TY - JOUR
T1 - Buprenorphine shared medical appointments for the treatment of opioid dependence in a homeless clinic
AU - Doorley, Sara L.
AU - Ho, Cheryl J.
AU - Echeverria, Elizabeth
AU - Preston, Charles
AU - Ngo, Huy
AU - Kamal, Ahmad
AU - Cunningham, Chinazo O.
N1 - Publisher Copyright:
© 2017 Taylor & Francis Group, LLC.
PY - 2017/1/2
Y1 - 2017/1/2
N2 - Background: Opioid misuse and dependence are prevalent and rising problems in the United States. Treatment with buprenorphine is a successful treatment option for individuals with opioid dependence. This study describes and preliminarily evaluates a unique delivery system that provides buprenorphine treatment via a shared medical appointment. Methods: A retrospective medical record review on all 77 opioid-dependent patients referred for a buprenorphine shared medical appointment in a homeless clinic from 2010 to 2012. Results: Most patients were currently homeless (61%), unemployed (92%), had an Axis I psychiatric diagnosis (81%), and had recent polysubstance use (53%). Of the 77 patients, 95% attended at least 1 shared medical appointment. Treatment retention at 12 and 24 weeks was 86% and 70%, respectively. Conclusions: In a patient population with complex social and mental health histories, buprenorphine treatment via a shared medical appointment had high retention rates. Findings can help guide the development of unique delivery systems to serve real-world complex patients with opioid dependence.
AB - Background: Opioid misuse and dependence are prevalent and rising problems in the United States. Treatment with buprenorphine is a successful treatment option for individuals with opioid dependence. This study describes and preliminarily evaluates a unique delivery system that provides buprenorphine treatment via a shared medical appointment. Methods: A retrospective medical record review on all 77 opioid-dependent patients referred for a buprenorphine shared medical appointment in a homeless clinic from 2010 to 2012. Results: Most patients were currently homeless (61%), unemployed (92%), had an Axis I psychiatric diagnosis (81%), and had recent polysubstance use (53%). Of the 77 patients, 95% attended at least 1 shared medical appointment. Treatment retention at 12 and 24 weeks was 86% and 70%, respectively. Conclusions: In a patient population with complex social and mental health histories, buprenorphine treatment via a shared medical appointment had high retention rates. Findings can help guide the development of unique delivery systems to serve real-world complex patients with opioid dependence.
KW - Buprenorphine
KW - group visit
KW - homeless
KW - office-based treatment
KW - shared medical appointment
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U2 - 10.1080/08897077.2016.1264535
DO - 10.1080/08897077.2016.1264535
M3 - Article
C2 - 27897918
AN - SCOPUS:85010685956
SN - 0889-7077
VL - 38
SP - 26
EP - 30
JO - Substance Abuse
JF - Substance Abuse
IS - 1
ER -