Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA

Background: Opioid use disorder (OUD), a chronic disease, is a major public health problem. Despite availability of effective treatment, too few people receive it and treatment retention is low. Understanding barriers and facilitators of treatment access and retention is needed to improve outcomes f...

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Bibliographic Details
Published in:	Substance Abuse Treatment, Prevention, and Policy Prevention, and Policy, 2021
Main Authors:	Lynch, Alison C, Weber, Andrea N, Hedden, Suzy, Sabbagh, Sayeh, Arndt, Stephan, Acion, Laura
Format:	Text Resource
Language:	eng
Subjects:	Disorders Drug use Drugs Narcotics Patients Retention
Online Access:	Request full text
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Summary:	Background: Opioid use disorder (OUD), a chronic disease, is a major public health problem. Despite availability of effective treatment, too few people receive it and treatment retention is low. Understanding barriers and facilitators of treatment access and retention is needed to improve outcomes for people with OUD. Objectives: To assess 3-month outcomes pilot data from a patient-centered OUD treatment program in Iowa, USA, that utilized flexible treatment requirements and prioritized engagement over compliance. Methods: Forty patients (62.5% female: mean age was 35.7 years, SD 9.5) receiving medication, either buprenorphine or naltrexone, to treat OUD were enrolled in an observational study. Patients could select or decline case management, counseling, and peer recovery groups. Substance use, risk and protective factors, and recovery capital were measured at intake and 3 months. Results: Most participants reported increased recovery capital. The median Assessment of Recovery Capital (ARC) score went from 37 at enrollment to 43 (p