Association between Participation in Counseling and Retention in a Buprenorphine-Assisted Treatment Program for People Experiencing Homelessness with Opioid Use Disorder

The opioid epidemic is a public health crisis that disproportionately affects our unsheltered neighbors. Because medication-assisted treatment (MAT) is effective for preventing deaths from drug overdose and retention is associated with better health outcomes, there is a clear need for more research...

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Autores principales:	Amanda R. W. Berry, Tracy L. Finlayson, Luke M. Mellis, Lianne A. Urada
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	homelessness opioid medication-assisted treatment buprenorphine Medicine R
Acceso en línea:	https://doaj.org/article/5dcb557cd07f4e4385e4de5ed5eb8590
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spelling	oai:doaj.org-article:5dcb557cd07f4e4385e4de5ed5eb85902021-11-11T16:13:12ZAssociation between Participation in Counseling and Retention in a Buprenorphine-Assisted Treatment Program for People Experiencing Homelessness with Opioid Use Disorder10.3390/ijerph1821110721660-46011661-7827https://doaj.org/article/5dcb557cd07f4e4385e4de5ed5eb85902021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11072https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The opioid epidemic is a public health crisis that disproportionately affects our unsheltered neighbors. Because medication-assisted treatment (MAT) is effective for preventing deaths from drug overdose and retention is associated with better health outcomes, there is a clear need for more research on factors impacting retention in care. This retrospective cohort analysis examines the relationship between attendance in counseling and retention on buprenorphine for three or more months for individuals experiencing homelessness being treated at a Federally Qualified Health Center (FQHC) and Public Health Service Act §330(h) Health Care for the Homeless Program grantee in San Diego County, California. The cohort included 306 adults experiencing homelessness who had at least one prescription for buprenorphine and participated in a MAT program between 2017 and 2019. The sample included 64.4% men, almost exclusively white, and 35% lived in a place not meant for human habitation. Of the sample, 97 patients were retained at 3 months and 209 were not. Results from a logistic regression model showed that counseling appointments were positively associated with retention at three months (OR = 1.57, <i>p</i> < 0.001). Findings from this study inform future MAT program design components for people experiencing homelessness.Amanda R. W. BerryTracy L. FinlaysonLuke M. MellisLianne A. UradaMDPI AGarticlehomelessnessopioidmedication-assisted treatmentbuprenorphineMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11072, p 11072 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	homelessness opioid medication-assisted treatment buprenorphine Medicine R
spellingShingle	homelessness opioid medication-assisted treatment buprenorphine Medicine R Amanda R. W. Berry Tracy L. Finlayson Luke M. Mellis Lianne A. Urada Association between Participation in Counseling and Retention in a Buprenorphine-Assisted Treatment Program for People Experiencing Homelessness with Opioid Use Disorder
description	The opioid epidemic is a public health crisis that disproportionately affects our unsheltered neighbors. Because medication-assisted treatment (MAT) is effective for preventing deaths from drug overdose and retention is associated with better health outcomes, there is a clear need for more research on factors impacting retention in care. This retrospective cohort analysis examines the relationship between attendance in counseling and retention on buprenorphine for three or more months for individuals experiencing homelessness being treated at a Federally Qualified Health Center (FQHC) and Public Health Service Act §330(h) Health Care for the Homeless Program grantee in San Diego County, California. The cohort included 306 adults experiencing homelessness who had at least one prescription for buprenorphine and participated in a MAT program between 2017 and 2019. The sample included 64.4% men, almost exclusively white, and 35% lived in a place not meant for human habitation. Of the sample, 97 patients were retained at 3 months and 209 were not. Results from a logistic regression model showed that counseling appointments were positively associated with retention at three months (OR = 1.57, <i>p</i> < 0.001). Findings from this study inform future MAT program design components for people experiencing homelessness.
format	article
author	Amanda R. W. Berry Tracy L. Finlayson Luke M. Mellis Lianne A. Urada
author_facet	Amanda R. W. Berry Tracy L. Finlayson Luke M. Mellis Lianne A. Urada
author_sort	Amanda R. W. Berry
title	Association between Participation in Counseling and Retention in a Buprenorphine-Assisted Treatment Program for People Experiencing Homelessness with Opioid Use Disorder
title_short	Association between Participation in Counseling and Retention in a Buprenorphine-Assisted Treatment Program for People Experiencing Homelessness with Opioid Use Disorder
title_full	Association between Participation in Counseling and Retention in a Buprenorphine-Assisted Treatment Program for People Experiencing Homelessness with Opioid Use Disorder
title_fullStr	Association between Participation in Counseling and Retention in a Buprenorphine-Assisted Treatment Program for People Experiencing Homelessness with Opioid Use Disorder
title_full_unstemmed	Association between Participation in Counseling and Retention in a Buprenorphine-Assisted Treatment Program for People Experiencing Homelessness with Opioid Use Disorder
title_sort	association between participation in counseling and retention in a buprenorphine-assisted treatment program for people experiencing homelessness with opioid use disorder
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/5dcb557cd07f4e4385e4de5ed5eb8590
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Association between Participation in Counseling and Retention in a Buprenorphine-Assisted Treatment Program for People Experiencing Homelessness with Opioid Use Disorder

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