Effectiveness of medication assisted treatment for opioid use in prison and jail settings: A meta-analysis and systematic review

Journal of Substance Abuse Treatment
Kelly E MooreSherry A McKee

Abstract

This study examined the state of the literature on the effectiveness of medication assisted treatment (MAT; methadone, buprenorphine, naltrexone) delivered in prisons and jails on community substance use treatment engagement, opioid use, recidivism, and health risk behaviors following release from incarceration. Randomized controlled trials (RCTs) and quasi-experimental studies published through December 2017 that examined induction to or maintenance on methadone (n = 18 studies), buprenorphine (n = 3 studies), or naltrexone (n = 3 studies) in correctional settings were identified from PsycINFO and PubMed databases. There were a sufficient number of methadone RCTs to meta-analyze; there were too few buprenorphine or naltrexone studies. All quasi-experimental studies were systematically reviewed. Data from RCTs involving 807 inmates (treatment n = 407, control n = 400) showed that methadone provided during incarceration increased community treatment engagement (n = 3 studies; OR = 8.69, 95% CI = 2.46; 30.75), reduced illicit opioid use (n = 4 studies; OR = 0.22, 95% CI = 0.15; 0.32) and injection drug use (n = 3 studies; OR = 0.26, 95% CI = 0.12; 0.56), but did not reduce recidivism (n = 4 studies; OR = 0.93, 95% CI = 0.51; 1.68...Continue Reading

Citations

Dec 5, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Emma R BrezelAaron D Fox
Jul 17, 2020·American Journal of Public Health·Laura HawksDanny McCormick
Aug 10, 2020·Liver International : Official Journal of the International Association for the Study of the Liver·Oluwaseun Falade-NwuliaShruti H Mehta
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Feb 1, 2022·Fortschritte der Neurologie-Psychiatrie·Michael Soyka, Herbert Steinböck

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