Medication for opioid use disorder treatment and specialty outpatient substance use treatment outcomes: Differences in retention and completion among opioid-related discharges in 2016.
Access to care
Addiction
Drug use
Medicaid
Pharmaceuticals
Substance abuse
Journal
Journal of substance abuse treatment
ISSN: 1873-6483
Titre abrégé: J Subst Abuse Treat
Pays: United States
ID NLM: 8500909
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
24
10
2019
revised:
11
04
2020
accepted:
06
05
2020
entrez:
13
6
2020
pubmed:
13
6
2020
medline:
29
7
2021
Statut:
ppublish
Résumé
Opioid medication treatment access is a public health priority aimed to improve opioid use treatment outcomes. However, Medicaid does not cover all forms of MOUD, particularly methadone, in many states. We examined associations between medication for opioid use disorder (MOUD) plans and substance use treatment discharge reason (e.g., completed treatment, dropped out of treatment) as well as treatment retention (i.e., length of stay), and estimated whether these relationships were modified by state Medicaid methadone coverage. Data from the 2016 Treatment Episode Data Set for Discharges (TEDS-D) included 152,196 opioid-related treatment episodes from 47 states using relative risk regression with state clustering. Discharges involving MOUD had higher treatment retention for >180 days (aRR: 1.60, 95% CI: 1.29, 1.99) and >365 days (aRR: 2.64, 95% CI: 2.00, 3.49) but lower treatment completion (aRR: 0.46, 95% CI: 0.38, 0.57). There was no evidence that state Medicaid methadone coverage modified any of these relationships. Focusing on treatment completion alone may obscure health benefits associated with longer MOUD treatment retention.
Identifiants
pubmed: 32527510
pii: S0740-5472(19)30577-X
doi: 10.1016/j.jsat.2020.108028
pmc: PMC7328306
mid: NIHMS1595809
pii:
doi:
Substances chimiques
Analgesics, Opioid
0
Methadone
UC6VBE7V1Z
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
108028Subventions
Organisme : NIDA NIH HHS
ID : K01 DA045224
Pays : United States
Organisme : NIDA NIH HHS
ID : L30 DA042436
Pays : United States
Organisme : NIDA NIH HHS
ID : R01 DA037866
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest None.
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