abstract: 'Background: Project Access UK was designed to provide real-world

  observations on the status of medication-assisted treatment (MAT) of

  opioid dependence.

  Methods: 544 respondents from three groups (physicians, patients in MAT

  and out-of-treatment users) were interviewed or completed

  questionnaires.

  Results: Patient reasons for seeking treatment included ending their

  dependence and improving their health and well-being. Patients and users

  reported a mean of 4.0 versus 2.7 prior MAT episodes, but patient

  awareness of the main treatment options varied from 94\% for methadone

  to 46\% for buprenorphine-naloxone. Among patients, 49\% requested a

  specific medication (mostly methadone) and 78\% of requests were

  granted. Forty percent of patients were not currently receiving

  psychosocial or key-working support. Daily supervised dosing was most

  commonly cited as a condition of staying in treatment with the biggest

  impact on daily life (36\%). Among patients, 56\% continued to use

  illicit drugs on top of their MAT and few (7\%) were in employment. The

  majority of patients (56\%) and users (51\%) had been in prison (an

  average of 6.8 times).

  Conclusion: Patients are motivated to recover. However, the full range

  of evidence-based interventions are not fully utilised and many patients

  cycle repeatedly through periods of treatment, relapse and imprisonment.'
affiliation: 'Alam, F (Corresponding Author), Pall Mall Ctr, Westminster Focus Team,
  150 Barlby Rd, London W10 6BS, England.

  Dale-Perera, Annette, Cent \& North West London NHS Fdn Trust, Addict \& Offender
  Care, London, England.

  Alam, Farrukh, Cent \& North West London NHS Mental Hlth Trust, Soho Ctr Hlth, London,
  England.

  Barker, Peter, Northamptonshire Cty Council, Publ Hlth Directorate, Northampton,
  England.'
author: Dale-Perera, Annette and Alam, Farrukh and Barker, Peter
author-email: Dr.Alam@nhs.net
author_list:
- family: Dale-Perera
  given: Annette
- family: Alam
  given: Farrukh
- family: Barker
  given: Peter
da: '2023-09-28'
doi: 10.3109/14659891.2014.923532
eissn: 1475-9942
files: []
issn: 1465-9891
journal: JOURNAL OF SUBSTANCE USE
keywords: Opioid-dependence; recovery; survey
keywords-plus: 'METHADONE-MAINTENANCE; BUPRENORPHINE-NALOXONE; OPIATE ADDICTION;

  TREATMENT ACCESS; DRUG; RETENTION; BARRIERS; OUTCOMES; THERAPY; TRIAL'
language: English
number: '5'
number-of-cited-references: '46'
pages: 354-362
papis_id: 54192634c6f97e2433dac56af4f41e81
ref: Daleperera2015opioiddependencetrea
times-cited: '3'
title: 'Opioid-dependence treatment in the era of recovery: insights from a UK survey
  of physicians, patients and out-of-treatment opioid users'
type: Article
unique-id: WOS:000361069100008
usage-count-last-180-days: '1'
usage-count-since-2013: '9'
volume: '20'
web-of-science-categories: Substance Abuse
year: '2015'