A Look at the Second Chance Program Data Analysis : Predicting Retention and Drug Use to Amend Methadone Maintenance Programs to Better Suit Treatment Resistant Patients Recovering from Opioid-Use Disorder in Detroit, Michigan
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Opiate addiction in the United States is a medical epidemic that continues to plague individuals. Methadone, a medication developed to dull narcotic craving in correct doses is administered to individuals who suffer from opioid use disorder in maintenance treatment programs that aim to help those addicted reduce the chaos in their lives and function under a controlled habit. Usually in these programs, patients must abstain from all other drug use in order to continue to receive methadone doses, although this treatment plan does not work for all individuals. In Detroit, Michigan, a novel “Second Chance” research project was developed to allow individuals suffering from opioid use disorder who had been administratively discharged from other clinical programs to continue receiving prescribed methadone, while also being permitted to continue outside drug use. These patients were given a second chance at a maintenance program, and did not undergo any sanctions after providing clinic staff with drug positive urinalysis results. This study examined data about this patient population, and sought to discover factors that predicted retention for these vulnerable individuals, as well as discover common characteristics and drug use variables amongst poly-drug users. A large proportion of this sample also suffers from comorbid mental health issues and is disabled (receiving SSI). These findings provide insights for amendments to drug maintenance and rehabilitation, as well as aid in comprehension of the relationship between medicine, popular culture, and addiction.
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