Initiation of buprenorphine during incarceration and retention in treatment upon release.
Initiation of buprenorphine during incarceration and retention in treatment upon release.
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DOI：
10.1016/j.jsat.2013.02.005
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发表时间：
2013-08
影响因子：
3.9
通讯作者：
Rich JD
中科院分区：
文献类型：
--
作者：
Zaller N;McKenzie M;Friedmann PD;Green TC;McGowan S;Rich JD
我们在此报告了一项可行性研究，即在释放之前开始使用丁丙诺啡/纳洛酮，并在释放后将参与者与社区治疗提供者联系起来。研究包括一小部分被诊断为阿片类药物依赖的罗德岛州囚犯（N=44）。研究设计为单臂、开放标签的先导研究，在社区进行为期6个月的随访访谈。然而，在研究过程中出现了一个自然实验，比较丁丙诺福/纳洛酮的释放前起始和释放后起始。在罗德岛惩教署（RIDOC）外与RIDOC内开始治疗的释放后处方预约时间（平均天数）分别为8.8和3.9 （p= 0.1）。RIDOC外组和RIDOC内组的中位释放后治疗时间（周）分别为9和24周（p=.007）。我们的结论是，在释放之前开始使用丁丙诺啡/纳洛酮可能会增加社区治疗的参与度和保留率。
We report here on a feasibility study of initiating buprenorphine/naloxone prior to release from incarceration and linking participants to community treatment providers upon release. Study consisted of a small number of Rhode Island (RI) prisoners (N=44) diagnosed with opioid dependence. The study design is a single arm, open-label pilot study with a 6-month follow up interview conducted in the community. However, a natural experiment arose during the study comparing pre-release initiation of buprenorphone/naloxone to initiation post-release. Time to post-release prescriber appointment (mean days) for initiation of treatment Outside Rhode Island Department of Corrections (RIDOC) vs. Inside RIDOC was 8.8 and 3.9, respectively (p=.1). Median post release treatment duration (weeks) for Outside RIDOC vs. Inside RIDOC was 9 and 24, respectively (p=.007). We conclude that initiating buprenorphine/naloxone prior to release from incarceration may increase engagement and retention in community-based treatment.
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