TY - JOUR
KW - medication-assisted treatment
KW - Off-label medication
KW - substance use disorders
KW - treatment centers
AU - M. Paino
AU - L. Aletraris
AU - P. M. Roman
A1 - 
AB - Background: Substance use disorder (SUD) treatment centers serve a population of clients who have diverse needs, and may desire or require access to varied treatments while seeking care for their SUDs. While pharmacotherapies have increased in popularity for the treatment of SUDs, adoption rates do remain quite low. But a wider array of pharmacotherapies has become available in recent years which may shift the trend. This article helps shed light on how variations in SUD treatment centers develop and persist with regard to the adoption and delivery of off-label medications. Methods: We use a nationally representative and longitudinal sample of SUD treatment centers in the US (N = 196). We use a logistic regression to analyze the relationship between organizational characteristics and offering any medications, off-label. We also use a negative binomial regression to analyze the relationship between organizational characteristics and the number of medications that were used off-label. Results: Our findings reveal that older centers, accredited centers, and centers that offer mental health screenings are all positively associated with the provision of off-label medication in SUD treatment. We also find a positive relationship between private funding and offering a greater number of off-label medications. Conclusions: Our results suggest that SUD clients who seek treatment from centers that offer medications off-label, may have access to a greater number of medication-assisted treatment options.
AD - Department of Sociology, Anthropology, Social Work, and Criminal Justice, Oakland University, Rochester, Michigan, USA.; Owens Institute for Behavioral Research, University of Georgia, Athens, Georgia, USA.; Owens Institute for Behavioral Research, University of Georgia, Athens, Georgia, USA.
BT - Substance abuse
C5 - Education & Workforce; Opioids & Substance Use
CP - 3
DO - 10.1080/08897077.2019.1635962
IS - 3
JF - Substance abuse
LA - eng
M1 - Journal Article
N2 - Background: Substance use disorder (SUD) treatment centers serve a population of clients who have diverse needs, and may desire or require access to varied treatments while seeking care for their SUDs. While pharmacotherapies have increased in popularity for the treatment of SUDs, adoption rates do remain quite low. But a wider array of pharmacotherapies has become available in recent years which may shift the trend. This article helps shed light on how variations in SUD treatment centers develop and persist with regard to the adoption and delivery of off-label medications. Methods: We use a nationally representative and longitudinal sample of SUD treatment centers in the US (N = 196). We use a logistic regression to analyze the relationship between organizational characteristics and offering any medications, off-label. We also use a negative binomial regression to analyze the relationship between organizational characteristics and the number of medications that were used off-label. Results: Our findings reveal that older centers, accredited centers, and centers that offer mental health screenings are all positively associated with the provision of off-label medication in SUD treatment. We also find a positive relationship between private funding and offering a greater number of off-label medications. Conclusions: Our results suggest that SUD clients who seek treatment from centers that offer medications off-label, may have access to a greater number of medication-assisted treatment options.
PY - 2020
SN - 1547-0164; 0889-7077; 0889-7077
SP - 340
EP - 346
EP - 
T1 - The use of off-label medications in substance abuse treatment programs
T2 - Substance abuse
TI - The use of off-label medications in substance abuse treatment programs
U1 - Education & Workforce; Opioids & Substance Use
U2 - 31361567
U3 - 10.1080/08897077.2019.1635962
VL - 41
VO - 1547-0164; 0889-7077; 0889-7077
Y1 - 2020
ER -