Challenges in Increasing Access to Buprenorphine Treatment for Opiate Addiction

Joyce C. West; Thomas R. Kosten; Joshua Wilk; Dace Svikis; Elise Triffleman; Donald S. Rae; William E. Narrow; Farifteh F. Duffy; Darrel A. Regier

doi:10.1080/10550490490440753

Challenges in Increasing Access to Buprenorphine Treatment for Opiate Addiction

Joyce C. West, Thomas R. Kosten, Joshua Wilk, Dace Svikis, Elise Triffleman, Donald S. Rae, William E. Narrow, Farifteh F. Duffy, Darrel A. Regier

Research output: Contribution to journal › Article › peer-review

40 Scopus citations

Abstract

The aims of this study are to assess psychiatrists' comfort using office-based opiate agonist treatment (OBOT) and to identify psychiatrist characteristics associated with OBOT comfort. A random sample of 2,323 AMA Master-file of Physicians psychiatrists were surveyed through the 2002 APIRE National Survey of Psychiatric Practice (NSSP). Of the 52% responding (N = 1,203), 80.6% (SE = 1.8%) were not comfortable providing OBOT. Males, addiction-certified psychiatrists, and those treating substance abuse patients were more comfortable providing OBOT. These findings highlight significant barriers in providing buprenorphine treatment. Increasing the understanding of specific financing and services delivery barriers that clinicians face is needed to inform the development of effective integrated services models and policies to facilitate OBOT implementation.

Original language	English (US)
Pages (from-to)	S8-S16
Journal	American Journal on Addictions
Volume	13
Issue number	SUPPL. 1
DOIs	https://doi.org/10.1080/10550490490440753
State	Published - 2004
Externally published	Yes

ASJC Scopus subject areas

Medicine (miscellaneous)
Clinical Psychology
Psychiatry and Mental health

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10.1080/10550490490440753

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title = "Challenges in Increasing Access to Buprenorphine Treatment for Opiate Addiction",

abstract = "The aims of this study are to assess psychiatrists' comfort using office-based opiate agonist treatment (OBOT) and to identify psychiatrist characteristics associated with OBOT comfort. A random sample of 2,323 AMA Master-file of Physicians psychiatrists were surveyed through the 2002 APIRE National Survey of Psychiatric Practice (NSSP). Of the 52% responding (N = 1,203), 80.6% (SE = 1.8%) were not comfortable providing OBOT. Males, addiction-certified psychiatrists, and those treating substance abuse patients were more comfortable providing OBOT. These findings highlight significant barriers in providing buprenorphine treatment. Increasing the understanding of specific financing and services delivery barriers that clinicians face is needed to inform the development of effective integrated services models and policies to facilitate OBOT implementation.",

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AU - Kosten, Thomas R.

AU - Wilk, Joshua

AU - Svikis, Dace

AU - Triffleman, Elise

AU - Rae, Donald S.

AU - Narrow, William E.

AU - Duffy, Farifteh F.

AU - Regier, Darrel A.

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Challenges in Increasing Access to Buprenorphine Treatment for Opiate Addiction

Abstract

ASJC Scopus subject areas

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