The Science and Practice of Medication-Assisted Treatments for Opioid Dependence

Pecoraro, Anna; Ma, Michelle; Woody, George

doi:10.3109/10826084.2012.663292

Cited by 30 publications

(28 citation statements)

References 97 publications

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“…While the added benefit of behavioral interventions in the delivery of MAT is still in question (e.g., 60), many providers and researchers consider adjunctive psychosocial counseling with MAT as the gold standard (59, 61). Counseling during the early phases of MAT may enhance patients’ motivation while later focus can shift to improving coping and relapse prevention skills (59).…”

Section: Discussionmentioning

confidence: 99%

Future directions for medication assisted treatment for opioid use disorder with American Indian/Alaska Natives

Venner

Donovan

Campbell

et al. 2018

Addictive Behaviors

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The U.S. is experiencing an alarming opioid epidemic, and although American Indians and Alaska Natives (AI/AN) are especially hard hit, there is a paucity of opioid-related treatment research with these communities. AI/ANs are second only to Whites in the U.S. for overdose mortality. Thus, the National Institute on Drug Abuse convened a meeting of key stakeholders to elicit feedback on the acceptability and uptake of medication assisted treatment (MAT) for opioid use disorders (OUDs) among AI/ANs. Five themes from this one-day meeting emerged: (1) the mismatch between Western secular and reductionistic medicine and the AI/AN holistic healing tradition; (2) the need to integrate MAT into AI/AN traditional healing; (3) the conflict between standardized MAT delivery and the traditional AI/AN desire for healing to include being medicine free; (4) systemic barriers; and (5) the need to improve research with AI/ANs using culturally relevant methods. Discussion is organized around key implementation strategies informed by these themes and necessary for the successful adoption of MAT in AI/AN communities: (1) type of medication; (2) educational interventions; (3) coordination of care; and (4) adjunctive psychosocial counseling. Using a community-based participatory research approach is consistent with a “two eyed seeing” approach that integrates Western and Indigenous worldviews. Such an approach is needed to develop impactful research in collaboration with AI/AN communities to address OUD health disparities.

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Section: Discussionmentioning

confidence: 99%

Future directions for medication assisted treatment for opioid use disorder with American Indian/Alaska Natives

Venner

Donovan

Campbell

et al. 2018

Addictive Behaviors

View full text Add to dashboard Cite

show abstract

“…MAT has been demonstrated to be effective in the treatment of alcohol dependence with Food and Drug Administration (FDA) approved drugs such as disulfiram, naltrexone, and acamprosate (Johnson, 2008), and in opioid dependence with methadone, naltrexone, and buprenorphine (Amato et al, 2005). Although MAT has long been recommended for use in criminal justice (CJ) and non-CJ involved populations (National Institutes of Health [NIH] Consensus Development Panel on Effective Medical Treatment of Opiate Addiction, 1998), current MAT availability in CJ settings is extremely limited (Pecoraro, Ma, & Woody, 2012). …”

Section: Implementation Of Ebpsmentioning

confidence: 99%

Correlates of Interorganizational Service Coordination in Community Corrections

Welsh

Prendergast

Knight

et al. 2015

Criminal Justice and Behavior

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Because weak interagency coordination between community correctional agencies (e.g., probation and parole) and community-based treatment providers has been identified as a major barrier to the use of evidence-based practices (EBPs) for treating druginvolved offenders, this study sought to examine how key organizational (e.g., leadership, support, staffing) and individual (e.g., burnout, satisfaction) factors influence interagency relationships between these agencies. At each of 20 sites, probation/parole officials (n = 366) and community treatment providers (n = 204) were surveyed about characteristics of their agencies, themselves, and interorganizational relationships with each other. Key organizational and individual correlates of interagency relationships were examined using hierarchical linear models (HLM) analyses, supplemented by interview data. The strongest correlates included Adaptability, Efficacy, and Burnout. Implications for policy and practice are discussed.

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“…Opioid maintenance therapy (OMT) has been implemented in several countries over the last decades to increase survival and bring stabilization to patients, in order to enable them to reach abstinence of opioids (National Consensus Developmental Panel, 1998;Pecoraro, Ma & Woody, 2012;Ward, Hall & Mattick, 1999). Methadone as the first substance of OMT was introduced into treatment by Dole, Nyswander & Kreek in 1964(Dole & Nyswander, 1965Dole, Nyswander & Kreek, 1966).…”

Section: Introductionmentioning

confidence: 98%

Why do Patients Stay in Opioid Maintenance Treatment?

Gutwinski

Bald

Gallinat

et al. 2013

Substance Use & Misuse

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Opioid maintenance treatment (OMT) successfully improves social functioning and leads to an increase of survival rates, by reducing drug-related mortality and infections. A region-wide anonymous survey was performed to evaluate subjective factors that could potentially contribute to growing numbers of patients in OMT in the city of Berlin, Germany. In the survey, performed in 2011, 46 staff members and 986 patients participated. Both patients and staff members report beneficial effects of OMT on physical and mental health, and reduction of criminality. Patients on average consider the detoxification from OMT more difficult than from heroin. Staff members underestimate the wish of patients to reach abstinence of OMT. We conclude that besides reduced mortality, these subjective factors may contribute to a growing number of patients in OMT. No financial or material support was received in any phase of the study.

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The Science and Practice of Medication-Assisted Treatments for Opioid Dependence

Cited by 30 publications

References 97 publications

Future directions for medication assisted treatment for opioid use disorder with American Indian/Alaska Natives

Future directions for medication assisted treatment for opioid use disorder with American Indian/Alaska Natives

Correlates of Interorganizational Service Coordination in Community Corrections

Why do Patients Stay in Opioid Maintenance Treatment?

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