title: Methadone "callbacks" within a veterans affairs opioid treatment program: Detecting methadone misuse.
abstract: OBJECTIVE
  A "callback" requires patients to bring in take-home methadone doses for inspection. An opioid treatment program (OTP) quality-improvement project examined random versus "for-cause" callbacks.
  
  
  METHODS
  Eighty-two random callbacks and 60 for-cause callbacks were conducted among patients enrolled in an OTP (N = 183).
  
  
  RESULTS
  Among patients with more take home doses, 6% of random callbacks versus 44% of for-cause callbacks were failed. Among patients with fewer take home doses, 36% of for-cause callbacks were failed.
  
  
  CONCLUSIONS
  For-cause callbacks are more useful than random ones.
  
  
  CONCLUSIONS
  For-cause callbacks based on clinical judgment detect methadone misuse. (Am J Addict 2017;26:50-52).
authors.affiliation: U.S. Department of Veterans Affairs Puget Sound Health Care System, Seattle, Washington.|Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
authors.forename: Ann J
authors.initials: AJ
authors.lastname: Cotton
authors.affiliation: U.S. Department of Veterans Affairs Puget Sound Health Care System, Seattle, Washington.|Center of Excellence in Substance Abuse Treatment and Education, Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
authors.forename: Leandra J
authors.initials: LJ
authors.lastname: Shipley
authors.affiliation: U.S. Department of Veterans Affairs Puget Sound Health Care System, Seattle, Washington.|Center of Excellence in Substance Abuse Treatment and Education, Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
authors.forename: Lisa H
authors.initials: LH
authors.lastname: Glynn
authors.affiliation: U.S. Department of Veterans Affairs Puget Sound Health Care System, Seattle, Washington.|Center of Excellence in Substance Abuse Treatment and Education, Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
authors.forename: Josie
authors.initials: J
authors.lastname: Tracy
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.|Center of Excellence in Substance Abuse Treatment and Education, Veterans Affairs Puget Sound Health Care System, Seattle, Washington.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Saxon
mesh_terms: D000701:Analgesics, Opioid / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use; D008875:Middle Aged; D058850:Opiate Substitution Treatment / Q000379:methods*; D015813:Substance Abuse Detection / Q000379:methods*; D019966:Substance-Related Disorders / Q000517:prevention & control*; D014728:Veterans / Q000523:psychology*
chemical_list: D000701:Analgesics, Opioid; D008691:Methadone