Characteristics and 9-month outcomes of discharged methadone maintenance clients.

Abstract:

:This study is a secondary data analysis of a clinical trial assessing the effectiveness of outreach case management (OCM) in linking discharged methadone patients back into treatment. The original trial assessed the effectiveness of the OCM intervention compared to a passive referral among methadone clients who needed treatment postdischarge but had not reengaged. The purpose of this study was to assess the characteristics and long-term outcomes of all clients who were discharged from methadone maintenance treatment including those who had reengaged in treatment. A total of 230 methadone clients were interviewed 3 months and then again at 9 months following discharge from treatment. Compared with participants who needed treatment but had not reengaged (NoTx: 56%), those who had successfully reenrolled in treatment (Tx; 44%) were more likely to be female, not married, and unemployed; had a longer history of sedative use; reported more psychiatric hospitalizations; and were originally enrolled in a community-based rather than a Veterans Administration program. Despite having more severe problems, the Tx group had fewer opioid-positive urines and reported less IV drug use at 9 months postdischarge compared to the NoTx group. The findings highlight the importance of rapid treatment reengagement.

journal_name

J Subst Abuse Treat

authors

Coviello DM,Zanis DA,Wesnoski SA,Lynch KG,Drapkin M

doi

10.1016/j.jsat.2010.09.007

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

165-74

issue

2

eissn

0740-5472

issn

1873-6483

pii

S0740-5472(10)00201-1

journal_volume

40

pub_type

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