Factors predicting completion in a cohort of opiate users entering a detoxification programme.
AffiliationStrategic Health Planning, Population Health Directorate, Dr. Steeven's Hospital, HSE, Dublin 8, Ireland. Louise.firstname.lastname@example.org
Local subject classificationPUBLIC HEALTH DEPARTMENT
HEALTH SERVICE PLANNING
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CitationFactors predicting completion in a cohort of opiate users entering a detoxification programme. 2010, 179 (4):569-73 Ir J Med Sci
JournalIrish journal of medical science
AbstractTo determine the outcome and factors influencing outcome among a cohort of drug users commencing detoxification from opiate use.
National cohort study of randomly selected opiate users commencing methadone detoxification treatment in 1999, 2001 and 2003 (n = 327).
One quarter 62 (25.6%) of opiate users had a successful detoxification within the 3-month study criteria. Receiving some inpatient treatment as part of detoxification programme resulted in completion by 56.3% drug users compared to outpatient only treatment (21%). The factors independently influencing detoxification are as follows: having some inpatient treatment AOR 5.9 (2.63-13.64) and never having injected AOR 2.25 (1.20-4.25). An additional 31 (9%) opiate users had a detoxification between 3 months and 1 year and 27 (8%) moved into methadone maintenance.
This study finds that having some inpatient treatment increases the likelihood of a detoxification within 3 months. Offering a detoxification early in a drug using career pre-injecting drug use should be considered for suitable and motivated patients.
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