title: Perceived relapse risk and desire for medication assisted treatment among persons seeking inpatient opiate detoxification.
abstract: Most patients with opioid addiction do not receive medication at the time of discharge from brief inpatient detoxification programs despite the high risk of relapse and the availability of three FDA-approved medications. We surveyed 164 inpatient opioid detoxification patients to assess desire for pharmacotherapy following detoxification program discharge. Participants were predominantly male (71.3%) and 80% had detoxed in the past. Reporting on their most recent previous inpatient detoxification, 27% had relapsed the day they were discharged, 65% within a month of discharge, and 90% within a year of discharge. 63% reported they wanted medication-assisted treatment (MAT) after discharge from the current admission. The odds of desiring a treatment medication increased by a factor of 1.02 for every 1% increase in perceived relapse risk (p<.01). These data suggest patient preference discussions including relapse risk could increase post-detox abstinence.
authors.affiliation: The Warren Alpert Medical School of Brown University, Providence, RI 02912, USA. Genie_Bailey@brown.edu
authors.forename: Genie L
authors.initials: GL
authors.lastname: Bailey
authors.forename: Debra S
authors.initials: DS
authors.lastname: Herman
authors.forename: Michael D
authors.initials: MD
authors.lastname: Stein
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data; D008297:Male; D058850:Opiate Substitution Treatment / Q000379:methods*; D009293:Opioid-Related Disorders / Q000534:rehabilitation*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010351:Patient Discharge; D057240:Patient Preference; D012306:Risk; D055502:Secondary Prevention; D016320:Substance Abuse Treatment Centers / Q000379:methods; D013375:Substance Withdrawal Syndrome / Q000628:therapy*; D013997:Time Factors; D055815:Young Adult
keywords: Aftercare; Detoxification; Medication; Opiates; Relapse