5. Opiate Abstinence Among Adolescents Engaged in an Outpatient Buprenorphine Clinic for the Treatment of Opiate Dependence

Matson, Stacy; Hobson, Gerrit; Abdel-Rasoul, Mahmoud; Bonny, Andrea E.

doi:10.1016/j.jadohealth.2012.10.045

Cited by 2 publications

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“…50 This is partly due to age restrictions. For example, buprenorphine, which is associated with greater abstinence rates for adolescents, 51 is only available for those 16 years and older and if state/local laws permit. 52 , 53 Methadone is limited to individuals who are at least 18 years old, although it is allowed for those younger if they have relapsed following 2 attempts at short-term rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Organizational Predictors and use of Evidence-Based Practices in Adolescent Substance Abuse Treatment

2015

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Background Adolescent substance abuse remains a significant problem in the United States, yet treatment centers do not always admit adolescent clients. In this article, we first determine the extent to which treatment is available for adolescents in general and whether or not adolescent-specific (segregated) tracks are offered. Second, we examine the organizational characteristics associated with adolescent treatment. Third, we illuminate how the adolescent caseload in a treatment center is related to offering evidence-based practices (EBPs). Methods Drawing upon a nationally representative sample of U.S. treatment programs, we use logistic regression to assess how organizational characteristics are associated with the provision of adolescent treatment. Using ordinal logistic regression, we analyze how the treatment center’s adolescent caseload and organizational characteristics affect the extent to which a treatment center offers medication-assisted treatment (MAT) and psychosocial treatment. Results Half (49.5%) of treatment programs admitted adolescents and 41.8% offered an adolescent-specific track. Findings from the logistic regression suggested several organizational characteristics that were significantly associated with treating adolescents and/or having an adolescent-only track. Our findings from the ordinal models indicated a negative relationship between the percent of adolescents in a treatment center and the extent of MAT, and a positive relationship between the percent of adolescent clients and the extent of psychosocial treatment offered. Conclusions This paper highlights organizational barriers to treatment entry for adolescents, who remain a small proportion of clients in treatment centers. When treatment centers serve adolescents, however, those adolescents are likely to receive care in adolescent-only tracks and/or services and in programs that offer several psychosocial EBPs. Finally, adolescents are less likely to receive treatment in centers that offer a variety of MAT.

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Section: Introductionmentioning

confidence: 99%

Organizational Predictors and use of Evidence-Based Practices in Adolescent Substance Abuse Treatment

2015

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Adherence to and Retention in Medications for Opioid Use Disorder Among Adolescents and Young Adults

Viera

Bromberg

Whittaker

et al. 2020

Epidemiologic Reviews

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The volatile opioid epidemic is associated with higher levels of opioid use disorder (OUD) and negative health outcomes in adolescents and young adults. Medications for opioid use disorder (MOUD) demonstrate the best evidence for treating OUD. Adherence to and retention in MOUD among adolescents and young adults, however, is incompletely understood. This systematic review examines the state of the literature regarding the association of age with adherence to and retention in MOUD using methadone, buprenorphine, or naltrexone among persons aged 10 to 24 along with related facilitators and barriers. The research team searched for all studies of MOUD that examined adherence, retention, or related concepts as an outcome variable where the sample included adolescents or young adults. Search criteria generated 10,229 records, which, after removing duplicates and conducting title/abstract screening, yielded 587 studies for full-text review. Ultimately, 52 articles met inclusion criteria for abstraction and 17 were selected for qualitative coding and analysis. This review found younger age to be consistently associated with shorter retention in the published literature, although the overall quality of included studies was low. Several factors at the individual, interpersonal, and institutional levels, such as concurrent substance use, MOUD adherence, family conflict, and MOUD dosage and flexibility, were seen as playing a role in MOUD retention among adolescents and young adults. This review highlights how MOUD providers can tailor treatment to increase retention of adolescents and young adults while pointing to the need for more research explaining MOUD adherence and retention disparities in this age group.

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5. Opiate Abstinence Among Adolescents Engaged in an Outpatient Buprenorphine Clinic for the Treatment of Opiate Dependence

Cited by 2 publications

References 0 publications

Organizational Predictors and use of Evidence-Based Practices in Adolescent Substance Abuse Treatment

Organizational Predictors and use of Evidence-Based Practices in Adolescent Substance Abuse Treatment

Adherence to and Retention in Medications for Opioid Use Disorder Among Adolescents and Young Adults

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