با سلام خدمت کاربران در صورتی که با خطای سیستم پرداخت بانکی مواجه شدید از طریق کارت به کارت (6037997535328901 بانک ملی ناصر خنجری ) مقاله خود را دریافت کنید (تا مشکل رفع گردد).
ردیف | عنوان | نوع |
---|---|---|
1 |
Methadone treatment of arrestees: A randomized clinical trial
درمان متادون از دستگیر شدگان: یک کارآزمایی بالینی تصادفی-2020 Background: Opioid use disorder is common among detainees in US jails, yet methadone treatment is rarely
initiated.
Methods: This is a three-group randomized controlled trial in which 225 detainees in Baltimore treated for
opioid withdrawal were assigned to: (1) interim methadone (IM) with patient navigation (IM+PN); (2) IM; or
(3) enhanced treatment-as-usual (ETAU). Participants in both IM groups were able to enter standard methadone
treatment upon release, while ETAU participants received an assessment/referral number. Follow-up assessments
at 1, 3, 6, and 12 months post-release determined treatment enrollment, urine drug testing results, selfreported
days of drug use, criminal activity, and overdose events. Generalized linear mixed modelling examined
two planned contrasts: (1) IM groups combined vs. ETAU; and (2) IM+PN vs. IM.
Results: On an intention-to-treat basis, compared to ETAU, significantly more participants in the combined IM
groups were in treatment 30 days post-release, while the IM+PN vs. IM groups did not significantly differ. By
month 12, there were no significant differences in the estimated marginal means of enrollment in any kind of
drug treatment (0.40 and 0.27 for IM+PN and IM groups, respectively, compared to 0.29 for ETAU). There
were no significant differences for either contrast in opioid-positive tests, although all groups reported a sharp
decrease in heroin use from baseline to follow-up. There were five fatal overdoses, but none occurred during
methadone treatment.
Conclusion: Initiating methadone treatment in jail was effective in promoting entry into community-based drug
abuse treatment but subsequent treatment discontinuation attenuated any potential impact of such treatment. Keywords: Interim methadone treatment | Patient navigation | Criminal justice | Jail | Overdose death | Opioid use disorder |
مقاله انگلیسی |