A randomized trial of methadone initiation prior to release from incarceration.

Abstract:

:Individuals who use heroin and illicit opioids are at high risk for infection with human immunodeficiency virus (HIV) and other blood-borne pathogens, as well as incarceration. The purpose of the randomized trial reported here is to compare outcomes between participants who initiated methadone maintenance treatment (MMT) prior to release from incarceration, with those who were referred to treatment at the time of release. Participants who initiated MMT prior to release were significantly more likely to enter treatment postrelease (P < .001) and for participants who did enter treatment, those who received MMT prerelease did so within fewer days (P = .03). They also reported less heroin use (P = .008), other opiate use (P = .09), and injection drug use (P = .06) at 6 months. Initiating MMT in the weeks prior to release from incarceration is a feasible and effective way to improve MMT access postrelease and to decrease relapse to opioid use.

journal_name

Subst Abus

journal_title

Substance abuse

authors

McKenzie M,Zaller N,Dickman SL,Green TC,Parihk A,Friedmann PD,Rich JD

doi

10.1080/08897077.2011.609446

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

19-29

issue

1

eissn

0889-7077

issn

1547-0164

journal_volume

33

pub_type

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