Buprenorphine-naloxone maintenance following release from jail.

Buprenorphine-naloxone maintenance following release from jail.
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DOI:
10.1080/08897077.2011.620475
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发表时间:
2012
期刊:
影响因子:
3.5
通讯作者:
Gourevitch MN
Gourevitch MN
中科院分区:
医学3区
文献类型:
--
作者:
Lee JD;Grossman E;Truncali A;Rotrosen J;Rosenblum A;Magura S;Gourevitch MN

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Primary care is understudied as a re-entry drug and alcohol treatment setting. This study compared treatment retention and opioid misuse among opioid dependent adults seeking buprenorphine/naloxone maintenance in an urban primary care clinic following release from jail vs. community referrals. Post-release patients were either; a) induced to buprenorphine in-jail as part of a clinical trial, or, b) seeking buprenorphine induction post-release. From 2007–2008, N=142 patients were new to primary care buprenorphine: n=32 post-release; n=110 induced after community referral and without recent incarceration. Jail-released patients were more likely African American or Hispanic and uninsured. Treatment retention rates for post-release (37%) vs. community (30%) referrals were similar at 48 weeks. Rates of opioid positive urines and self-reported opioid misuse were also similar between groups. Post-release patients in primary care buprenorphine treatment had equal treatment retention and rates of opioid abstinence vs. community-referred patients.
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