Opioid substitution treatment, relapse and addiction-related outcomes in prison setting and after release: A longitudinal study

Aims: Opioid addiction is a common problem among prisoners. The aim of this study was to examine differences between people who are incarcerated receiving opioid substitution treatment (OST) and those not receiving OST on addiction-related outcome variables during incarceration and after release fro...

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Published in:Nordisk alkohol- & narkotikatidskrift : NAT 2024-12, Vol.41 (6), p.640-655
Main Authors: Geißelsöder, Kerstin, Weiss, Maren, Boksán, Klara, Dechant, Michael, Endres, Johann, Breuer, Maike, Stemmler, Mark, Wodarz, Norbert
Format: Article
Language:English
Subjects:
Addictions
Craving
Drug abuse
Drugs
Ex-convicts
Imprisonment
Longitudinal studies
Methadone
Narcotics
Opioids
Overdoses
Prisoners
Prisons
Relapse
Release
Research Report
Substitutes
Withdrawal
Withdrawal symptoms
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container_end_page 655
container_issue 6
container_start_page 640
container_title Nordisk alkohol- & narkotikatidskrift : NAT
container_volume 41
creator Geißelsöder, Kerstin
Weiss, Maren
Boksán, Klara
Dechant, Michael
Endres, Johann
Breuer, Maike
Stemmler, Mark
Wodarz, Norbert
description Aims: Opioid addiction is a common problem among prisoners. The aim of this study was to examine differences between people who are incarcerated receiving opioid substitution treatment (OST) and those not receiving OST on addiction-related outcome variables during incarceration and after release from prison. Variables covered illicit use of opioids, non-prescribed substitution medication and other substances, opioid withdrawal symptoms, opioid craving, non-fatal overdoses and post-release substitution treatment. Design: Interviews (European Addiction Severity Index, EuropASI) were conducted with 247 participants in German prisons before release. Participants were interviewed again 1 month and 3–6 months after release from prison. Results: During incarceration, participants who received OST used less illicit opioids and non-prescribed substitution medication than those who did not receive OST. After release from prison, participants in the OST group reported less illicit opioid use and less non-prescribed substitution medication use, as well as less opioid craving. Participants who received OST in prison were more likely to be in OST at post-release follow-up than those who had not received in-prison OST. Conclusion: OST appears to have a positive effect on illicit opioid use and craving both in prison and after release, as well as on treatment at follow-up, which can be considered a protective factor.
doi_str_mv 10.1177/14550725241276309
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The aim of this study was to examine differences between people who are incarcerated receiving opioid substitution treatment (OST) and those not receiving OST on addiction-related outcome variables during incarceration and after release from prison. Variables covered illicit use of opioids, non-prescribed substitution medication and other substances, opioid withdrawal symptoms, opioid craving, non-fatal overdoses and post-release substitution treatment. Design: Interviews (European Addiction Severity Index, EuropASI) were conducted with 247 participants in German prisons before release. Participants were interviewed again 1 month and 3–6 months after release from prison. Results: During incarceration, participants who received OST used less illicit opioids and non-prescribed substitution medication than those who did not receive OST. After release from prison, participants in the OST group reported less illicit opioid use and less non-prescribed substitution medication use, as well as less opioid craving. Participants who received OST in prison were more likely to be in OST at post-release follow-up than those who had not received in-prison OST. 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source Criminology Collection; International Bibliography of the Social Sciences (IBSS); SAGE Open Access; Publicly Available Content Database; Social Science Premium Collection; Sociology Collection; PubMed Central
subjects Addictions
Craving
Drug abuse
Drugs
Ex-convicts
Imprisonment
Longitudinal studies
Methadone
Narcotics
Opioids
Overdoses
Prisoners
Prisons
Relapse
Release
Research Report
Substitutes
Withdrawal
Withdrawal symptoms
title Opioid substitution treatment, relapse and addiction-related outcomes in prison setting and after release: A longitudinal study
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