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document
Community-based treatment for opioid dependent offenders : a pilot study . BACKGROUND Primary care opioid substitution treatment ( OST ) has not been compared to program-based OST for community-supervised offenders . OBJECTIVE The purpose of this project was to compare primary care to specialist supervised OST for opioid dependent offenders in terms of substance use and HIV risk outcomes . METHODS This project randomly assigned 15 jail diversion participants to either : ( i ) primary care buprenorphine OST , ( ii ) specialist facility buprenorphine OST , or ( iii ) specialist facility methadone OST . Participation lasted 13.5 months ( 12-month active treatment plus a post-participation visit ) . RESULTS All subjects endorsed 0 days of opioid use in the previous 14 at follow-up . Specialty care reduced HIV risk ( Risk Assessment Battery composite score ) over 6 months ( -.24 ± .17 ) compared to primary care ( .02 ± .14 ; p = .032 ) . CONCLUSION Findings support primary care OST feasibility for a community-supervised offender sample . Specialist care may facilitate improvements in secondary outcomes , such as HIV risk behaviors . SCIENTIFIC SIGNIFICANCE Further research is needed to clarify ( i ) the role of primary care in addicted offender management , and ( ii ) the matching of offenders , based upon history and co-morbidity , to care coordination conditions .
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Intervention_Psychological
Community-based treatment
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Intervention_Psychological
Primary care opioid substitution treatment ( OST
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Intervention_Educational
)
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Intervention_Educational
primary care
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Intervention_Other
buprenorphine
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Intervention_Educational
OST
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Intervention_Educational
specialist facility
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Intervention_Other
buprenorphine
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Intervention_Educational
OST
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Intervention_Educational
specialist facility
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Intervention_Other
methadone
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Intervention_Educational
OST
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Outcome_Mental
substance use
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Outcome_Mental
HIV risk outcomes .
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Outcome_Mental
HIV risk ( Risk Assessment Battery composite score )
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Outcome_Mental
such as HIV risk behaviors
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Participant_Condition
opioid dependent offenders
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Participant_Condition
community-supervised offenders
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Participant_Sample-size
15
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Participant_Condition
jail diversion participants