TY - JOUR KW - Adaptation, Psychological KW - Buprenorphine/therapeutic use KW - Cognitive Therapy/methods KW - Combined Modality Therapy KW - Counseling/methods KW - Humans KW - Methadone/therapeutic use KW - Motivation KW - Narcotic Antagonists/therapeutic use KW - Narcotics/therapeutic use KW - Opioid-Related Disorders/drug therapy/psychology/rehabilitation KW - Patient Dropouts KW - Secondary prevention KW - Substance Abuse Treatment Centers KW - Treatment Outcome KW - United States AU - M. M. Copenhaver AU - R. D. Bruce AU - F. L. Altice A1 - AB - There is growing empirical evidence of buprenorphine's effectiveness in treating opioid dependence in community-based settings in the U.S. Decades of research indicates that in order for buprenorphine to have a sizable effect, it must be appropriately supported by behavioral counseling. Studies to date have not established the optimal behavioral counseling content for supporting buprenorphine treatment. The objective of this article is: 1) to review evidence of the key treatment-relevant issues posed by opioid-dependent patients in community-based settings in the U.S.; and 2) to review behavioral counseling content that may optimize the use of buprenorphine for treating opioid dependence in such settings. Evidence points toward the use of behavioral counseling aimed at enhancing patients' motivation during treatment entry followed by an emphasis on improving coping/relapse prevention skills during the primary phase of treatment. BT - The American Journal of Drug and Alcohol Abuse C5 - Opioids & Substance Use; Education & Workforce CP - 5 CY - United States IS - 5 JF - The American Journal of Drug and Alcohol Abuse N2 - There is growing empirical evidence of buprenorphine's effectiveness in treating opioid dependence in community-based settings in the U.S. Decades of research indicates that in order for buprenorphine to have a sizable effect, it must be appropriately supported by behavioral counseling. Studies to date have not established the optimal behavioral counseling content for supporting buprenorphine treatment. The objective of this article is: 1) to review evidence of the key treatment-relevant issues posed by opioid-dependent patients in community-based settings in the U.S.; and 2) to review behavioral counseling content that may optimize the use of buprenorphine for treating opioid dependence in such settings. Evidence points toward the use of behavioral counseling aimed at enhancing patients' motivation during treatment entry followed by an emphasis on improving coping/relapse prevention skills during the primary phase of treatment. PP - United States PY - 2007 SN - 0095-2990; 0095-2990 SP - 643 EP - 654 EP - T1 - Behavioral counseling content for optimizing the use of buprenorphine for treatment of opioid dependence in community-based settings: a review of the empirical evidence T2 - The American Journal of Drug and Alcohol Abuse TI - Behavioral counseling content for optimizing the use of buprenorphine for treatment of opioid dependence in community-based settings: a review of the empirical evidence U1 - Opioids & Substance Use; Education & Workforce U2 - 17891657 VL - 33 VO - 0095-2990; 0095-2990 Y1 - 2007 ER -