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Randomized Trial of Methadone Initiation Prior to Release from Incarceration

NCJ Number
239132
Journal
Substance Abuse Volume: 33 Issue: 1 Dated: January-March 2012 Pages: 19-29
Author(s)
Michelle Mckenzie, M.p.h.; Nickolas Zaller, Ph.D.; Samuel L. Dickman, B.S.; Traci C. Green, Ph.D.; Amisha Parihk, Ph.D.; Peter D. Friedman, M.D., M.p.h.; Josiah D. Rich, M.D., M.p.h.
Date Published
February 2012
Length
11 pages
Annotation
This study examined the initiation of methadone maintenance treatment (MMT) prior to release from incarceration.
Abstract
Individuals who use heroin and illicit opioids are at high risk for infection with human immunodeficiency virus (HIV) and other blood-borne pathogens, as well as incarceration. The purpose of the randomized trial reported here is to compare outcomes between participants who initiated methadone maintenance treatment (MMT) prior to release from incarceration, with those who were referred to treatment at the time of release. Participants who initiated MMT prior to release were significantly more likely to enter treatment postrelease (P less than .001) and for participants who did enter treatment, those who received MMT prerelease did so within fewer days (P = .03). They also reported less heroin use (P = .008), other opiate use (P = .09), and injection drug use (P = .06) at 6 months. Initiating MMT in the weeks prior to release from incarceration is a feasible and effective way to improve MMT access postrelease and to decrease relapse to opioid use. (Published Abstract)

Grant Number(s)
P30AI42853
K24DA0022112
P30DA013868
R01DA18641
R01DA027211
Sponsoring Agency
National Institute on Drug Abuse
Address

National Institutes of Health, 6001 Executive Boulevard, Room 5213, Bethesda, MD 20892-9561, United States

Lifespan/Tufts/Brown Center for AIDS Research
Address

The Miriam Hospital, CFAR/RISE Building, 164 Summit Avenue, Providence, RI 02906, United States

Publication Format
Article
Publication Type
Research (Applied/Empirical)
Language
English
Country
United States of America