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Medication plus ongoing care provided in emergency departments is promising approach for opioid dependence

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February 23, 2017

New research comparing treatment approaches for opioid dependent patients in emergency departments (ED) suggests that combining the medication buprenorphine with ongoing care is more effective than simply providing referrals to addiction treatment, with or without a brief intervention. This study showed that patients who received buprenorphine, along with a brief intervention to discuss opioid use, and up to 12 weeks of buprenorphine maintenance, were more likely to get follow-up addiction treatment and had reduced self-reported illicit opioid use. In addition, they were also less likely to need inpatient addiction treatment services, saving treatment costs. This adds to the growing body of literature suggesting that opioid-dependent patients may benefit from immediate initiation of medication while awaiting more comprehensive substance use disorder treatment.

This research was funded by NIDA. For a copy of the article, published in JAMA, go to: http://jama.jamanetwork.com/article.aspx?articleid=2279713.

Study Update:

The researchers conducted a follow-up study to evaluate the long term outcomes (2, 6 and 12 months) after providing buprenorphine to patients in the Emergency Department with continuation in primary care. A total of 290/329 participants (88% of the randomized sample) were included. Results showed that patients who received buprenorphine in the Emergency Department, and follow up in primary care over 10 weeks, were more likely to be engaged in addiction treatment and to report reduced use of opioids after two months. However, this intervention did not produce significant reductions in either engagement in treatment or opioid use at 6 or 12 months. The authors concluded that the findings add to the evidence that initiating treatment with medication in the Emergency Department, and continued treatment in primary care for patients, improves outcomes for patients with opioid use disorder as long as the intervention is continued.

For a copy of the abstract, "Emergency Department-Initiated Buprenorphine for Opioid Dependence with Continuation in Primary Care: Outcomes During and After Intervention," published in the Journal of General Internal Medicine, go to http://link.springer.com/article/10.1007/s11606-017-3993-2.

For more information, contact the NIDA press office at media@nida.nih.gov or 301-443-6245.

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media@nida.nih.gov

About the National Institute on Drug Abuse (NIDA): The National Institute on Drug Abuse (NIDA) is a component of the National Institutes of Health, U.S. Department of Health and Human Services. NIDA supports most of the world’s research on the health aspects of drug use and addiction. The Institute carries out a large variety of programs to inform policy, improve practice, and advance addiction science. Fact sheets on the health effects of drugs and information on NIDA research and other activities can be found at www.drugabuse.gov, which is now compatible with your smartphone, iPad or tablet. To order publications in English or Spanish, call NIDA’s DrugPubs research dissemination center at 1-877-NIDA-NIH or 240-645-0228 (TDD) or email requests to drugpubs@nida.nih.gov. Online ordering is available at drugpubs.drugabuse.gov. NIDA’s media guide can be found at www.drugabuse.gov/publications/media-guide/dear-journalist, and its easy-to-read website can be found at www.easyread.drugabuse.gov. You can follow NIDA on Twitter and Facebook.

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    NIDA. (2017, February 23). Medication plus ongoing care provided in emergency departments is promising approach for opioid dependence . Retrieved from https://www.drugabuse.gov/news-events/news-releases/2017/02/medication-plus-ongoing-care-provided-in-emergency-departments-promising-approach-opioid-dependence

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