Diversion of methadone and buprenorphine from opioid substitution treatment: the importance of patients' attitudes and norms

Journal of Substance Abuse Treatment
Björn Johnson, Torkel Richert

Abstract

Methadone and buprenorphine diversion by patients in opioid substitution treatment (OST) is a poorly understood phenomenon. We study the norms and attitudes on diversion among OST patients, including the role these norms and attitudes play as diversion risk factors. We also study whether perceived quality of care, social bonds to treatment staff, and deterrence can be associated with diversion. Structured interviews were conducted with 411 patients from eleven OST programs. In total, 280 interviews were done on site by the researchers, while 131 interviews were conducted through peer interviewing by specially trained patients. The data was analyzed through frequency- and averages-calculations, cross-tabulations, and logistic regression analysis. Most patients consider diversion as mostly positive (83.7%), morally right (76.8%), and without any significant risk of detection (66.9%). Individual differences in norms and risk perceptions may play a role in explaining variations in diversion; patients who consider it right to share medication with friends report higher treatment-episode diversion than other patients (OR 1.455, p = 0.016). Patients who perceive control measures as effective report lower diversion than other patients ...Continue Reading

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Citations

May 20, 2015·Journal of Substance Abuse Treatment·Laura B MonicoJerome H Jaffe
Dec 23, 2016·The American Journal on Addictions·Ann J CottonAndrew J Saxon
Jan 6, 2018·Community Mental Health Journal·John M MajerLeonard A Jason
Mar 7, 2021·Substance Abuse Treatment, Prevention, and Policy·Eugenia Oviedo-JoekesKelli Harper
Jan 3, 2018·Journal of Substance Abuse Treatment·Hudson ReddonKanna Hayashi

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