, Sharon M. ; Mitchell, Shannon Gwin ; Gryczynski, Jan ; O'Grady, Kevin E. ; Jaffe, Jerome H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-20267f8af3b559b855a072ee8a63a68188feff56f14473ec15ccfbad6f49b05f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Arrests</topic><topic>Baltimore</topic><topic>Community Health Services - statistics & numerical data</topic><topic>Community-based treatment</topic><topic>Criminal justice</topic><topic>Criminal Law - statistics & numerical data</topic><topic>Drug abuse</topic><topic>Female</topic><topic>Humans</topic><topic>Imprisonment</topic><topic>Incarceration</topic><topic>Male</topic><topic>Methadone</topic><topic>Methadone - therapeutic use</topic><topic>Methadone treatment</topic><topic>Middle Aged</topic><topic>Narcotics</topic><topic>Narcotics - therapeutic use</topic><topic>Opiate Substitution Treatment - statistics & numerical data</topic><topic>Opioid addiction treatment</topic><topic>Opioid agonist treatment</topic><topic>Opioid-Related Disorders - drug therapy</topic><topic>Outcome and Process Assessment, Health Care</topic><topic>Prisoners - statistics & numerical data</topic><topic>Prisons - statistics & numerical data</topic><topic>Race</topic><topic>Recidivism</topic><topic>Relapse</topic><topic>Substance abuse treatment</topic><toplevel>online_resources</toplevel><creatorcontrib>Schwartz, Robert P.</creatorcontrib><creatorcontrib>Kelly, Sharon M.</creatorcontrib><creatorcontrib>Mitchell, Shannon Gwin</creatorcontrib><creatorcontrib>Gryczynski, Jan</creatorcontrib><creatorcontrib>O'Grady, Kevin E.</creatorcontrib><creatorcontrib>Jaffe, Jerome H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of substance abuse treatment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwartz, Robert P.</au><au>Kelly, Sharon M.</au><au>Mitchell, Shannon Gwin</au><au>Gryczynski, Jan</au><au>O'Grady, Kevin E.</au><au>Jaffe, Jerome H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Initiating methadone in jail and in the community: Patient differences and implications of methadone treatment for reducing arrests</atitle><jtitle>Journal of substance abuse treatment</jtitle><addtitle>J Subst Abuse Treat</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>97</volume><spage>7</spage><epage>13</epage><pages>7-13</pages><issn>0740-5472</issn><eissn>1873-6483</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30577902</pmid><doi>10.1016/j.jsat.2018.11.006</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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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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