PMID- 35605535
OWN - NLM
STAT- MEDLINE
DCOM- 20220617
LR  - 20220922
IS  - 1879-0046 (Electronic)
IS  - 0376-8716 (Linking)
VI  - 236
DP  - 2022 Jul 1
TI  - Treatment outcomes associated with medications for opioid use disorder (MOUD) 
      among criminal justice-referred admissions to residential treatment in the U.S., 
      2015-2018.
PG  - 109498
LID - S0376-8716(22)00235-6 [pii]
LID - 10.1016/j.drugalcdep.2022.109498 [doi]
AB  - AIMS: To examine the use and association of medications for opioid use disorder 
      (MOUD) with treatment completion and retention for criminal justice referred 
      (CJR) admissions to residential treatment. METHODS: A retrospective analysis of 
      the Treatment Episode Dataset-Discharge (TEDS-D; 2015-2018) for adults 
      (N = 205,348) admitted to short-term (ST) (< 30 days) or long-term (LT) (>30 
      days) residential treatment for OUD. Outcomes were MOUD in treatment plans, and 
      treatment completion and retention (ST >10 days; LT > 90 days). Logistic 
      regression analyses were conducted separately for ST and LT settings. RESULTS: 
      CJR admissions were less likely to have MOUD than non-CJR admissions (ST, 11% vs. 
      21%; LT, 10% vs. 24%, respectively) and were more likely to complete and be 
      retained in treatment. In ST settings, MOUD was associated with higher likelihood 
      of treatment completion and retention. In LT settings, MOUD was associated with 
      higher likelihood of treatment retention and lower likelihood of treatment 
      completion. These associations tended to be slightly weaker for CJR admissions, 
      with the exception of treatment completion in LT settings, but the moderating 
      effect size of CJR status in all models was very small. Small differences in the 
      moderating effect of CJR status by race and ethnicity were observed in LT 
      settings. CONCLUSIONS: MOUD is greatly under-utilized for CJR patients, and given 
      that MOUD was associated with positive outcomes, there is a critical need to find 
      ways to increase access to MOUD for CJR patients in residential treatment. Race 
      and ethnicity appear to have relatively little impact on outcomes.
CI  - Copyright (c) 2022 Elsevier B.V. All rights reserved.
FAU - Stahler, Gerald J
AU  - Stahler GJ
AD  - Department of Geography and Urban Studies, Temple University, United States. 
      Electronic address: jstahler@temple.edu.
FAU - Mennis, Jeremy
AU  - Mennis J
AD  - Department of Geography and Urban Studies, Temple University, United States.
FAU - Stein, L A R
AU  - Stein LAR
AD  - Center for Alcohol & Addiction Studies, Brown University School of Public Health, 
      United States; Department of Psychology, The University of Rhode Island, United 
      States.
FAU - Belenko, Steven
AU  - Belenko S
AD  - Department of Criminal Justice, Temple University, United States.
FAU - Rohsenow, Damaris J
AU  - Rohsenow DJ
AD  - Center for Alcohol & Addiction Studies, Brown University School of Public Health, 
      United States.
FAU - Grunwald, Heidi E
AU  - Grunwald HE
AD  - Institute for Survey Research, Temple University, United States.
FAU - Brinkley-Rubinstein, Lauren
AU  - Brinkley-Rubinstein L
AD  - Department of Social Medicine, University of North Carolina at Chapel Hill, 
      United States.
FAU - Martin, Rosemarie A
AU  - Martin RA
AD  - Center for Alcohol & Addiction Studies, Brown University School of Public Health, 
      United States.
LA  - eng
GR  - U01 DA050442/DA/NIDA NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20220514
PL  - Ireland
TA  - Drug Alcohol Depend
JT  - Drug and alcohol dependence
JID - 7513587
RN  - 0 (Analgesics, Opioid)
RN  - 40D3SCR4GZ (Buprenorphine)
SB  - IM
MH  - Adult
MH  - Analgesics, Opioid/therapeutic use
MH  - *Buprenorphine/therapeutic use
MH  - Criminal Law
MH  - Humans
MH  - Opiate Substitution Treatment
MH  - *Opioid-Related Disorders/drug therapy
MH  - Residential Treatment
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Criminal justice
OT  - MOUD
OT  - Opioid use disorder
OT  - Residential treatment
OT  - Treatment completion
OT  - Treatment retention
EDAT- 2022/05/24 06:00
MHDA- 2022/06/18 06:00
CRDT- 2022/05/23 18:29
PHST- 2022/02/01 00:00 [received]
PHST- 2022/05/09 00:00 [revised]
PHST- 2022/05/10 00:00 [accepted]
PHST- 2022/05/24 06:00 [pubmed]
PHST- 2022/06/18 06:00 [medline]
PHST- 2022/05/23 18:29 [entrez]
AID - S0376-8716(22)00235-6 [pii]
AID - 10.1016/j.drugalcdep.2022.109498 [doi]
PST - ppublish
SO  - Drug Alcohol Depend. 2022 Jul 1;236:109498. doi: 
      10.1016/j.drugalcdep.2022.109498. Epub 2022 May 14.