Expanding buprenorphine treatment to people experiencing homelessness through a mobile, multidisciplinary program in an urban, underserved setting
| Autor: | Kathleen Reeves, Jonetta Gibbs, Ian Latham, Jillian Jatres, David T. O'Gurek, Byron Udegbe |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Electronic data capture Population 030508 substance abuse Medicine (miscellaneous) 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach medicine Opiate Substitution Treatment Humans 030212 general & internal medicine Adverse Childhood Experiences education Retrospective Studies education.field_of_study business.industry Medical record Opioid use disorder medicine.disease Opioid-Related Disorders Buprenorphine Outreach Psychiatry and Mental health Clinical Psychology Family medicine Ill-Housed Persons Pshychiatric Mental Health 0305 other medical science business medicine.drug |
| Zdroj: | Journal of substance abuse treatment. 127 |
| ISSN: | 1873-6483 |
| Popis: | Background and objectives Inequities in access to buprenorphine treatment remain despite measures to increase access to treatment. “Begin the Turn,” a low-barrier, multidisciplinary mobile care unit with access to outreach services, counseling, case management, and buprenorphine treatment addresses these disparities in an urban setting. Methods Retrospective medical record review of patients during the initial 6 months of operation abstracted patient demographics and clinical data, including 10 categories of adverse childhood experiences (ACEs) using a total number of ACEs (ACE score) and measuring scores greater than or equal to 4 given higher risk of chronic disease states at this level. The study collected data in electronic data capture tools. The study assessed retention rates at 1, 3, and 5 months. Results Among the 147 individuals who received care, the mean age was 39.6 years and median onset of opioid use was 21 years of age. Among study participants, 67.3% (n = 99) reported IV use, 91.9% (n = 135) reported previous experiences with addiction treatment, and 49.7% (n = 73) had previously suffered an overdose. Adverse Childhood Experiences surveys demonstrated a mean score of 4.6 (n = 141), with 63.1% (n = 89) having a score of 4 or greater. The percentages of patients retained in care at 1, 3, and 5 months were 61.2%, 36.6%, and 27.6%, respectively. Conclusion and scientific significance The program serves a population with high rates of trauma and overdose. The program can serve as a model for treatment for this population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect