Medication-assisted treatment for opioid use disorder within a 12-step based treatment center: Feasibility and initial results

Journal of Substance Abuse Treatment
Audrey A Klein, Marvin D Seppala

Abstract

Opioid overdose deaths and healthcare costs associated with opioid use disorder (OUD) continue to escalate while the majority of addiction treatment providers in the United States do not use medication-assisted treatment (MAT) in spite of proven efficacy. The primary resistance to the use of MAT has been associated with the philosophical conflict many 12-step based treatment programs have with the use of these medications. This study sought to determine whether patients self-selecting into a treatment program based upon the 12-step philosophy would elect to use MAT and, if so, what initial outcomes might result. This naturalistic, prospective study of patients (N = 253) with OUD included a combination of OUD-specific group therapy and the use of buprenorphine-naloxone, oral naltrexone, injectable naltrexone, or no medication with standard 12-step treatment initiated in a residential or day treatment setting with outpatient follow-up. Baseline assessment of subjects with OUD included level of craving and opioid withdrawal symptom severity. Post-residential treatment outcomes at 1- and 6-months included craving, opioid withdrawal, residential treatment completion, continuing care compliance, medication compliance, substance use f...Continue Reading

Citations

Jun 9, 2020·Journal of Primary Care & Community Health·Stephanie A HookerRobert Levy
Jun 4, 2021·Journal of Substance Abuse Treatment·Sara Rodríguez-EspinosaJosé L Carballo
Jun 4, 2021·Journal of Substance Abuse Treatment·Colleen B MistlerRoman Shrestha
Jul 31, 2021·The International Journal on Drug Policy·David B YadenPeter S Hendricks
Oct 1, 2021·Substance Use & Misuse·Adam F SattlerMichelle D Sherman

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