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- Publisher Website: 10.1016/j.jsat.2008.07.002
- Scopus: eid_2-s2.0-61349169065
- PMID: 18835681
- WOS: WOS:000264510000007
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Article: Predictors of opiate agonist treatment retention among injection drug users referred from a needle exchange program
Title | Predictors of opiate agonist treatment retention among injection drug users referred from a needle exchange program |
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Authors | |
Keywords | Injection drug use Needle exchange Opioid agonist therapy Strengths-based case management Treatment retention |
Issue Date | 2009 |
Citation | Journal of Substance Abuse Treatment, 2009, v. 36, n. 3, p. 306-312 How to Cite? |
Abstract | Aims: The aim of this study was to examine the effect of a case management intervention on retention in opiate agonist therapy among injection drug users (IDUs) referred from a needle exchange program (NEP). Design, intervention, participants, and setting: A randomized trial of a strengths-based case management intervention versus passive referral (control) was conducted among NEP attendees requesting and receiving referrals to subsidized, publicly funded opiate agonist treatment programs in Baltimore, MD. Measurements: Multivariable Cox regression models were used to identify predictors of treatment retention using an ecological model approach, taking into account factors at the individual, social, and environmental level. Findings: Of 245 IDUs, 127 (51.8%) entered opiate agonist treatment, for whom median retention was 7.9 months. The intervention was not associated with longer retention (p = .91). Individual-level factors predictive of shorter retention included being employed and greater levels of psychiatric distress. Participants who had prior treatment experience and multiple treatment requests were retained significantly longer. Social factors adversely affecting treatment retention included unstable housing and buying drugs for others. Living further away from the treatment site was an environmental barrier that negatively affected treatment retention. Conclusions: Multilevel interventions that address individual, social, and environmental factors are necessary to improve substance abuse treatment retention and treatment outcomes among IDUs referred from NEP. © 2009. |
Persistent Identifier | http://hdl.handle.net/10722/326767 |
ISSN | 2023 Impact Factor: 3.7 2023 SCImago Journal Rankings: 1.523 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Havens, Jennifer R. | - |
dc.contributor.author | Latkin, Carl A. | - |
dc.contributor.author | Pu, Minya | - |
dc.contributor.author | Cornelius, Llewellyn J. | - |
dc.contributor.author | Bishai, David | - |
dc.contributor.author | Huettner, Steve | - |
dc.contributor.author | Rapp, Charles | - |
dc.contributor.author | Ricketts, Erin P. | - |
dc.contributor.author | Lloyd, Jacqueline J. | - |
dc.contributor.author | Strathdee, Steffanie A. | - |
dc.date.accessioned | 2023-03-31T05:26:22Z | - |
dc.date.available | 2023-03-31T05:26:22Z | - |
dc.date.issued | 2009 | - |
dc.identifier.citation | Journal of Substance Abuse Treatment, 2009, v. 36, n. 3, p. 306-312 | - |
dc.identifier.issn | 0740-5472 | - |
dc.identifier.uri | http://hdl.handle.net/10722/326767 | - |
dc.description.abstract | Aims: The aim of this study was to examine the effect of a case management intervention on retention in opiate agonist therapy among injection drug users (IDUs) referred from a needle exchange program (NEP). Design, intervention, participants, and setting: A randomized trial of a strengths-based case management intervention versus passive referral (control) was conducted among NEP attendees requesting and receiving referrals to subsidized, publicly funded opiate agonist treatment programs in Baltimore, MD. Measurements: Multivariable Cox regression models were used to identify predictors of treatment retention using an ecological model approach, taking into account factors at the individual, social, and environmental level. Findings: Of 245 IDUs, 127 (51.8%) entered opiate agonist treatment, for whom median retention was 7.9 months. The intervention was not associated with longer retention (p = .91). Individual-level factors predictive of shorter retention included being employed and greater levels of psychiatric distress. Participants who had prior treatment experience and multiple treatment requests were retained significantly longer. Social factors adversely affecting treatment retention included unstable housing and buying drugs for others. Living further away from the treatment site was an environmental barrier that negatively affected treatment retention. Conclusions: Multilevel interventions that address individual, social, and environmental factors are necessary to improve substance abuse treatment retention and treatment outcomes among IDUs referred from NEP. © 2009. | - |
dc.language | eng | - |
dc.relation.ispartof | Journal of Substance Abuse Treatment | - |
dc.subject | Injection drug use | - |
dc.subject | Needle exchange | - |
dc.subject | Opioid agonist therapy | - |
dc.subject | Strengths-based case management | - |
dc.subject | Treatment retention | - |
dc.title | Predictors of opiate agonist treatment retention among injection drug users referred from a needle exchange program | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.jsat.2008.07.002 | - |
dc.identifier.pmid | 18835681 | - |
dc.identifier.scopus | eid_2-s2.0-61349169065 | - |
dc.identifier.volume | 36 | - |
dc.identifier.issue | 3 | - |
dc.identifier.spage | 306 | - |
dc.identifier.epage | 312 | - |
dc.identifier.isi | WOS:000264510000007 | - |