Perception of unmet needs and association with benzodiazepine misuse among patients on a methadone maintenance treatment programme

Apantaku-Olajide, Tunde; Ducray, Kevin; Byrne, Patricia; Smyth, Bobby P

doi:10.1192/pb.bp.111.036616

Cited by 7 publications

(4 citation statements)

References 23 publications

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“…Analyses of 2008-2014 NSDUH data found that adults with OUD had a rate of combined sedative/tranquilizer misuse that was approximately 20 times greater than the U.S. general population, with 43% reporting pastyear sedative/tranquilizer misuse (Votaw et al, 2019). Benzodiazepine misuse is often even more prevalent among people in treatment for OUD; past-month estimates range from 7-73%, with a majority (67%) of studies reviewed reporting rates greater than 40% (Apantaku-Olajide et al, 2012;Bleich et al, 2002;Darke et al, 1993Darke et al, , 1994bEiroa-Orosa et al, 2010;Franklyn et al, 2017;Gelkopf et al, 1999;Ghitza et al, 2008;Gilchrist et al, 2006;McHugh et al, 2017;Metzger et al, 1991;Millson et al, 2006;Moitra et al, 2013;Naji et al, 2016;Peles et al, 2009Peles et al, , 2010Stein et al, 2017b;Stein et al, 2016;Vogel et al, 2013;Wu et al, 2010).…”

Section: Substancementioning

confidence: 99%

“…General population samples in the U.S. (adults and young adults/adolescents) Lower levels of education, lower income, unemployment, and being unmarried were associated with benzodiazepine misuse (Arterberry et al, 2016;Becker et al, 2007;Blanco et al, 2018;Goodwin and Hasin, 2002;Huang et al, 2006;McCabe et al, 2018;Schepis et al, 2018a) Adults with opioid misuse/SUDs/injection drug use Lower levels of education, homelessness, unemployment, and/or being unmarried were associated with benzodiazepine misuse (Apantaku-Olajide et al, 2012;Backmund et al, 2005;Bleich et al, 1999;Bleich et al, 2002;Darke et al, 1992;Eiroa-Orosa et al, 2010;Lavie et al, 2009) Those with benzodiazepine misuse were less likely to be homeless, more likely to be married and employed, and/or had greater levels of education (Ickowicz et al, 2015;Malcolm et al, 1993;Moitra et al, 2013) No association between homelessness, marital status, employment status, level of education, income, and benzodiazepine misuse (Bouvier et al, 2018;Brands et al, 2008;…”

Section: Highlightsmentioning

confidence: 99%

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The epidemiology of benzodiazepine misuse: A systematic review

Votaw

Geyer

Rieselbach

et al. 2019

Drug and Alcohol Dependence

300

214

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Background: Benzodiazepine misuse is a growing public health problem, with increases in benzodiazepine-related overdose deaths and emergency room visits in recent years. However, relatively little attention has been paid to this emergent problem. We systematically reviewed epidemiological studies on benzodiazepine misuse to identify key findings, limitations, and future directions for research. Methods: PubMed and PsychINFO databases were searched through February 2019 for peerreviewed publications on benzodiazepine misuse (e.g., use without a prescription; at a higher frequency or dose than prescribed). Eligibility criteria included human studies that focused on the prevalence, trends, correlates, motives, patterns, sources, and consequences of benzodiazepine misuse. Results: The search identified 1,970 publications, and 351 articles were eligible for data extraction and inclusion. In 2017, benzodiazepines and other tranquilizers were the third most commonly used illicit or prescription drug in the U.S. (approximately 2.2% of the population). Worldwide rates of misuse appear to be similar to those reported in the U.S. Factors associated with misuse include other substance use, receipt of a benzodiazepine prescription, and psychiatric symptoms and disorders. Benzodiazepine misuse encompasses heterogeneous presentations of motives, patterns, and sources. Moreover, misuse is associated with myriad poor outcomes, including mortality, HIV/HCV risk behaviors, poor self-reported quality of life, criminality, and continued substance use during treatment.

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Section: Substancementioning

confidence: 99%

Section: Highlightsmentioning

confidence: 99%

The epidemiology of benzodiazepine misuse: A systematic review

Votaw

Geyer

Rieselbach

et al. 2019

Drug and Alcohol Dependence

300

214

View full text Add to dashboard Cite

show abstract

“…When conducting a user-centered evaluation of OMT services, several indicators or assessment areas should be considered: a) user expectations and objectives for the treatment or intervention, 15 , 16 b) patient beliefs or opinions about medication (primarily methadone or buprenorphine), 17 – 21 c) user appraisal of the relational dynamic with intervention providers 22 – 24 and the degree of perceived participation in decision-making, 25 , 26 as well as patient preferences for a participatory or deferential role, 27 , 28 d) indicators of user-perceived quality, 29 e) client perception of unmet needs, 30 , 31 and f) level of satisfaction with treatment. 8 , 11 , 25 , 32 …”

Section: Towards a More User-centered Approach To Program Evaluationmentioning

confidence: 99%

A critical analysis of user satisfaction surveys in addiction services: opioid maintenance treatment as a representative case study

Trujols¹,

Iraurgi²,

Oviedo‐Joekes³

et al. 2014

PPA

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BackgroundSatisfaction with services represents a key component of the user’s perspective, and user satisfaction surveys are the most commonly used approach to evaluate the aforementioned perspective. The aim of this discursive paper is to provide a critical overview of user satisfaction surveys in addiction treatment and harm reduction services, with a particular focus on opioid maintenance treatment as a representative case.MethodsWe carried out a selective critical review and analysis of the literature on user satisfaction surveys in addiction treatment and harm reduction services.ResultsMost studies that have reported results of satisfaction surveys have found that the great majority of users (virtually all, in many cases) are highly satisfied with the services received. However, when these results are compared to the findings of studies that use different methodologies to explore the patient’s perspective, the results are not as consistent as might be expected. It is not uncommon to find that “highly satisfied” patients report significant problems when mixed-methods studies are conducted. To understand this apparent contradiction, we explored two distinct (though not mutually exclusive) lines of reasoning, one of which concerns conceptual aspects and the other, methodological questions.ConclusionUser satisfaction surveys, as currently designed and carried out in addiction treatment and harm reduction services, do not significantly help to improve service quality. Therefore, most of the enthusiasm and naiveté with which satisfaction surveys are currently performed and interpreted – and rarely acted on in the case of nonoptimal results – should be avoided. A truly participatory approach to program evaluation is urgently needed to reshape and transform patient satisfaction surveys.

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“…Despite these fi ndings, client-level data suggest that many client needs are unmet (Apantaku-Olajide et al, 2012;Machlan et al, 2005;Pringle et al, 2006). To date, there has been less organizational-level research on how client characteristics are associated with the provision of wraparound services in SUD treatment programs across the United States.…”

mentioning

confidence: 94%

The Relationship Between Client Characteristics and Wraparound Services in Substance Use Disorder Treatment Centers

Paino

Aletraris

Roman

2016

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The National Institute on Drug Abuse (NIDA) recommends a comprehensive treatment program for individuals with substance use disorder (SUD) in order to treat needs they often have in addition to their SUD. Specifi cally, NIDA suggests providing services related to the following issues: medical care, mental health care, HIV/ AIDS, child care, educational, vocational, family counseling, housing, transportation, fi nancial, and legal. By providing a comprehensive model that combines core and wraparound services, treatment centers can deliver a higher quality of treatment. In this article, we assessed the relationship between client characteristics and the availability of wraparound services in SUD treatment centers. Method: We combined two nationally representative samples of treatment centers and used a negative binomial regression and a series of logistic regressions to analyze the relationship between client characteristics and wraparound services. Results: On average, centers offered fewer than half of the wraparound services endorsed by NIDA. Our results indicated that client characteristics were signifi cantly related to the provision of wraparound services. Most notably, the proportion of adolescent clients was positively related to educational services, the proportion of female clients was positively related to child care, but the proportion of clients referred from the criminal justice system was negatively associated with the provision of multiple wraparound services. Conclusions: Our fi ndings have important implications for SUD clients and suggest that, although centers are somewhat responsive to their clients' ancillary needs, most centers do not offer the majority of wraparound services. (J. Stud. Alcohol Drugs, 77, 160-169, 2016)

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Perception of unmet needs and association with benzodiazepine misuse among patients on a methadone maintenance treatment programme

Cited by 7 publications

References 23 publications

The epidemiology of benzodiazepine misuse: A systematic review

The epidemiology of benzodiazepine misuse: A systematic review

A critical analysis of user satisfaction surveys in addiction services: opioid maintenance treatment as a representative case study

The Relationship Between Client Characteristics and Wraparound Services in Substance Use Disorder Treatment Centers

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