title: Opioid agonist maintenance for probationers: patient-level predictors of treatment retention, drug use, and crime.
abstract: This study examined outcomes and their predictors among 181 probationers enrolling in opioid agonist maintenance with methadone or levo-alpha-acetylmethadol (LAAM). Participants were interviewed at treatment entry and 2-, 6-, and 12-month follow-ups. Treatment retention and frequency of heroin use, cocaine use, and income-generating criminal activity were examined using survival and longitudinal analyses. Participants reported marked reductions in drug use and crime relative to treatment entry. A number of patient characteristics associated with various outcomes were identified. The findings support engaging probationers in treatment and highlight patient factors that might influence outcomes.
authors.affiliation: Friends Research Institute, Baltimore, Maryland 21201, USA. jgryczynski@friendsresearch.org
authors.forename: Jan
authors.initials: J
authors.lastname: Gryczynski
authors.forename: Timothy W
authors.initials: TW
authors.lastname: Kinlock
authors.forename: Sharon M
authors.initials: SM
authors.lastname: Kelly
authors.forename: Kevin E
authors.initials: KE
authors.lastname: O'Grady
authors.forename: Michael S
authors.initials: MS
authors.lastname: Gordon
authors.forename: Robert P
authors.initials: RP
authors.lastname: Schwartz
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000819:agonists / Q000627:therapeutic use*; D015142:Baltimore; D003415:Crime / Q000706:statistics & numerical data; D005260:Female; D006556:Heroin Dependence / Q000188:drug therapy / Q000534:rehabilitation; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D008692:Methadyl Acetate / Q000627:therapeutic use*; D008875:Middle Aged; D009293:Opioid-Related Disorders / Q000188:drug therapy* / Q000534:rehabilitation; D010349:Patient Compliance; D011329:Prisoners; D016016:Proportional Hazards Models; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000701:Analgesics, Opioid; D008692:Methadyl Acetate; D008691:Methadone