| Titre : | Using buprenorphine to facilitate entry into residential therapeutic community rehabilitation (2007) |
| Auteurs : | E. D. COLLINS ; T. HORTON ; K. REINKE ; L. AMASS ; E. V. NUNES |
| Type de document : | Article : Périodique |
| Dans : | Journal of Substance Abuse Treatment (Vol.32, n°2, March 2007) |
| Article en page(s) : | 167-175 |
| Langues: | Anglais |
| Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
| Mots-clés : |
Thésaurus géographique ETATS-UNISThésaurus mots-clés TRAITEMENT DE MAINTENANCE ; TRAITEMENT RESIDENTIEL ; COMMUNAUTE THERAPEUTIQUE ; BUPRENORPHINE ; ACCES AUX SOINS ; OBSERVANCE DU TRAITEMENT ; ETUDE RETROSPECTIVE |
| Résumé : | For opioid-dependent patients, the need for detoxification has been a barrier to entry into long-term residential treatment. This report describes a retrospective observational cohort study with the first 38 opioid-dependent patients entering First Step, a 14-day buprenorphine-naloxone (Suboxone) detoxification regimen integrated into a long-term residential therapeutic community (TC) program. Eighty-nine percent (34 of 38) of First Step patients completed a 14-day buprenorphine taper protocol, 50% (19 of 38) completed an initial 3- to 4-week stay, and 39% (15 of 38) completed at least 3 months of residential treatment at the TC. Retention did not differ significantly in a demographically matched concurrently admitted control group without impending opioid withdrawal, in which 65% (24 of 37) completed an initial 3- to 4-week stay (p = .20) and 57% (21 of 37) completed at least 3 months of treatment (p = .14). Withdrawal symptoms were mild, and there were no instances of precipitated withdrawal. The findings suggest the potential for buprenorphine to serve as a bridge, improving the viability of long-term residential treatment for managing opioid dependence. |
| Domaine : | Drogues illicites / Illicit drugs |
| Affiliation : | Department of Psychiatry, New York State Psychiatric Institute, College of Physicians and Surgeons, Columbia University, New York, NY, USA |
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