Changes in methadone program practices and fatal methadone overdose rates in Connecticut during COVID-19.

Journal of Substance Abuse Treatment
Sarah BrothersRobert Heimer

Abstract

Due to the COVID-19 pandemic, the Substance Abuse and Mental Health Services Administration (SAMHSA) has relaxed restrictions on methadone treatment in the United States. There is concern that the relaxation may increase fatal overdose rates. This study examines opioid treatment program (OTP) changes to methadone treatment during COVID-19 and changes in fatal methadone-involved overdose rates in Connecticut. From July 8th to August 18th, 2020, we conducted a comprehensive state-wide survey of all eight OTPs that dispense methadone in Connecticut to examine programmatic changes during COVID-19. We also analyzed state-level data on confirmed accidental opioid-involved deaths to assess if relaxation of take-home dosing restrictions and in-person attendance requirements correlated with increased methadone-involved fatal overdose rates. OTPs reported implementing multiple changes to methadone treatment in response to the COVID-19 pandemic. The percent of patients receiving 28-day take-home doses increased from 0.1% to 16.8%, 14-day take-home doses increased from 14.2% to 26.8%, and the percent receiving one or no take-home doses decreased from 37.5% to 9.6%. Monthly or more frequent drug testing decreased from 15% to 4.6% and 75.2% ...Continue Reading

References

May 16, 1998·American Journal of Public Health·H M RhoadesJ Grabowski
Jan 11, 2000·The American Journal of Forensic Medicine and Pathology·H GreenR W Byard
May 10, 2003·Drug and Alcohol Dependence·Jerome H Jaffe, Charles O'Keeffe
Jun 20, 2003·Addiction·Alison SeymourJohn Oliver
Aug 23, 1965·JAMA : the Journal of the American Medical Association·V P DOLE, M NYSWANDER
Jan 20, 2005·JAMA : the Journal of the American Medical Association·Theodore J Cicero, James A Inciardi
Nov 7, 2006·Journal of Substance Abuse Treatment·Van L KingRobert K Brooner
Feb 29, 2008·Clinical Pharmacology and Therapeutics·M L Stitzer, R Vandrey
Feb 7, 2009·Journal of Addictive Diseases·Ingrid DavstadAnders Romelsjö
May 15, 2009·International Journal of Environmental Research and Public Health·Nickolas D ZallerJosiah D Rich
Dec 15, 2010·Progress in Neuro-psychopharmacology & Biological Psychiatry·G GerraL Somaini
Feb 12, 2011·Drug and Alcohol Dependence·Sharon M KellyRobert P Schwartz
Sep 29, 2011·Journal of Substance Abuse Treatment·Riza SarasvitaRobert Ali
Dec 6, 2012·British Journal of Clinical Pharmacology·James Bell
Nov 5, 2016·Drug and Alcohol Dependence·Li-Tzy WuMarvin S Swartz
Apr 28, 2017·BMJ : British Medical Journal·Luis SordoRoberto Pastor-Barriuso
Apr 28, 2017·The Cochrane Database of Systematic Reviews·Rosella SaulleLinda Gowing
Feb 5, 2019·Health Affairs·David PowellRosalie L Pacula
May 3, 2019·JAMA : the Journal of the American Medical Association·Alan I Leshner, Victor J Dzau
Dec 18, 2019·JAMA : the Journal of the American Medical Association·Mark OlfsonCarlos Blanco
Mar 15, 2020·The Lancet. Public Health·Jack Tsai, Michal Wilson
Apr 3, 2020·Annals of Internal Medicine·Nora D Volkow
Apr 20, 2020·Lancet·Aaron van DornMiriam L Sabin
Apr 22, 2020·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Traci C GreenDeborah S Finnell
May 25, 2020·Drug and Alcohol Dependence·Amanda Kathleen SlaunwhiteRoshni Desai
Jun 20, 2020·Nature Medicine·Sarah E WakemanJosiah Rich
Jul 28, 2020·Drug and Alcohol Dependence·Svetla SlavovaSharon L Walsh
Jul 29, 2020·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Robert HeimerDavid Vlahov
Feb 23, 2021·Lancet·Sally L HodderChris Beyrer

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