2023-09-28 14:46:10 +00:00
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abstract: 'Background: Project Access UK was designed to provide real-world
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observations on the status of medication-assisted treatment (MAT) of
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opioid dependence.
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Methods: 544 respondents from three groups (physicians, patients in MAT
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and out-of-treatment users) were interviewed or completed
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questionnaires.
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Results: Patient reasons for seeking treatment included ending their
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dependence and improving their health and well-being. Patients and users
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reported a mean of 4.0 versus 2.7 prior MAT episodes, but patient
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awareness of the main treatment options varied from 94\% for methadone
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to 46\% for buprenorphine-naloxone. Among patients, 49\% requested a
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specific medication (mostly methadone) and 78\% of requests were
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granted. Forty percent of patients were not currently receiving
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psychosocial or key-working support. Daily supervised dosing was most
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commonly cited as a condition of staying in treatment with the biggest
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impact on daily life (36\%). Among patients, 56\% continued to use
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illicit drugs on top of their MAT and few (7\%) were in employment. The
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majority of patients (56\%) and users (51\%) had been in prison (an
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average of 6.8 times).
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Conclusion: Patients are motivated to recover. However, the full range
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of evidence-based interventions are not fully utilised and many patients
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cycle repeatedly through periods of treatment, relapse and imprisonment.'
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affiliation: 'Alam, F (Corresponding Author), Pall Mall Ctr, Westminster Focus Team,
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150 Barlby Rd, London W10 6BS, England.
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Dale-Perera, Annette, Cent \& North West London NHS Fdn Trust, Addict \& Offender
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Care, London, England.
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Alam, Farrukh, Cent \& North West London NHS Mental Hlth Trust, Soho Ctr Hlth, London,
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England.
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Barker, Peter, Northamptonshire Cty Council, Publ Hlth Directorate, Northampton,
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England.'
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author: Dale-Perera, Annette and Alam, Farrukh and Barker, Peter
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author-email: Dr.Alam@nhs.net
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author_list:
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- family: Dale-Perera
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given: Annette
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- family: Alam
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given: Farrukh
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- family: Barker
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given: Peter
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da: '2023-09-28'
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doi: 10.3109/14659891.2014.923532
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eissn: 1475-9942
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files: []
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issn: 1465-9891
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journal: JOURNAL OF SUBSTANCE USE
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keywords: Opioid-dependence; recovery; survey
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keywords-plus: 'METHADONE-MAINTENANCE; BUPRENORPHINE-NALOXONE; OPIATE ADDICTION;
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TREATMENT ACCESS; DRUG; RETENTION; BARRIERS; OUTCOMES; THERAPY; TRIAL'
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language: English
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number: '5'
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number-of-cited-references: '46'
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pages: 354-362
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papis_id: 54192634c6f97e2433dac56af4f41e81
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ref: Daleperera2015opioiddependencetrea
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times-cited: '3'
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title: 'Opioid-dependence treatment in the era of recovery: insights from a UK survey
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of physicians, patients and out-of-treatment opioid users'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000361069100008
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usage-count-last-180-days: '1'
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usage-count-since-2013: '9'
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volume: '20'
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web-of-science-categories: Substance Abuse
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year: '2015'
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