ISSN: 2155-6105

Journal of Addiction Research & Therapy
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  • Research Article   
  • J Addict Res Ther 2018, Vol 9(2): 360
  • DOI: 10.4172/2155-6105.1000360

"Real World" Factors Influencing Dropout from Opiate Treatment with Methadone and Buprenorphine

Bertram W Roberts, Laura Perches*, Hari Krishna R Sagiraju, Irina Cech and John Herbold
School of Public Health, , University of Texas Health Science Center-Houston, USA
*Corresponding Author : Laura Perches, School of Public Health, University of Texas Health Science Center at Houston, USA, Tel: +1 (210)- 689-1200 , Email: lauraperches@yahoo.com

Received Date: Feb 26, 2018 / Accepted Date: Apr 18, 2018 / Published Date: Apr 25, 2018

Abstract

Background and objective: Comparison of retention in office-based, private-pay, outpatient opiate treatment programs with methadone or buprenorphine. Methods: Descriptive study with a prospective design comparing treatment retention in a licensed Opiate Treatment Program (OTP)  and buprenorphine program (BUP) offered in the same office-based setting. Over a period of 4.5 years, 1,372 patients were observed from program admission until six months or dropout, whichever was earlier. Results and conclusion: OTP had greater retention than BUP (36% vs. 15.8%); however, in both programs, retention was lower than reported elsewhere. Hispanic ethnicity, being married, and being unemployed correlate with significant dropout in OTP. Causes of early drop out in BUP were unclear. Percent of positive urine drug screens were significantly associated with drop out in both modalities. Significance: Results reflect the situation in a private pay outpatient program where patients are financially responsible for medications, transportation, and services. This, in addition to higher percentage of Hispanic ethnicity in study population and continuation of abuse of illicit substances, might explain overall low retention. Government supported treatment should improve retention in “real world” opiate dependence maintenance treatment.

Keywords: Opiate dependence; Methadone; Psychiatric illness

Citation: Roberts BW, Perches L, Sagiraju HKR, Cech I, Herbold J (2018) “Real World” Factors Influencing Dropout from Opiate Treatment with Methadone and Buprenorphine. J Addict Res Ther 9: 360. Doi: 10.4172/2155-6105.1000360

Copyright: ©2018 Roberts BW, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

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