Opioid-Related Disorders Clinical Trial
Official title:
Opiate Replacement Therapy at Release From Incarceration
Much of the HIV/AIDS epidemic is driven by transmission from or to persons addicted to opiates. Many of these individuals pass through a correctional setting each year, creating an opportunity for linkage to substance abuse treatment. The purpose of this study was to evaluate the effectiveness of initiating opiate replacement therapy prior to release from incarceration on reducing HIV risk behaviors and drug relapse. In addition, this study evaluated the effectiveness of short-term payment versus non-payment of community opiate replacement therapy immediately following release from incarceration.
A substantial proportion of individuals addicted to heroin are incarcerated while addicted
and a majority of individuals released from a correctional setting have a history of heroin
addiction. The period immediately after release from incarceration is a particularly
high-risk time for HIV transmission and other problems, including drug relapse and overdose.
Methadone treatment is the most widely used opiate replacement therapy in the United States
and has been shown to decrease HIV risk, as well as drug use, addiction relapse, and
criminal activity. The purpose of this study was to evaluate the effectiveness of initiating
opiate replacement therapy prior to release from incarceration on reducing HIV risk
behaviors and drug relapse. In addition, this study evaluated the effectiveness of
short-term payment versus non-payment of community opiate replacement therapy immediately
following release from incarceration.
Participants in this were randomly assigned to 1 of 3 treatment groups. Participants
enrolled in Group 1 initiated methadone opiate replacement therapy about 1 month prior to
release from incarceration. They proceeded with a methadone program of their choice upon
release and received short-term payment to cover treatment costs. Participants enrolled in
Group 2 were referred to a methadone program of their choice and received short-term payment
to cover treatment costs. Participants enrolled in Group 3 were referred to a program of
choice upon release from incarceration without receiving financial assistance. All
participants had the opportunity to partake in existing support programs available at the
Rhode Island Department of Corrections while incarcerated and in the community upon release.
Follow-up assessments occurred at Months 1.5, 6, and 12. These included interviews and urine
specimens for toxicology analysis to verify self-reports.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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