TY - JOUR
T1 - Comparative drug use and psychosocial profiles of opioid dependents applying for medication versus medication-free treatment
AU - Cumberbatch, Zulema
AU - Copersino, Marc
AU - Stitzer, Maxine
AU - Jones, Hendrée
N1 - Funding Information:
This research was supported by NIDA Grants P50 DA05273 and RO1DA10192. The authors wish to express thanks to Rolley E. Johnson, the staff of Cornerstone, the Behavioral Pharmacology Research Unit, Addiction Treatment Services, and Chemical Dependency Unit, for their assistance in this research, and to Tim Mudric for statistical assistance.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2004
Y1 - 2004
N2 - Drug treatment-seeking abusers generally self-select their treatment modality. Most opioid-dependent individuals select either methadone maintenance or detoxification followed by medication-free outpatient treatment. This study examined demographic, drug use, and drug abuse treatment history for opioid dependent patients entering an opioid agonist (n = 203) or a medication-free (n = 155) treatment program located on the same hospital campus. Similar demographic profiles support the assertion that samples were drawn from the same inner city urban opioid using population. Patients entering drug-free treatment, however, reported more extensive prior use of both cocaine and alcohol. Further, these patients had a generally more severe profile of psychosocial problems in medical, legal, employment, family/social, and psychiatric areas as measured by the Addiction Severity Index (ASI). These findings suggest that outpatient drug-free programs enrolling opioid abusers are faced with a unique service delivery challenge that involves service needs in multiple arenas. The findings further suggest that patient self-selection of treatment programs may in some cases result in a discrepancy between patient needs and the ability of treatment programs to retain patients and deliver an appropriate array of services.
AB - Drug treatment-seeking abusers generally self-select their treatment modality. Most opioid-dependent individuals select either methadone maintenance or detoxification followed by medication-free outpatient treatment. This study examined demographic, drug use, and drug abuse treatment history for opioid dependent patients entering an opioid agonist (n = 203) or a medication-free (n = 155) treatment program located on the same hospital campus. Similar demographic profiles support the assertion that samples were drawn from the same inner city urban opioid using population. Patients entering drug-free treatment, however, reported more extensive prior use of both cocaine and alcohol. Further, these patients had a generally more severe profile of psychosocial problems in medical, legal, employment, family/social, and psychiatric areas as measured by the Addiction Severity Index (ASI). These findings suggest that outpatient drug-free programs enrolling opioid abusers are faced with a unique service delivery challenge that involves service needs in multiple arenas. The findings further suggest that patient self-selection of treatment programs may in some cases result in a discrepancy between patient needs and the ability of treatment programs to retain patients and deliver an appropriate array of services.
KW - Drug-free modality
KW - Methadone maintenance
KW - Treatment modality
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U2 - 10.1081/ADA-120037376
DO - 10.1081/ADA-120037376
M3 - Article
C2 - 15230074
AN - SCOPUS:2942676628
SN - 0095-2990
VL - 30
SP - 237
EP - 249
JO - American Journal of Drug and Alcohol Abuse
JF - American Journal of Drug and Alcohol Abuse
IS - 2
ER -