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Public Health and Community Nursing

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Buprenorphine

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Full-Text Articles in Medicine and Health Sciences

Patterns Of Substance Use And Buprenorphine Utilization To Predict Treatment Utilization For Opioid Use Disorder, Nicole M. Kent Aug 2023

Patterns Of Substance Use And Buprenorphine Utilization To Predict Treatment Utilization For Opioid Use Disorder, Nicole M. Kent

Doctoral Dissertations

Substance use continues to rise in the United States. In 2021, 5.6 million people had an opioid use disorder (OUD). OUD is highly stigmatized and is not treated as a chronic condition. People with OUD have been denied treatment for a single positive urine drug test. Pregnant women are further at risk of criminal charges or losing custody of their child. OUD treatment success is defined as opioid abstinence and the goal of treatment is to taper off medication, despite evidence that treatment retention leads to better outcomes. The purpose of this study was to identify patterns of buprenorphine utilization …


The Impact Of Ptsd And History Of Involvement In The Criminal Justice System On Medication Treatment Success In Opioid Use Disorder, Kirk Sanger Mar 2019

The Impact Of Ptsd And History Of Involvement In The Criminal Justice System On Medication Treatment Success In Opioid Use Disorder, Kirk Sanger

Doctoral Dissertations

This analysis examined the impact of post-traumatic stress disorder (PTSD), history of trauma, and a history of involvement in the criminal justice system (CJS) on treatment outcomes related to medication treatment for opioid use disorder. This study employed a secondary analysis of data derived from a multi-state, multi-site treatment center focused on substance abuse and more specifically opioid use disorder treatment. The total sample size was 19,970 patients. The majority of the sample received treatment in Massachusetts, was white, and non-Hispanic. Those with PTSD accounted for 9.5% of the sample, while 12% had a history of trauma. Just under 1/4 …