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    Area of Science:

    • Addiction Medicine
    • Psychiatry
    • Public Health

    Background:

    • The opioid crisis significantly impacts mortality, morbidity, and healthcare costs in the U.S.
    • Buprenorphine (BUP) is a key medication for treating opioid use disorder.
    • Quality assurance is vital for optimizing BUP treatment programs.

    Purpose of the Study:

    • To evaluate a BUP program's effectiveness in achieving illicit opioid abstinence.
    • To identify patient risk and resilience factors influencing recovery outcomes.
    • To inform improvements for enhanced patient success in BUP treatment.

    Main Methods:

    • Retrospective chart review of open and closed cases (n=56).
    • Cross-sectional survey of open cases assessing risk and resilience.
    • Analysis of opioid-negative urine tests and completed monthly urine drug tests (UDTs).

    Main Results:

    • Open cases showed significantly higher opioid abstinence rates (88.57%) than closed cases (74.82%).
    • Mandatory monthly UDTs stabilized case management.
    • Most patients reported therapy engagement, low cravings, and using distraction for pain-related triggers.

    Conclusions:

    • The evaluated clinic achieved benchmarks for improved substance recovery.
    • Regular monitoring of UDT, cravings, and pain is recommended.
    • Continuous quality assurance and therapy participation are crucial for sustained recovery.