Perceived Relapse Risk and Desire for Medication Assisted Treatment among Persons Seeking Inpatient Opiate Detoxification

Abstract Most patients with opioid addiction do not receive medication at the time of discharge from brief inpatient detoxification programs despite the high risk of relapse and the availability of three FDA-approved medications. We surveyed 164 inpatient opioid detoxification patients to assess des...

Full description

Saved in:
Bibliographic Details
Published in:Journal of substance abuse treatment 2013-09, Vol.45 (3), p.302-305
Main Authors: Bailey, Genie L., M.D, Herman, Debra S., Ph.D, Stein, Michael D., M.D
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
Aftercare
Biological and medical sciences
Desintoxication. Drug withdrawal
Desire
Detoxification
Drug addiction
Female
Helpseeking
Hospitalization
Humans
Inpatient care
Inpatients - statistics & numerical data
Male
Medical sciences
Medical treatment
Medication
Miscellaneous
Narcotics
Opiate Substitution Treatment - methods
Opiates
Opioid-Related Disorders - rehabilitation
Opioids
Patient Acceptance of Health Care - statistics & numerical data
Patient Discharge
Patient Preference
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Relapse
Risk
Secondary Prevention
Substance abuse treatment
Substance Abuse Treatment Centers - methods
Substance Withdrawal Syndrome - therapy
Time Factors
Treatments
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Most patients with opioid addiction do not receive medication at the time of discharge from brief inpatient detoxification programs despite the high risk of relapse and the availability of three FDA-approved medications. We surveyed 164 inpatient opioid detoxification patients to assess desire for pharmacotherapy following detoxification program discharge. Participants were predominantly male (71.3%) and 80% had detoxed in the past. Reporting on their most recent previous inpatient detoxification, 27% had relapsed the day they were discharged, 65% within a month of discharge, and 90% within a year of discharge. 63% reported they wanted medication-assisted treatment (MAT) after discharge from the current admission. The odds of desiring a treatment medication increased by a factor of 1.02 for every 1% increase in perceived relapse risk (p < .01). These data suggest patient preference discussions including relapse risk could increase post-detox abstinence. Source of funding: K24 DA00512
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2013.04.002