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    Receipt of pharmacotherapy for opioid use disorder by justice-involved U.S. Veterans Health Administration patients

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    Authors
    Finlay, Andrea K.
    Harris, Alex H. S
    Rosenthal, Joel
    Blue-Howells, Jessica
    Clark, Sean
    McGuire, Jim
    Timko, Christine
    Frayne, Susan M.
    Smelson, David A.
    Oliva, Elizabeth
    Binswanger, Ingrid
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    UMass Chan Affiliations
    Systems and Psychosocial Advances Research Center
    Department of Psychiatry
    Document Type
    Journal Article
    Publication Date
    2016-03-01
    Keywords
    Buprenorphine
    Criminal Justice
    Methadone
    Opioid-related disorders
    United States Department of Veterans Affairs
    Community Health
    Mental and Social Health
    Psychiatry
    Psychiatry and Psychology
    Substance Abuse and Addiction
    
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    Link to Full Text
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4767599/
    Abstract
    BACKGROUND: Pharmacotherapy - methadone, buprenorphine, or naltrexone - is an evidence-based treatment for opioid use disorder, but little is known about receipt of these medications among veterans involved in the justice system. The current study examines receipt of pharmacotherapy for opioid use disorder among veterans with a history of justice involvement at U.S. Veterans Health Administration (VHA) facilities compared to veterans with no justice involvement. METHODS: Using national VHA clinical and pharmacy records, we conducted a retrospective cohort study of veterans with an opioid use disorder diagnosis in fiscal year 2012. Using a mixed-effects logistic regression model, we examined receipt of pharmacotherapy in the 1-year period following diagnosis as a function of justice involvement, adjusting for patient and facility characteristics. RESULTS: The 1-year rate of receipt for pharmacotherapy for opioid use disorder was 27% for prison-involved veterans, 34% for jail/court-involved veterans, and 33% for veterans not justice-involved. Compared to veterans not justice-involved, those prison-involved had 0.75 lower adjusted odds (95% confidence interval [CI]: 0.65-0.87) of receiving pharmacotherapy whereas jail/court-involved veterans did not have significantly different adjusted odds. CONCLUSIONS: Targeted efforts to improve receipt of pharmacotherapy for opioid use disorder among veterans exiting prison is needed as they have lower odds of receiving these medications.
    Source
    Drug Alcohol Depend. 2016 Mar 1;160:222-6. Epub 2016 Jan 24. Link to article on publisher's site
    DOI
    10.1016/j.drugalcdep.2016.01.013
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46269
    PubMed ID
    26832998
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.drugalcdep.2016.01.013
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