Levels of engagement among office‐based opioid treatment (OBOT) patients with concurrent methamphetamine use

Background and Objectives Recent increases in methamphetamine use among people seeking treatment for opioid use disorder (OUD) has created significant demand for effective approaches to support this clinical population. This study assessed the extent to which office‐based opioid treatment (OBOT) pat...

Full description

Saved in:

Bibliographic Details
Published in:	The American journal on addictions Vol. 33; no. 5; pp. 583 - 589
Main Authors:	Coules, Courtney L., Novotny, Clara B., McDonough, Margaret E., Kopak, Albert M.
Format:	Journal Article
Language:	English
Published:	England 01-09-2024
Subjects:	Adult Amphetamine-Related Disorders - epidemiology Amphetamine-Related Disorders - therapy Female Humans Male Methamphetamine Middle Aged Office Visits - statistics & numerical data Opiate Substitution Treatment - statistics & numerical data Opioid-Related Disorders - drug therapy Opioid-Related Disorders - epidemiology Retrospective Studies Telemedicine - statistics & numerical data
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Background and Objectives Recent increases in methamphetamine use among people seeking treatment for opioid use disorder (OUD) has created significant demand for effective approaches to support this clinical population. This study assessed the extent to which office‐based opioid treatment (OBOT) patients, who were diagnosed with methamphetamine use disorder (MUD), engaged with providers. Methods A retrospective analysis was conducted of adult patients (n = 470) seeking treatment for OUD who attended at least one visit between March 2020 and March 2023 at a rural regional OBOT provider. Approximately one quarter (28.7%) of patients were diagnosed with MUD in addition to receiving an OUD diagnosis. Bivariate methods and multivariate negative binomial regression models were estimated to examine the associations between clinical measures and the numbers of office visits, peer visits, and telehealth visits. Results Regression results indicated patients who met criteria for MUD in addition to OUD attended a higher rate of peer visits (incidence rate ratio [IRR] = 2.63, p = .036) when compared to patients who did not meet criteria for MUD. In contrast, patients with MUD and OUD diagnoses displayed significantly lower (IRR = 0.68, p < .001) engagement rates through fewer office visits relative to those who did not meet MUD criteria. Discussion and Conclusions Patients seeking treatment for OUD who meet criteria for MUD are more likely to engage through peer support specialists rather than office visits. Scientific Significance This study demonstrates the ways patients who meet criteria for OUD and MUD engage with providers to receive treatment.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1055-0496 1521-0391 1521-0391
DOI:	10.1111/ajad.13572