Dissertations / Theses on the topic 'Opioid substitution treatment program'
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Nikic, Matthew James. "Factors affecting treatment outcome in opioid dependence substitution treatment : the influence of mood and withdrawal symptoms /." Title page, abstract and table of contents only, 2004. http://web4.library.adelaide.edu.au/theses/09HS/09hsn692.pdf.
Full textLi, Suzanne Sayuri. "Diet and nutrition among people receiving opioid substitution treatment : a mixed methods study." Thesis, King's College London (University of London), 2016. https://kclpure.kcl.ac.uk/portal/en/theses/diet-and-nutrition-among-people-receiving-opioid-substitution-treatment(01e03b14-6d09-45d2-9db7-e148047755d4).html.
Full textDavies, H. R. "Drug use and opioid substitution treatment in pregnancy : evidence from electronic health records." Thesis, University College London (University of London), 2017. http://discovery.ucl.ac.uk/1544123/.
Full textWheeler, Carly. "Understanding physical activity among individuals receiving opioid substitution treatment : a mixed methods study." Thesis, Oxford Brookes University, 2015. https://radar.brookes.ac.uk/radar/items/2a36dac0-b5ad-40ea-b821-e10a95fb5222/1/.
Full textStrobel, Spencer. "A pilot study of an emergency department's overdose education and naloxone distribution program." Thesis, Boston University, 2013. https://hdl.handle.net/2144/21257.
Full textOpioid overdoses are increasing and several efforts are being made to reduce this problem. One potential solution is overdose education and naloxone distribution. Project ASSERT began distributing naloxone in conjunction with its overdose education program in 2009. Project ASSERT’s overdose education and naloxone distribution program trained opioid users in recognition, risk factors, and response to overdoses, as well as how to use nasal naloxone kits. Opioid users that had received overdose education only were compared with those that received overdose education and naloxone kits. The goal was to determine if there were any differences in occurrence of nonfatal overdoses, overdose response, illicit opioid use, and opioid agonist treatment. This retrospective study involved phone-surveying patients from a hospital billing list. It was obtained through Project ASSERT and contained the names of patients that had received overdose education only or overdose education and naloxone distribution from January 2011 to February 2012. Questions were asked about the respondents’ naloxone kits, overdose history since their Project ASSERT visit, response to the last witnessed overdose, 30-day substance use, and overdose risk knowledge. Chi-square tests were used to compare the groups. 51 out of 415 eligible were successfully surveyed from March 2012 to October 2012. The surveys occurred on average 11.8 months after their Project ASSERT visit. 73% (37) had naloxone kits and most kept them where they lived (12). There were 9 successful overdose reversals reported. 76% (39) of the respondents did not overdose in the intervening period. There was no statistical difference between the two groups in overdose occurrence, 19% trained with naloxone versus 29% trained without naloxone (p=0.45). 16 out of 19 (84%) of the naloxone group properly responded to an overdose, whereas 3 out of 8 (38%) of those trained without naloxone properly responded (p=.03). There was no statistical difference in illicit opioid use (p=1.0) and opioid agonist treatment (p=.53), 36% of the group trained with naloxone versus 35% of the group trained without naloxone, and 49% of those trained with naloxone versus 36% of those trained without naloxone, respectively. In studying the association between overdose education only and overdose education and naloxone distribution, it was found that there is not an increase in overdose and illicit opioid use. There also is no reduction in seeking for opioid agonist treatment. However, it was found that having naloxone kits does increase proper response to overdose. This is a promising result that could have an impact in reducing opioid overdose deaths.
2031-01-01
Nyström, Robert, and Gustav Grut. "The Patients' Perspective on Opioid Substitution Treatment : A study of desistance from illicit drug use." Thesis, Mittuniversitetet, Avdelningen för samhällsvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-31977.
Full text2017-06-01
Wittchen, Hans-Ulrich, Sabine M. Apelt, Michael Soyka, Markus Gastpar, Markus Backmund, Jörg Gölz, Michael R. Kraus, et al. "Feasibility and outcome of substitution treatment of heroin-dependent patients in specialized substitution centers and primary care facilities in Germany: A naturalistic study in 2694 patients." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-110756.
Full textWittchen, Hans-Ulrich, Sabine M. Apelt, Michael Soyka, Markus Gastpar, Markus Backmund, Jörg Gölz, Michael R. Kraus, et al. "Feasibility and outcome of substitution treatment of heroin-dependent patients in specialized substitution centers and primary care facilities in Germany: A naturalistic study in 2694 patients." Technische Universität Dresden, 2008. https://tud.qucosa.de/id/qucosa%3A26834.
Full textKomalasari, Rita. "Key perspectives on Opioid Substitution Treatment (OST) programmes, using Methadone Maintenance Treatment (MMT) programmes in Indonesian prisons as a case study." Thesis, University of Stirling, 2018. http://hdl.handle.net/1893/28543.
Full textFrick, Ulrich, Jürgen Rehm, Daniele Zullino, Manrique Fernando, Gerhard Wiesbeck, Jeannine Ammann, and Ambros Uchtenhagen. "Long-Term Follow-Up of Orally Administered Diacetylmorphine Substitution Treatment." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2014. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-133129.
Full textDieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich
Frick, Ulrich, Jürgen Rehm, Daniele Zullino, Manrique Fernando, Gerhard Wiesbeck, Jeannine Ammann, and Ambros Uchtenhagen. "Long-Term Follow-Up of Orally Administered Diacetylmorphine Substitution Treatment." Karger, 2010. https://tud.qucosa.de/id/qucosa%3A27490.
Full textDieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
Woods, Sally C. "Heroin and methadone substitution treatments : harm reduction and the effectiveness of 'flexible' prescribing for the treatment of opioid dependency." Thesis, Liverpool John Moores University, 2005. http://researchonline.ljmu.ac.uk/5852/.
Full textFishman, Daniel M. "The Effects of Opiod and Benzodiazepine Weaning on Cognitive Ability in the Context of a Chronic Pain Rehabilitation Program." Cleveland State University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=csu1230006532.
Full textDavis, Andrew J. "A Mixed-Method Study of the Effects of a Mindfulness-Based Relapse Prevention Aftercare Program on Clients with Opioid Addiction in a Court-Ordered Population." University of Akron / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=akron1596059927076454.
Full textKarlsson, Petter. "Att sluta med heroin utan substitutionsbehandling." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26111.
Full textThe study aims to investigate how to stop using heroin without replacing heroin with use of other opioid preparations and without receiving substitution treatment with the opioid preparations methadone or buprenorphine. The research review shows that it is possible to quit heroin addiction without substitution treatment, but it is difficult to prove that certain specific treatment methods create this result. The empirical material consists of in-depth interviews with ten people who share the experience of being addicted to heroin and having stopped using heroin without receiving substitution therapy. As a theoretical point of view, a synthesis of several sociological and social psychological theories and concepts of analysis is used to explain the relationship between human behavior and the social context in which human beings belong and relate. The study shows that a successful recovery from heroin addiction involves secondary socialization into social communities organized around phenomenas other than heroin use, which enables the former heroin user to refrain from heroin and other opioid use. The study also shows that an important component of the recovery process is, especially during the first phase of the recovery process, developing an overwhelming involvement to some type of pursuit, and that people who when they used heroin lacked any sort of bridging social capital, are able to create such after they stopped using heroin.
Delorme, Jessica. "Évaluation de la douleur et du mésusage de la buprénorphine et de la méthadone chez les patients dépendants aux opioïdes substitués." Thesis, Université Clermont Auvergne (2017-2020), 2019. http://www.theses.fr/2019CLFAS023.
Full textOpioid dependence is a major public health problem with increasing prevalence and incidence. Its pharmacological management is based on opioid substitution treatment (OST) (buprenorphine (HDB) and methadone (MTD)), marketed since 1995-1996 in France. Their clinical efficacy has been widely demonstrated by reducing heroin use, overdose mortality and improving patients' quality of life. Nevertheless, at the same time, problems related to the misuse of OST have emerged, which may lead to negative consequences for patients. The first part of this work consisted in studying the misuse of OST in opioid-dependent patients in France through the identification of doctor shopping, using the national EGB database according to two approaches: 1/ a repeated cross-sectional study estimating the annual prevalence of OST misuse between 2004 and 2014: the prevalence of HDB doctor shopping decreased significantly between 2004 and 2014 (12.6 % vs 3.9 %, p<0.001), while that of MTD remained low with no significant change over the study period (0.2 % in 2004 to 0.5 % in 2014); 2/a cohort study to estimate the incidence of OST misuse in opioid-dependent patients and identify the risk factors associated with this misuse: the one-year incidence was 8.4 % [95 % CI: 7.0-10.1] in the HDB group and 0 % in the MTD group, compared to 0.2 % [95 % CI: 0.1-0.2] for the diuretic group (negative control). Factors associated with doctor shopping were female gender (HR: 1.74 [1.20-2.54]), low socio-economic status (HR: 2.95 [2.07-4.44]), psychiatric comorbidities (HR : 1.43 [1.06-1.94]), coprescriptions of hypnotics (HR : 1.90 [1.39-2.61]), weak opioid analgesics (HR : 1.48 [1.09-1.99]) and morphine (HR : 1.69 [1.02-2.80]). Among the many reasons underlying this OST misuse, the existence of poorly relieved pain is frequently found. Indeed, pain is a major problem among opioid-dependent patients because it is still too often underdiagnosed and underestimated, while its prevalence is much higher than in the general population. Its adequate management is all the more important as it will contribute to an improvement and a better balance of the addictive pathology. No french data are available concerning the estimation of the prevalence of pain in OST patients and the description of associated pharmaco-therapeutic analgesic profiles in a real life setting.These issues around pain were the subject of the second and third chapters of this work. The second part of this manuscript focused on estimating the prevalence of pain among opioid-dependent patients in France using a dual approach: 1/ a traditional field prevalence study, including a representative sample of 509 opioid-dependent patients recruited from 12 addiction care centers: the prevalence of acute pain was estimated at 42.0 % [95 % CI: 37.7 - 46.3] and that of chronic pain at 33.2 % [29.1 - 37.3] with no significant difference between BHD and MTD; 2/ an original alternative approach, based on the capture-recapture method to the exhaustive SNIIRAM database: in 2015-2016, the prevalence of chronic pain was estimated at 31.1 % [28.0 - 34.9] in OST patients vs 8.6 % [7.08 - 10.7] in the control population of non-dependent patients. This method has demonstrated its major interest, given not only the speed and reliability of the estimates obtained, but also the ease of implementation and lower cost compared to studies or field surveys, while overcoming the traditional limitations of the latter in terms of representativeness and generalization of results. (...)
Gardell, Malin, and Hanna Lindström. "Jag är inte bara en knarkare : En litteraturstudie om upplevelsen av kontroll och stigma vid substitutionsbehandling vid opioidberoende." Thesis, Röda Korsets Högskola, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2754.
Full textDragana, Ratković. "Uticaj temperamenta na nastanak i razvoj zavisnosti od opijata." Phd thesis, Univerzitet u Novom Sadu, Medicinski fakultet u Novom Sadu, 2017. https://www.cris.uns.ac.rs/record.jsf?recordId=104708&source=NDLTD&language=en.
Full textIntroduction: Temperament is a set of psychological characteristics, ie the speed and strength of mind and emotional reactions peculiar to the individual, or his character, temperament, nature. Modern research of the premorbid affective temperament is in favor of its significance in the etiology and clinical evaluation of substance abuse. The Aim: To determine and compare the temperament of people suffering from mental and behavioral disorders due to use of opioids and healthy population. Materials and Methods: The study was cross-sectional, and 200 subjects were included and divided into two groups. The study group included stable opiate addicts on substitution therapy with methadone, aged 18 to 40 years, without co-morbid psychotic disorders. The Control group consisted of 100 healthy individuals with similar sociodemographic data as the Study group. Their temperament was determined with the TEMPS-A auto-questionnaire. Results: Statistical significance of a dominant temperament was more frequently found in the subjects with opioid dependence, as well as in depressive, cyclothymic, anxious and irritable temperament, which leads to the fundamental differences between a healthy population and a population with mental and behavioral disorders due to the use of opioids. Conclusion: Affective temperament, as a premorbid personality trait, has an impact on the occurence and development of opiate dependence. Therefore, it is essential to take into account the characteristics of a hyperthymic temperament as a protective factor or depressive, cyclothymic, irritable and anxious temperament as risk factors in etiology, prevention and treatment of addiction.
Le, Phuong-Phi. "Collaborative prescribing within the opioid substitution treatment program in South Australia." Thesis, 2014. http://hdl.handle.net/2440/90267.
Full textThesis (Ph.D.) -- University of Adelaide, School of Population Health, 2014
Kun-ChiaChang and 張耿嘉. "Mortality and cause of death in patients with heroin dependence receiving opioid substitution treatment (OST)." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/79391112751349633828.
Full text國立成功大學
公共衛生研究所
101
Background: Recent years have seen increased concern being given to the life-saving effect of Opioid Substitution Treatment (OST) on heroin abusing population and OST have been implemented in Taiwan since 2006, evidence-base research is helpful for the future direction of OST strategies. Objective: To investigate the mortality among heroin users and related risk factors. The current study also aims to examine reductions in mortality related to OST. Material and Methods: A cohort of heroin users (N=1283) who had been evaluated were recruited from 2006-2008. These subjects were followed through December 31, 2011(longest following period: 71 months). We divided the cohort to receiving OST or not (OST group, N=983 and non-OST group, N=300) through the National MMT system. Record linkage performed to identify the death of these patients was managed by computerized files of Death Certification System. Crude mortality rate was calculated according to age, sex, receiving OST or not, period in-or out-of-treatment and medication type. Survival analysis was conducted to compare between heroin users receiving OST or not. The mortality risk among the heroin users after seeking OST was also examined using Cox regression model. Results: Compared with non-OST group, the characteristics OST group were: older age (37.8±7.7:36.6±11.7, p 〈0.05), lower educational level (two-thirds below junior high school), longer length of heroin use (6.9±4.3:5.7±5.2, p〈0.001), higher proportion of criminal records( illegal drugs offense:91.5%:74.1%,p〈0.001;Property offense:46.5%:26.1%, p〈0.001.), ever needle/syringe sharing (78.3%:40.8%,p〈0.001), IDUs (Injection drug users) (91.0%:84.5%,p=0.0016), HCV-seropositive (91.4%:86.4%,p=0.038) and HIV-seropositive (18.1%:6.3%,p〈0.001).The result of survival analysis showed that the all-cause mortality rate per 1000 person-year among OST group (15.5/1000 py) was lower than non-OST group (23.9/1000 py).After adjustment for significant covariates using the Cox regression model, all-cause mortality rate among OST group still had better survival outcome(Adjusted Harzard Ratio: 0.47; 95% CI: 0.28 – 0.79).However, the mortality rate directly related to suicide among OST group was significantly higher than non-OST group, (3.88/1000 py: 0.7/1000 py, p 〈 0.05). The survival analysis among OST group showed that the all-cause mortality relative risk between out-of-OST and in-OST period was 7. Conclusions: The all-cause mortality rate among OST group is significantly lower than non-OST group. Among OST group, the survival outcome among in-OST period is better than out-of-OST period. The life-saving effect of enrollment and continued participation in OST still exists under the circumstances that harm reduction strategies in Taiwan is more attractive for HIV carrier and ex-prisoner. However, mortality from suicide among OST group is higher than non-OST. In addition to increasing the availability and access of OST program, suicide prevention program should be given high priority in order to prevent mortality among this high risk population.
Leung, Brandon. "Describing connections to substance use disorder treatment from a medical monitoring program servicing the homeless." Thesis, 2020. https://hdl.handle.net/2144/41287.
Full textFulton, Heather Grace. "SUBSTANCE USE AND PSYCHIATRIC CHARACTERISTICS OF PRESCRIPTION OPIOID USERS IN A LOW-THRESHOLD METHADONE MAINTENANCE TREATMENT PROGRAM IN NOVA SCOTIA." 2011. http://hdl.handle.net/10222/14404.
Full textČečeleva, Olga. "Deskriptivní analýza a evaluace substituční léčby závislosti na opioidech v Kazachstánu." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-346078.
Full textSkořepová, Hana. "Účinné faktory zvyšování kvality života u klientů v substituční léčbě." Master's thesis, 2021. http://www.nusl.cz/ntk/nusl-437906.
Full textByrne, Gabriele. "Targeting Problem Gambling Relapse Risk Factors: Lack of Social Connectedness and Leisure Substitution." Thesis, 2019. https://vuir.vu.edu.au/40035/.
Full textStanislavová, Anita. "Počátky harm reduction v České republice v kontextu zahraniční protidrogové politiky." Master's thesis, 2017. http://www.nusl.cz/ntk/nusl-358466.
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