Opioid agonist maintenance for probationers: patient-level predictors of treatment retention, drug use, and crime.

Jan Gryczynski, Timothy W Kinlock, Sharon M Kelly, Kevin E O'Grady, Michael S Gordon, Robert P Schwartz

Substance abuse 2012

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This study examined outcomes and their predictors among 181 probationers enrolling in opioid agonist maintenance with methadone or levo-alpha-acetylmethadol (LAAM). Participants were interviewed at treatment entry and 2-, 6-, and 12-month follow-ups. Treatment retention and frequency of heroin use, cocaine use, and income-generating criminal activity were examined using survival and longitudinal analyses. Participants reported marked reductions in drug use and crime relative to treatment entry. A number of patient characteristics associated with various outcomes were identified. The findings support engaging probationers in treatment and highlight patient factors that might influence outcomes.

Citation

Jan Gryczynski, Timothy W Kinlock, Sharon M Kelly, Kevin E O'Grady, Michael S Gordon, Robert P Schwartz. Opioid agonist maintenance for probationers: patient-level predictors of treatment retention, drug use, and crime. Substance abuse. 2012;33(1):30-9