Comparative drug use and psychosocial profiles of opioid dependents applying for medication versus medication-free treatment

The American Journal of Drug and Alcohol Abuse
Zulema CumberbatchHendrée Jones

Abstract

Drug treatment-seeking abusers generally self-select their treatment modality. Most opioid-dependent individuals select either methadone maintenance or detoxification followed by medication-free outpatient treatment. This study examined demographic, drug use, and drug abuse treatment history for opioid dependent patients entering an opioid agonist (n = 203) or a medication-free (n = 155) treatment program located on the same hospital campus. Similar demographic profiles support the assertion that samples were drawn from the same inner city urban opioid using population. Patients entering drug-free treatment, however, reported more extensive prior use of both cocaine and alcohol. Further, these patients had a generally more severe profile of psychosocial problems in medical, legal, employment, family/social, and psychiatric areas as measured by the Addiction Severity Index (ASI). These findings suggest that outpatient drug-free programs enrolling opioid abusers are faced with a unique service delivery challenge that involves service needs in multiple arenas. The findings further suggest that patient self-selection of treatment programs may in some cases result in a discrepancy between patient needs and the ability of treatment p...Continue Reading

References

Apr 1, 1992·Drug and Alcohol Dependence·M F Sherman, G E Bigelow
Jan 1, 1992·Journal of Substance Abuse Treatment·A T McLellanM Argeriou
Jun 1, 1981·Drug and Alcohol Dependence·A Richman, R G Smart
Feb 1, 1994·Addiction·J R CaplehornA M Petrenas
Aug 1, 1997·Archives of General Psychiatry·A T McLellanC P O'Brien
Jan 23, 1998·Journal of Substance Abuse Treatment·Y I HserM L Prendergast
Nov 4, 2000·The New England Journal of Medicine·R E JohnsonG E Bigelow
Feb 14, 2002·Drug and Alcohol Dependence·Magí FarréJordi Camí
Feb 19, 2002·Drug and Alcohol Dependence·Bruna BrandsDavid Marsh
Oct 9, 2002·Addictive Behaviors·Stephen T HigginsRobert L Dantona
Aug 23, 1965·JAMA : the Journal of the American Medical Association·V P DOLE, M NYSWANDER

❮ Previous
Next ❯

Citations

Jan 15, 2019·Nordic Journal of Psychiatry·Bodil Monwell, Arne Gerdner
Feb 23, 2008·The American Journal of Drug and Alcohol Abuse·Farzana KapadiaTracey E Wilson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.