Description and outcomes of a buprenorphine maintenance treatment program integrated within Prevention Point Philadelphia, an urban syringe exchange program

Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse
Marcus A BachhuberDavid Barclay

Abstract

Syringe exchange programs are uniquely positioned to offer treatment services to interested clients. Prevention Point Philadelphia recently expanded to offer buprenorphine maintenance treatment through its Stabilization, Treatment, and Engagement Program (STEP). To describe the STEP model of care and report treatment outcomes. Retrospective chart review of patients enrolled in STEP (October 2011-August 2014). Our main outcome measure was time retained in treatment, defined as time from treatment initiation to treatment failure. Secondary outcome measures were buprenorphine and opiate use, from urine toxicology screens. We analyzed retention in treatment using Kaplan-Meier survival estimates; patients who remained in treatment at the end of the study period were censored on that day. For buprenorphine and opiate use, we calculated the percentage of patients who were positive for buprenorphine and opiates in each month of treatment. Of the 124 patients enrolled in STEP, the median age was 41 (range 21 to 63) and 80% reported injection heroin use. Comorbidities were common: 33% had HIV infection, most reported anxiety (78%) or depression (71%), and 20% were homeless. The most common program outcomes were unplanned self-discharge (...Continue Reading

References

Mar 16, 2007·Journal of General Internal Medicine·Daniel P AlfordJeffrey H Samet
Dec 18, 2008·Journal of General Internal Medicine·Joshua D LeeMarc N Gourevitch
Mar 10, 2010·Journal of General Internal Medicine·Emily A WangDavid A Fiellin
Jul 6, 2010·Journal of Substance Abuse Treatment·Cynthia L ArfkenCharles Roberts Schuster
Nov 5, 2010·Journal of Opioid Management·Nickolas D ZallerJosiah D Rich
Mar 16, 2011·Archives of Internal Medicine·Daniel P AlfordJeffrey H Samet
Jan 24, 2012·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Joshua D LeeMarc N Gourevitch
May 28, 2013·Journal of Opioid Management·Nancy L SohlerChinazo O Cunningham
Jun 1, 2013·Journal of Addiction Medicine·Chinazo O CunninghamNancy L Sohler
Jun 26, 2013·The American Journal on Addictions·Chinazo O CunninghamNancy L Sohler
Nov 12, 2013·Journal of Substance Abuse Treatment·Sean M MurphyJohn R Roll
Apr 26, 2014·Journal of Community Hospital Internal Medicine Perspectives·Charmian D SittambalamRobert P Ferguson
Aug 19, 2014·Journal of Health Care for the Poor and Underserved·Aaron D FoxChinazo O Cunningham
Oct 3, 2014·Journal of Addiction Medicine·Reisel BergerShannon Robinson
Apr 4, 2015·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Aaron D FoxChinazo O Cunningham
May 20, 2015·Journal of Substance Abuse Treatment·Laura B MonicoJerome H Jaffe
Jun 13, 2015·American Journal of Public Health·Christopher M JonesElinore McCance-Katz
Oct 8, 2016·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Daniel P RigginsAaron D Fox
Nov 20, 2016·Drug and Alcohol Dependence·Zoe M WeinsteinJeffrey H Samet
Jan 31, 2017·Journal of Substance Abuse Treatment·Zoe M WeinsteinJeffrey H Samet
Mar 2, 2017·Addiction Science & Clinical Practice·Elenore Patterson BhatrajuJoshua D Lee

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Citations

Jan 1, 2018·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Adam J Gordon, Elizabeth M Oliva
Aug 14, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Julia E HoodMi-Hyun Mia Shim
Apr 26, 2020·AIDS and Behavior·Sara N GlickDon C Des Jarlais
May 8, 2019·Addiction Science & Clinical Practice·Jamie CarterPaula J Lum
Apr 10, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Cecillia Y WongKaren W Hoover
Jan 21, 2021·Journal of General Internal Medicine·Shashi N KapadiaCzarina N Behrends
Feb 23, 2021·Journal of Substance Abuse Treatment·Kristi Lynn StringerPhillip Marotta
Mar 25, 2021·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Taeko FrostAaron D Fox
Mar 23, 2021·Translational Research : the Journal of Laboratory and Clinical Medicine·Lynn D WengerBarrot H Lambdin
May 15, 2021·Drug and Alcohol Dependence·Matthew F McLaughlinAvik Chatterjee
Jun 18, 2021·Journal of Substance Abuse Treatment·Tyler S BartholomewHansel E Tookes
Nov 21, 2021·Harm Reduction Journal·Tyler S BartholomewHansel E Tookes

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