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- Publisher Website: 10.1016/j.drugalcdep.2005.11.015
- Scopus: eid_2-s2.0-33747000844
- PMID: 16364566
- WOS: WOS:000239081300006
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Article: Facilitating entry into drug treatment among injection drug users referred from a needle exchange program: Results from a community-based behavioral intervention trial
Title | Facilitating entry into drug treatment among injection drug users referred from a needle exchange program: Results from a community-based behavioral intervention trial |
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Authors | |
Keywords | Case management Drug abuse treatment HIV/AIDS Injection drug use Methadone maintenance Needle exchange programs Transportation |
Issue Date | 2006 |
Citation | Drug and Alcohol Dependence, 2006, v. 83, n. 3, p. 225-232 How to Cite? |
Abstract | We evaluated a case management intervention to increase treatment entry among injecting drug users referred from a needle exchange program (NEP). A randomized trial of a strengths based case management (intervention) versus passive referral (control) was conducted among NEP attenders requesting and receiving referrals to subsidized, publicly funded opiate agonist treatment programs in Baltimore, MD. Logistic regression identified predictors of treatment entry within 7 days, confirmed through treatment program records. Of 247 potential subjects, 245 (99%) participated. HIV prevalence was 19%. Overall, 34% entered treatment within 7 days (intervention: 40% versus control: 26%, p = 0.03). In a multivariate "intention to treat' model (i.e., ignoring the amount of case management actually received), those randomized to case management were more likely to enter treatment within 7 days. Additional 'as treated' analyses revealed that participants who received 30 min or more of case management within 7 days were 33% more likely to enter treatment and the active ingredient of case management activities was provision of transportation. These findings demonstrate the combined value of offering dedicated treatment referrals from NEP, case management and transportation in facilitating entry into drug abuse treatment. Such initiatives could be implemented at more than 140 needle exchange programs currently operating in the United States. These data also support the need for more accessible programs such as mobile or office-based drug abuse treatment. © 2005. |
Persistent Identifier | http://hdl.handle.net/10722/326716 |
ISSN | 2023 Impact Factor: 3.9 2023 SCImago Journal Rankings: 1.632 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Strathdee, Steffanie A. | - |
dc.contributor.author | Ricketts, Erin P. | - |
dc.contributor.author | Huettner, Steven | - |
dc.contributor.author | Cornelius, Lee | - |
dc.contributor.author | Bishai, David | - |
dc.contributor.author | Havens, Jennifer R. | - |
dc.contributor.author | Beilenson, Peter | - |
dc.contributor.author | Rapp, Charles | - |
dc.contributor.author | Lloyd, Jacqueline J. | - |
dc.contributor.author | Latkin, Carl A. | - |
dc.date.accessioned | 2023-03-31T05:26:01Z | - |
dc.date.available | 2023-03-31T05:26:01Z | - |
dc.date.issued | 2006 | - |
dc.identifier.citation | Drug and Alcohol Dependence, 2006, v. 83, n. 3, p. 225-232 | - |
dc.identifier.issn | 0376-8716 | - |
dc.identifier.uri | http://hdl.handle.net/10722/326716 | - |
dc.description.abstract | We evaluated a case management intervention to increase treatment entry among injecting drug users referred from a needle exchange program (NEP). A randomized trial of a strengths based case management (intervention) versus passive referral (control) was conducted among NEP attenders requesting and receiving referrals to subsidized, publicly funded opiate agonist treatment programs in Baltimore, MD. Logistic regression identified predictors of treatment entry within 7 days, confirmed through treatment program records. Of 247 potential subjects, 245 (99%) participated. HIV prevalence was 19%. Overall, 34% entered treatment within 7 days (intervention: 40% versus control: 26%, p = 0.03). In a multivariate "intention to treat' model (i.e., ignoring the amount of case management actually received), those randomized to case management were more likely to enter treatment within 7 days. Additional 'as treated' analyses revealed that participants who received 30 min or more of case management within 7 days were 33% more likely to enter treatment and the active ingredient of case management activities was provision of transportation. These findings demonstrate the combined value of offering dedicated treatment referrals from NEP, case management and transportation in facilitating entry into drug abuse treatment. Such initiatives could be implemented at more than 140 needle exchange programs currently operating in the United States. These data also support the need for more accessible programs such as mobile or office-based drug abuse treatment. © 2005. | - |
dc.language | eng | - |
dc.relation.ispartof | Drug and Alcohol Dependence | - |
dc.subject | Case management | - |
dc.subject | Drug abuse treatment | - |
dc.subject | HIV/AIDS | - |
dc.subject | Injection drug use | - |
dc.subject | Methadone maintenance | - |
dc.subject | Needle exchange programs | - |
dc.subject | Transportation | - |
dc.title | Facilitating entry into drug treatment among injection drug users referred from a needle exchange program: Results from a community-based behavioral intervention trial | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.drugalcdep.2005.11.015 | - |
dc.identifier.pmid | 16364566 | - |
dc.identifier.scopus | eid_2-s2.0-33747000844 | - |
dc.identifier.volume | 83 | - |
dc.identifier.issue | 3 | - |
dc.identifier.spage | 225 | - |
dc.identifier.epage | 232 | - |
dc.identifier.isi | WOS:000239081300006 | - |