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Subjective effects of prisoners using buprenorphine for detoxification
Alexander Johnstone1, Tim Duffy, Colin Martin
1Associate Lecturer in the Centre for Alcohol & Drug Studies, University of the West of Scotland, Paisley, UK.
Buprenorphine (Subutex) showed improved outcomes for prison detoxification programs compared to methadone. Participants reported reduced cravings, easier withdrawal, better sleep, and increased motivation for a better quality of life.
Area of Science:
- Addiction Medicine
- Qualitative Research
- Criminal Justice Health
Background:
- Buprenorphine (Subutex) use was piloted in Scottish prisons from 2004-2006.
- The study focuses on the qualitative experiences of prisoners undergoing detoxification.
Purpose of the Study:
- To explore the use of Subutex and its effects on 14 male participants in prison detoxification programs.
- To provide an alternative perspective to previous quantitative findings on Subutex in correctional settings.
Main Methods:
- Qualitative study involving 14 male participants aged 21-44 in seven Scottish prisons.
- Participants were on detoxification programs, prescribed Subutex, and had prior methadone use.
- Data collected in 2007, with Subutex unavailable to female prisoners at the time.
Main Results:
- The majority of participants found Subutex more effective than methadone for detoxification.
- Reported benefits include reduced craving, eased withdrawal symptoms, and improved sleep.
- Participants also noted increased motivation and goal-setting for improved quality of life.
Conclusions:
- Subutex offers a potentially more effective treatment option compared to methadone in prison detoxification.
- Highlights inconsistencies in existing research, possibly due to study design.
- Recommends further qualitative research and discussion on methodological approaches.
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