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Referring heroin users from compulsory detoxification centers to community methadone maintenance treatment: a comparison of three models.

Publication ,  Journal Article
Yan, L; Liu, E; McGoogan, JM; Duan, S; Wu, L-T; Comulada, S; Wu, Z
Published in: BMC Public Health
August 13, 2013

BACKGROUND: Both compulsory detoxification treatment and community-based methadone maintenance treatment (MMT) exist for heroin addicts in China. We aim to examine the effectiveness of three intervention models for referring heroin addicts released from compulsory detoxification centers to community methadone maintenance treatment (MMT) clinics in Dehong prefecture, Yunnan province, China. METHODS: Using a quasi-experimental study design, three different referral models were assigned to four detoxification centers. Heroin addicts were enrolled based on their fulfillment to eligibility criteria and provision of informed consent. Two months prior to their release, information on demographic characteristics, history of heroin use, and prior participation in intervention programs was collected via a survey, and blood samples were obtained for HIV testing. All subjects were followed for six months after release from detoxification centers. Multi-level logistic regression analysis was used to examine factors predicting successful referrals to MMT clinics. RESULTS: Of the 226 participants who were released and followed, 9.7% were successfully referred to MMT(16.2% of HIV-positive participants and 7.0% of HIV-negative participants). A higher proportion of successful referrals was observed among participants who received both referral cards and MMT treatment while still in detoxification centers (25.8%) as compared to those who received both referral cards and police-assisted MMT enrollment (5.4%) and those who received referral cards only (0%). Furthermore, those who received referral cards and MMT treatment while still in detoxification had increased odds of successful referral to an MMT clinic (adjusted OR = 1.2, CI = 1.1-1.3). Having participated in an MMT program prior to detention (OR = 1.5, CI = 1.3-1.6) was the only baseline covariate associated with increased odds of successful referral. CONCLUSION: Findings suggest that providing MMT within detoxification centers promotes successful referral of heroin addicts to community-based MMT upon their release.

Duke Scholars

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Published In

BMC Public Health

DOI

EISSN

1471-2458

Publication Date

August 13, 2013

Volume

13

Start / End Page

747

Location

England

Related Subject Headings

  • Young Adult
  • Referral and Consultation
  • Public Health
  • Police
  • Opiate Substitution Treatment
  • Middle Aged
  • Methadone
  • Mandatory Programs
  • Male
  • Logistic Models
 

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Yan, L., Liu, E., McGoogan, J. M., Duan, S., Wu, L.-T., Comulada, S., & Wu, Z. (2013). Referring heroin users from compulsory detoxification centers to community methadone maintenance treatment: a comparison of three models. BMC Public Health, 13, 747. https://doi.org/10.1186/1471-2458-13-747
Yan, Liping, Enwu Liu, Jennifer M. McGoogan, Song Duan, Li-Tzy Wu, Scott Comulada, and Zunyou Wu. “Referring heroin users from compulsory detoxification centers to community methadone maintenance treatment: a comparison of three models.BMC Public Health 13 (August 13, 2013): 747. https://doi.org/10.1186/1471-2458-13-747.
Yan L, Liu E, McGoogan JM, Duan S, Wu L-T, Comulada S, et al. Referring heroin users from compulsory detoxification centers to community methadone maintenance treatment: a comparison of three models. BMC Public Health. 2013 Aug 13;13:747.
Yan, Liping, et al. “Referring heroin users from compulsory detoxification centers to community methadone maintenance treatment: a comparison of three models.BMC Public Health, vol. 13, Aug. 2013, p. 747. Pubmed, doi:10.1186/1471-2458-13-747.
Yan L, Liu E, McGoogan JM, Duan S, Wu L-T, Comulada S, Wu Z. Referring heroin users from compulsory detoxification centers to community methadone maintenance treatment: a comparison of three models. BMC Public Health. 2013 Aug 13;13:747.
Journal cover image

Published In

BMC Public Health

DOI

EISSN

1471-2458

Publication Date

August 13, 2013

Volume

13

Start / End Page

747

Location

England

Related Subject Headings

  • Young Adult
  • Referral and Consultation
  • Public Health
  • Police
  • Opiate Substitution Treatment
  • Middle Aged
  • Methadone
  • Mandatory Programs
  • Male
  • Logistic Models