TY - JOUR
KW - Adult
KW - Ambulatory Care Facilities
KW - Appointments and Schedules
KW - Buprenorphine/therapeutic use
KW - Female
KW - Homeless Persons/psychology
KW - Humans
KW - Male
KW - Narcotic Antagonists/therapeutic use
KW - Opiate Substitution Treatment/methods
KW - Opioid-Related Disorders/drug therapy
KW - Patient Acceptance of Health Care/statistics & numerical data
KW - Program Evaluation
KW - Retrospective Studies
KW - Treatment Adherence and Compliance/statistics & numerical data
KW - Young Adult
KW - buprenorphine
KW - group visit
KW - Homeless
KW - office-based treatment
KW - shared medical appointment
AU - Sara L. Doorley
AU - Cheryl J. Ho
AU - Elizabeth Echeverria
AU - Charles Preston
AU - Huy Ngo
AU - Ahmad Kamal
AU - Chinazo O. Cunningham
A1 - 
AB - BACKGROUND: Opioid misuse and dependence are prevalent and rising problems in the United States. Treatment with buprenorphine is a successful treatment option for individuals with opioid dependence. This study describes and preliminarily evaluates a unique delivery system that provides buprenorphine treatment via a shared medical appointment. METHODS: A retrospective medical record review on all 77 opioid-dependent patients referred for a buprenorphine shared medical appointment in a homeless clinic from 2010 to 2012. RESULTS: Most patients were currently homeless (61%), unemployed (92%), had an Axis I psychiatric diagnosis (81%), and had recent polysubstance use (53%). Of the 77 patients, 95% attended at least 1 shared medical appointment. Treatment retention at 12 and 24 weeks was 86% and 70%, respectively. CONCLUSIONS: In a patient population with complex social and mental health histories, buprenorphine treatment via a shared medical appointment had high retention rates. Findings can help guide the development of unique delivery systems to serve real-world complex patients with opioid dependence.
AD - a Santa Clara Valley Medical Center , San Jose , California , USA.; a Santa Clara Valley Medical Center , San Jose , California , USA.; a Santa Clara Valley Medical Center , San Jose , California , USA.; a Santa Clara Valley Medical Center , San Jose , California , USA.; a Santa Clara Valley Medical Center , San Jose , California , USA.; a Santa Clara Valley Medical Center , San Jose , California , USA.; b Stanford Medical Center , Stanford , California , USA.; c Albert Einstein College of Medicine and Montefiore Medical Center , Bronx , New York , USA.
BT - Substance abuse
C5 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
CP - 1
CY - United States
DO - 10.1080/08897077.2016.1264535
IS - 1
JF - Substance abuse
LA - eng
M1 - Journal Article
N2 - BACKGROUND: Opioid misuse and dependence are prevalent and rising problems in the United States. Treatment with buprenorphine is a successful treatment option for individuals with opioid dependence. This study describes and preliminarily evaluates a unique delivery system that provides buprenorphine treatment via a shared medical appointment. METHODS: A retrospective medical record review on all 77 opioid-dependent patients referred for a buprenorphine shared medical appointment in a homeless clinic from 2010 to 2012. RESULTS: Most patients were currently homeless (61%), unemployed (92%), had an Axis I psychiatric diagnosis (81%), and had recent polysubstance use (53%). Of the 77 patients, 95% attended at least 1 shared medical appointment. Treatment retention at 12 and 24 weeks was 86% and 70%, respectively. CONCLUSIONS: In a patient population with complex social and mental health histories, buprenorphine treatment via a shared medical appointment had high retention rates. Findings can help guide the development of unique delivery systems to serve real-world complex patients with opioid dependence.
PP - United States
PY - 2017
SN - 1547-0164; 0889-7077
SP - 26
EP - 30
EP - 
T1 - Buprenorphine shared medical appointments for the treatment of opioid dependence in a homeless clinic
T2 - Substance abuse
TI - Buprenorphine shared medical appointments for the treatment of opioid dependence in a homeless clinic
U1 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
U2 - 27897918
U3 - 10.1080/08897077.2016.1264535
VL - 38
VO - 1547-0164; 0889-7077
Y1 - 2017
Y2 - Jan-Mar
ER -