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Treatment Retention in Opioid Dependent Clients Receiving Medication-Assisted Treatment: Six-Month Rate and Baseline Correlates.
Fendrich, Michael; Becker, Jessica; Ives, Melissa; Rodis, Eleni; Marín, Martha.
Afiliación
  • Fendrich M; University of Connecticut, School of Social Work, Hartford, Connecticut, USA.
  • Becker J; University of Connecticut, School of Social Work, Hartford, Connecticut, USA.
  • Ives M; University of Connecticut, School of Social Work, Hartford, Connecticut, USA.
  • Rodis E; Connecticut Department of Mental Health and Addiction Services, Hartford, Connecticut, USA.
  • Marín M; University of Connecticut, School of Social Work, Hartford, Connecticut, USA.
Subst Use Misuse ; 56(7): 1018-1023, 2021.
Article en En | MEDLINE | ID: mdl-33843448
BACKGROUND: In the current opioid overdose epidemic, treatment retention among clients receiving medication-assisted treatment (MAT) for opioid dependence is a significant and growing concern among treatment providers, policymakers, and researchers. Methods: We examined a sample of clients enrolled in a federally funded MAT expansion program implemented in four sites in Connecticut. Program participants received MAT for their opioid use disorders (OUDs). All program sites utilized a person in recovery from OUD (a recovery support coach, RSC) as part of the treatment team. By performing bivariate analyses and multivariate logistic regression models, we evaluated the association of 6-month retention and program site, gender, age, race/ethnicity, and past month substance use. Results: At 6-month follow-up, 58.9% of participants were classified as "retained." Multivariate logistic regression analysis revealed that participants who were older, reported no past month cocaine/crack use, or reported any illegal drug use other than cocaine/crack, were significantly more likely to be retained in treatment at follow-up. Conclusions: Retention rates were relatively high in these Connecticut sites compared to those examined in previous literature. Findings suggest that efforts for enhancing retention and successful treatment outcomes need to consider and potentially address the unique needs, problems, and risks of younger clients and clients with crack/cocaine involvement. The importance of drug use screening for those entering MAT is underscored. Future research needs to explore how levels of client involvement in adjunctive therapies may impact their retention.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sobredosis de Droga / Trastornos Relacionados con Opioides Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Subst Use Misuse Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sobredosis de Droga / Trastornos Relacionados con Opioides Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Subst Use Misuse Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido