COVID 19 and the Opioid Epidemic: An Analysis of Clinical Outcomes During COVID 19

Autor: Chiemeka Ezie, Ryan Badolato, Mary Rockas, Rayek Nafiz, Brian Sands, Adam Wolkin, Pantea Farahmand
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Substance Abuse: Research and Treatment, Vol 16 (2022)
Druh dokumentu: article
ISSN: 1178-2218
11782218
DOI: 10.1177/11782218221085590
Popis: Background and Objectives: Here we aimed to characterize clinical outcomes in those receiving treatment at a Veterans Health Administration (VHA) methadone maintenance treatment program (MMT) during the COVID 19 pandemic in which SAMSHA regulations for MMTs were changed to provide a greater number of methadone allotments and decreased clinic-visit frequency. Methods: We report results of a single-site, pre-post cohort study of urine drug screen data 3 months before and after an increase in allotments of take-home medication from the methadone clinic. One hundred twenty-nine patients met inclusion criteria for this study. The study was reviewed by the NYHHS IRB committee and granted final approval by the Research and Development Committee. Results: The sample was predominately male, average age 66years and average years in most recent treatment is 4.1 years. No statistical significance was found between period 1 and period 2 in the positive test detection for nonprescribed opiates, methadone and illicit substances ( P > .05), number of new medical illnesses or overdoses. We controlled for participant age, substance use disorder diagnosis, psychiatric disorder diagnosis, and number of years in treatment. Discussion/Conclusions: The results of the study illustrate the relative safety of the changes made at this particular MMT during the pandemic. Additionally, there was continued adherence to methadone treatment with minimal change in illicit substance use during period 1 and period 2. Scientific Significance: To these authors’ knowledge this paper is one of the first to examine clinical outcomes in those with opioid addiction prescribed methadone from MMTs during the COVID 19 pandemic.
Databáze: Directory of Open Access Journals
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