title: Engagement, retention, and abstinence for three types of opioid users in Florida.
abstract: Prescription opioid use has grown rapidly, but few studies examined whether users have similar treatment responses as heroin users. Participants were 1,648 opioid users in Florida Access to Recovery (2004-2007). Participants engaged in methadone or buprenorphine maintenance had better retention than those in nonmaintenance treatment. Heroin only users (HO) had better engagement in nonmaintenance treatments and had worse retention than prescription opioid only users (PO). In methadone maintenance, PO were more likely to report opioid abstinence during treatment than heroin and prescription opioid users (H&P). Future research should focus on understanding and improving the treatment experience of opioid use subgroups.
authors.affiliation: School of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USA. bmccabe@miami.edu
authors.forename: Brian E
authors.initials: BE
authors.lastname: McCabe
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Santisteban
authors.forename: Maite P
authors.initials: MP
authors.lastname: Mena
authors.forename: Darran M
authors.initials: DM
authors.lastname: Duchene
authors.forename: Carali
authors.initials: C
authors.lastname: McLean
authors.forename: Marcia
authors.initials: M
authors.lastname: Monroe
mesh_terms: D000328:Adult; D002047:Buprenorphine / Q000627:therapeutic use; D005260:Female; D006556:Heroin Dependence / Q000188:drug therapy / Q000523:psychology*; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008691:Methadone / Q000627:therapeutic use; D009294:Narcotics / Q000627:therapeutic use; D058850:Opiate Substitution Treatment / Q000523:psychology*; D009293:Opioid-Related Disorders / Q000188:drug therapy / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D055553:Prescription Drugs / Q000009:adverse effects*; D036301:Qualitative Research; D016896:Treatment Outcome
chemical_list: D009294:Narcotics; D055553:Prescription Drugs; D002047:Buprenorphine; D008691:Methadone