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Buprenorphine use among non-hospital residential programs
Cynthia Nichols1, Daniel Baslock2, Margaret Lloyd Sieger3
1School of Social Work, University of Connecticut, Hartford, CT, United States.
Drug and Alcohol Dependence
|October 6, 2024
Summary
Long-term residential addiction treatment programs may limit buprenorphine access. However, accepting public insurance increases buprenorphine availability in these long-term substance use disorder programs.
Area of Science:
- Addiction Medicine
- Health Services Research
- Public Health
Background:
- Buprenorphine is a crucial medication for treating opioid use disorder.
- Non-hospital residential programs are vital for substance use disorder treatment.
- Understanding buprenorphine accessibility in residential settings is essential for patient care.
Purpose of the Study:
- To investigate buprenorphine availability in non-hospital residential substance use disorder treatment programs.
- To examine factors influencing buprenorphine acceptance and prescription in these facilities.
Main Methods:
- Analysis of data from the 2021 National Substance Use and Mental Health Services Survey (n=3654).
- Logistic regression to assess buprenorphine availability based on residential service type (detox, short-term, long-term).
- Examination of the interaction between public insurance and long-term service type on buprenorphine availability.
Main Results:
- Long-term residential programs showed reduced odds of buprenorphine availability (OR=0.288).
- Programs offering long-term care and accepting public insurance had significantly higher odds of buprenorphine availability (OR=4.586).
Conclusions:
- Barriers to buprenorphine access may exist for patients needing longer treatment durations.
- Public insurance acceptance can mitigate these barriers, increasing buprenorphine availability in long-term residential programs.
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