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Malmö treatment referral and intervention study—high 12-month retention rates in patients referred from syringe exchange to methadone or buprenorphine/ naloxone treatment

Bråbäck, Martin LU ; Ekström, Lars; Troberg, Katja LU ; Nilsson, Suzan LU ; Isendahl, Pernilla LU ; Brådvik, Louise LU and Håkansson, Anders LU (2017) In Frontiers in Psychiatry 8(AUG).
Abstract

Background: Heroin dependence is associated with high mortality. Opioid agonist treatment (OAT) with methadone or buprenorphine has strong evidence for treatment of this relapsing condition. In our setting, OAT has been associated with strict and demanding intake procedures, often with requirements of social stability, but also high, approximately 80 percent 12-month retention rates. In a recent randomized controlled trial, we demonstrated high rates of successful rapid referral from a syringe exchange programme (SEP) to treatment with methadone or buprenorphine, including actual treatment initiation. The objectives of this study were to assess 12-month retention rates, in order to assess whether a novel referral program of current drug... (More)

Background: Heroin dependence is associated with high mortality. Opioid agonist treatment (OAT) with methadone or buprenorphine has strong evidence for treatment of this relapsing condition. In our setting, OAT has been associated with strict and demanding intake procedures, often with requirements of social stability, but also high, approximately 80 percent 12-month retention rates. In a recent randomized controlled trial, we demonstrated high rates of successful rapid referral from a syringe exchange programme (SEP) to treatment with methadone or buprenorphine, including actual treatment initiation. The objectives of this study were to assess 12-month retention rates, in order to assess whether a novel referral program of current drug users at a SEP would achieve retention rates comparable to more traditional intake procedures. Methods: The present report is a 12-month follow-up of 71 patients who successfully started treatment with methadone or buprenorphine/naloxone. Patient data from baseline and at 12 months were collected. results: Out of the 71 patients who started treatment, 58 (82%) were still in treatment after 12 months. conclusion: This was a population, referred from a SEP, with a high drug use severity on admission and no pretreatment requirement for social stability, but there were still high retention rates at 12 months comparable to regular opioid agonist clinics in our setting.

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organization
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type
Contribution to journal
publication status
published
subject
keywords
Buprenorphine, Maintenance treatment, Methadone, Opioid dependence, Syringe exchange
in
Frontiers in Psychiatry
volume
8
issue
AUG
publisher
Frontiers Media S. A.
external identifiers
  • scopus:85028469233
  • wos:000409262900001
ISSN
1664-0640
DOI
10.3389/fpsyt.2017.00161
language
English
LU publication?
yes
id
f8a0307d-825a-4bfd-bdff-344633bf833a
date added to LUP
2017-10-06 09:56:11
date last changed
2018-01-16 13:21:16
@article{f8a0307d-825a-4bfd-bdff-344633bf833a,
  abstract     = {<p>Background: Heroin dependence is associated with high mortality. Opioid agonist treatment (OAT) with methadone or buprenorphine has strong evidence for treatment of this relapsing condition. In our setting, OAT has been associated with strict and demanding intake procedures, often with requirements of social stability, but also high, approximately 80 percent 12-month retention rates. In a recent randomized controlled trial, we demonstrated high rates of successful rapid referral from a syringe exchange programme (SEP) to treatment with methadone or buprenorphine, including actual treatment initiation. The objectives of this study were to assess 12-month retention rates, in order to assess whether a novel referral program of current drug users at a SEP would achieve retention rates comparable to more traditional intake procedures. Methods: The present report is a 12-month follow-up of 71 patients who successfully started treatment with methadone or buprenorphine/naloxone. Patient data from baseline and at 12 months were collected. results: Out of the 71 patients who started treatment, 58 (82%) were still in treatment after 12 months. conclusion: This was a population, referred from a SEP, with a high drug use severity on admission and no pretreatment requirement for social stability, but there were still high retention rates at 12 months comparable to regular opioid agonist clinics in our setting.</p>},
  articleno    = {161},
  author       = {Bråbäck, Martin and Ekström, Lars and Troberg, Katja and Nilsson, Suzan and Isendahl, Pernilla and Brådvik, Louise and Håkansson, Anders},
  issn         = {1664-0640},
  keyword      = {Buprenorphine,Maintenance treatment,Methadone,Opioid dependence,Syringe exchange},
  language     = {eng},
  month        = {08},
  number       = {AUG},
  publisher    = {Frontiers Media S. A.},
  series       = {Frontiers in Psychiatry},
  title        = {Malmö treatment referral and intervention study—high 12-month retention rates in patients referred from syringe exchange to methadone or buprenorphine/ naloxone treatment},
  url          = {http://dx.doi.org/10.3389/fpsyt.2017.00161},
  volume       = {8},
  year         = {2017},
}