Concurrent group treatment for hepatitis C: implementation and outcomes in a methadone maintenance treatment program.

Abstract:

:Chronic hepatitis C virus (HCV) infection is highly prevalent among current and former drug users. However, the minority of patients enrolled in drug treatment programs have initiated HCV treatment. New models are needed to overcome barriers to care. In this retrospective study, we describe the implementation and outcomes of 42 patients treated in a concurrent group treatment (CGT) program. Patients participated in weekly provider-led group treatment sessions which included review of side effects; discussion of adherence and side effect management; administration of interferon injections; brief physical examination; and ended with brief meditation. Of the first 27 patients who initiated CGT, 42% achieved a sustained viral response. In addition, 87% (13/15) of genotype-1 infected patients treated with direct acting antiviral agent achieved an undetectable viral load at 24 weeks. The CGT model may be effective in overcoming barriers to treatment and improving adherence and outcomes among patients enrolled in drug treatment programs.

journal_name

J Subst Abuse Treat

authors

Stein MR,Soloway IJ,Jefferson KS,Roose RJ,Arnsten JH,Litwin AH

doi

10.1016/j.jsat.2012.08.007

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

424-32

issue

4

eissn

0740-5472

issn

1873-6483

pii

S0740-5472(12)00142-0

journal_volume

43

pub_type

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