Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA

Alison C. Lynch; Andrea N. Weber; Suzy Hedden; Sayeh Sabbagh; Stephan Arndt; Laura Acion

doi:10.1186/s13011-021-00342-5

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Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA

Journal article

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Peer reviewed

Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA

Alison C. Lynch, Andrea N. Weber, Suzy Hedden, Sayeh Sabbagh, Stephan Arndt and Laura Acion

Substance abuse treatment, prevention and policy, Vol.16(1), pp.8-8

01/12/2021

DOI: 10.1186/s13011-021-00342-5

PMCID: PMC7801772

PMID: 33435993

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Abstract

Background: Opioid use disorder (OUD), a chronic disease, is a major public health problem. Despite availability of effective treatment, too few people receive it and treatment retention is low. Understanding barriers and facilitators of treatment access and retention is needed to improve outcomes for people with OUD. Objectives: To assess 3-month outcomes pilot data from a patient-centered OUD treatment program in Iowa, USA, that utilized flexible treatment requirements and prioritized engagement over compliance. Methods: Forty patients (62.5% female: mean age was 35.7 years, SD 9.5) receiving medication, either buprenorphine or naltrexone, to treat OUD were enrolled in an observational study. Patients could select or decline case management, counseling, and peer recovery groups. Substance use, risk and protective factors, and recovery capital were measured at intake and 3 months. Results: Most participants reported increased recovery capital. The median Assessment of Recovery Capital (ARC) score went from 37 at enrollment to 43 (p < 0.01). Illegal drug use decreased, with the median days using illegal drugs in the past month dropping from 10 to 0 (p < 0.001). Cravings improved: 29.2% reported no cravings at intake and 58.3% reported no cravings at 3 months (p < 0.001). Retention rate was 92.5% at 3 months. Retention rate for participants who were not on probation/parole was higher (96.9%) than for those on probation/parole (62.5%, p = 0.021). Conclusion: This study shows preliminary evidence that a care model based on easy and flexible access and strategies to improve treatment retention improves recovery capital, reduces illegal drug use and cravings, and retains people in treatment.

Substance Abuse

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA
Creators: Alison C. Lynch - University of Iowa
Andrea N. Weber - University of Iowa
Suzy Hedden - University of Iowa
Sayeh Sabbagh - University of Iowa
Stephan Arndt - University of Iowa
Laura Acion - Universidad de Buenos Aires
Resource Type: Journal article
Publication Details: Substance abuse treatment, prevention and policy, Vol.16(1), pp.8-8
DOI: 10.1186/s13011-021-00342-5
PMID: 33435993
PMCID: PMC7801772
NLM abbreviation: Subst Abuse Treat Prev Policy
ISSN: 1747-597X
eISSN: 1747-597X
Publisher: Springer Nature
Number of pages: 10
Grant note: SAMHSA 1H79TI081620-01 / Substance Abuse and Mental Health Services Agency (SAMHSA) University of Iowa Carver College of Medicine Department of Psychiatry
Language: English
Date published: 01/12/2021
Academic Unit: Psychiatry; Biostatistics; Addiction Medicine; Family and Community Medicine; Nursing; Injury Prevention Research Center; Internal Medicine
Record Identifier: 9984296359302771

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