title: Community-based relapse prevention for opiate dependents: a randomized community controlled trial.
abstract: Relapse prevention (RP) programs mainly focus on patients and their families; however a patient's community can also play a significant role in RP. A randomized-controlled-trial was conducted among opiate-dependents discharging from residential abstinence-based treatment programs to assess the effect of a community-based relapse prevention program (CBRP) on the RP. Seventy-one participants were consented and randomized into CBPR (n = 35) or treatment-as-usual arms. Developing and implementing CBRP, social-workers and peer-group counselors facilitated and advocated thirty-six RP projects across 7 communities during a three-month follow-up period. Negative-drug-tests, 45 and 90 days after discharge from residential programs were considered as the main outcome. Abstinence rates were significantly greater for patients who received CBRP in comparison to the subjects in the treatment-as-usual arm at 45 days (27 and 20, P < 0.004) and 90 days (27 and 21, P < 0.007) after discharge. CBRP was an effective method for RP among opiate-dependents after being discharged from the residential programs.
authors.affiliation: University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran, arammaref@gmail.com.
authors.forename: Masoomeh
authors.initials: M
authors.lastname: Maarefvand
authors.forename: Mostafa
authors.initials: M
authors.lastname: Eghlima
authors.forename: Hasan
authors.initials: H
authors.lastname: Rafiey
authors.forename: Mahdi
authors.initials: M
authors.lastname: Rahgozar
authors.forename: Nazanin
authors.initials: N
authors.lastname: Tadayyon
authors.forename: Abbas
authors.initials: A
authors.lastname: Deilamizadeh
authors.forename: Hamed
authors.initials: H
authors.lastname: Ekhtiari
mesh_terms: D000328:Adult; D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007492:Iran; D008297:Male; D008875:Middle Aged; D009293:Opioid-Related Disorders / Q000517:prevention & control* / Q000523:psychology / Q000534:rehabilitation*; D012008:Recurrence; D012114:Residential Treatment / Q000706:statistics & numerical data*; D012944:Social Support; D015813:Substance Abuse Detection; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D055815:Young Adult
references.citation: Addict Behav. 2002 Jul-Aug;27(4):547-59
references.pmid: 12188591
references.citation: Am J Psychiatry. 2003 Sep;160(9):1677-83
references.pmid: 12944345
references.citation: Addict Behav. 2000 Nov-Dec;25(6):929-42
references.pmid: 11125780
references.citation: Law Hum Behav. 2009 Apr;33(2):122-35
references.pmid: 18581220
references.citation: Prev Chronic Dis. 2007 Jul;4(3):A68
references.pmid: 17572972
references.citation: Addiction. 2002 Oct;97(10):1259-67
references.pmid: 12359030
references.citation: Am J Psychiatry. 2007 Mar;164(3):393-9
references.pmid: 17329462
references.citation: Prev Med. 2007 Jun;44(6):513-9
references.pmid: 17383717
references.citation: Addiction. 1999 Dec;94(12):1805-16
references.pmid: 10717959
references.citation: JAMA. 2000 Oct 4;284(13):1689-95
references.pmid: 11015800
references.citation: Addict Behav. 2000 Jul-Aug;25(4):539-47
references.pmid: 10972445
references.citation: J Assoc Nurses AIDS Care. 1998 May-Jun;9(3):29-40
references.pmid: 9589419
references.citation: Am J Public Health. 2003 Apr;93(4):557-74
references.pmid: 12660197
references.citation: Addiction. 1996 Aug;91(8):1101-13
references.pmid: 8828239
references.citation: Drug Alcohol Depend. 2010 Feb 1;107(1):62-8
references.pmid: 19819085
references.citation: Am Psychol. 1980 Aug;35(8):691-712
references.pmid: 7416563
references.citation: Am J Addict. 2002 Winter;11(1):57-65
references.pmid: 11876584
references.citation: Addict Behav. 2013 Feb;38(2):1563-1571
references.pmid: 22534451
references.citation: Drugs Aging. 2002;19(8):583-94
references.pmid: 12207552
references.citation: Behav Res Ther. 1979;17(2):89-94
references.pmid: 426748
references.citation: Drug Alcohol Depend. 2007 Jul 10;89(2-3):267-74
references.pmid: 17329040
references.citation: Ann Emerg Med. 1995 Nov;26(5):590-4
references.pmid: 7486367
references.citation: Int J Addict. 1984 Dec;19(8):903-17
references.pmid: 6530309
references.citation: Alcohol Res Health. 1999;23(2):151-60
references.pmid: 10890810
references.citation: Prev Chronic Dis. 2010 Mar;7(2):A38
references.pmid: 20158966
references.citation: Public Health. 2001 Sep;115(5):317-22
references.pmid: 11593440
references.citation: Heart Lung. 2010 Jan-Feb;39(1):50-63
references.pmid: 20109986
references.citation: J Subst Abuse Treat. 2009 Jul;37(1):8-16
references.pmid: 19038525