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Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
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Opiate substitution prescribing in Belfast - two year follow up study
Ruth Collins1, Derek Ewing1, Bob Boggs1
1Shaftesbury Square Hospital,116-120 Great Victoria Street,Belfast,BT2 7PGNorthern Ireland.
Irish Journal of Psychological Medicine
|October 5, 2018
Summary
This study found that 44% of patients remained in an opiate substitute prescribing (OSP) program after two years, with high satisfaction reported. Methadone prescriptions, female sex, and higher doses were linked to program continuation.
Area of Science:
- Addiction Medicine
- Public Health
- Pharmacology
Background:
- Opiate dependence is a significant public health issue requiring effective treatment interventions.
- Existing treatment options may not adequately meet the needs of all individuals with opiate dependence.
- The development of new opiate substitute prescribing (OSP) programs aims to address unmet community needs.
Purpose of the Study:
- To characterize patients initiating a new OSP program.
- To assess patient retention rates within the OSP program over two years.
- To evaluate patient satisfaction and identify the prevalence of blood-borne viruses.
Main Methods:
- Retrospective data collection from a prescribing database, patient charts, and user questionnaires.
- Inclusion criteria: opiate dependence (ICD-10) for ≥1 year, age ≥18.
- Follow-up of the first 80 patients over a two-year period, including viral screening.
Main Results:
- 44% of patients remained engaged with the OSP program at two years.
- Continuation factors included methadone prescription, female sex, and higher OSP doses.
- High patient satisfaction was reported; over half of tested patients were positive for Hepatitis C.
Conclusions:
- The new OSP program met an unmet community need for opiate dependence treatment.
- Service users expressed high levels of satisfaction with the OSP program.
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