Recovery housing and treatment programs reduce relapse among recovering opioid addicts
Opioid-dependent individuals who want to kick the habit typically begin the road to recovery with detoxification. But detox is ineffective as a stand-alone treatment, with relapse rates ranging from 65% to 80% just one month after discharge. New research published online today in the journal Addiction reveals that individuals with substance use disorders may be as much as ten times more likely to stay abstinent when they have access to drug-free recovery housing and day-treatment programs following detox.
Opioid abuse, which includes the use of illegal substances such as heroin and the nonmedical use of prescription painkillers like OxyContin, Percocet, and Vicodin, has reached epidemic levels in the United States. According to a November 2011 press release from the Centers for Disease Control and Prevention (CDC), the death toll in the US from overdoses of prescription painkillers has more than tripled in the past decade, with more than 40 people dying each day. In 2010, 12 million people in the US reported using prescription painkillers for nonmedical use, according to the CDC's National Survey on Drug Use and Health.
To find out if opioid-dependent individuals achieve higher abstinence rates given access to recovery housing and day treatment, researchers from Johns Hopkins University School of Medicine followed 243 patients -- primarily heroin users -- after their release from detox. Eighty-three patients received 12 weeks of rent-free recovery housing and were required to remain drug-free during their residency. Eighty more patients received 12 weeks of recovery housing plus 26 weeks of outpatient treatment, including cognitive behavioral group therapy, recreational activities, vocational assistance, and individual counseling. The final eighty patients received referrals for aftercare treatment at other community programs. The researchers assessed all participants at one, three, and six months after detox to see how many had remained abstinent.
The overall abstinence rate for participants given no housing or treatment was a disappointing 13%, but patients who received housing showed a 37% abstinence rate, and among the group that received housing plus day treatment, 50% were abstinent. At each of the three assessment points, participants receiving housing plus treatment were twice as likely to remain abstinent than those receiving housing only, and ten times more likely to remain abstinent than those receiving no housing or treatment at all.
In general, the best outcomes came from participants who stayed in recovery housing the longest, and access to day treatment tended to promote longer residencies: an average of 49.5 days versus 32.2 days for housing residents who received no day treatment.
Says lead researcher Michelle Tuten: "It's no surprise that opioid-dependent individuals stay off drugs longer when they live in a structured, drug-free environment after finishing detox. Drug-dependent individuals frequently report housing as their most pressing need. If we want to help people stay off heroin and stop abusing prescription painkillers, we need to do more than help them initiate abstinence; we need to help them maintain abstinence and build a drug-free life style as well. Improved access to drug-free recovery housing and day-treatment programs would clearly move us closer to that goal."
Provided by Wiley
- Suboxone is most effective in treating painkiller addiction Nov 07, 2011 | not rated yet | 0
- Homeless heavy drinkers imbibe less when housing allows alcohol Jan 19, 2012 | not rated yet | 0
- Housing for homeless alcoholics can reduce costs to taxpayers Mar 31, 2009 | not rated yet | 0
- Brain functions that can prevent relapse improve after a year of methamphetamine abstinence Jun 29, 2009 | not rated yet | 0
- UBC-Providence Health research to examine new treatments for heroin addiction Oct 12, 2011 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
5 hours ago Alright, so in Pathfinder (like Dungeons and Dragons) there's a spell that allows you to lift/move stuff within 25 ft with 5 pounds of force. A...
7 hours ago So energy can only be converted... So when you squeeze the bulb on a blood pressure cuff, you are applying kinetic energy. Then the cuff fills with...
How does momentum, inertia and drag affect the motion of an object?
10 hours ago How does momentum and inertia affect changes in speed, when considering acceleration from thrust, or from decelleration from drag? Say, for a...
What is Time-Varying Voltage?
11 hours ago In circuits, we have no problem saying that the voltage difference between two point is [itex]\cos(\omega t)[/itex], but what does that actually...
Contextual Relationships Between Momentum, Energy, and Force.
13 hours ago *I apologize in advance for the length of this post, if you wish to reduce reading skip to paragraph 5. Or if you are super lazy, the final...
Barometric pressure and the math behind it. Very interesting, I think.
14 hours ago Hey guys, I was actually researching the life of Edmond Halley and discovered that he discovered the relationship between barometric pressure and the...
- More from Physics Forums - Classical Physics
More news stories
In order to avoid exposing vulnerable groups such as children and young adults to alcohol advertising, industry groups have developed their own self-regulation guidelines. However, these guidelines have been criticized for ...
Addiction 15 hours ago | not rated yet | 0
In order to avoid harms associated with alcohol consumption, in 2009 the National Institute on Alcohol Abuse and Alcoholism issued guidelines that define low-risk drinking. These guidelines differ for men and women: no more ...
Addiction 16 hours ago | not rated yet | 0 |
Treatment for alcohol use disorders works best if the patient actively understands and incorporates the interventions provided in the clinic. Multiple factors can influence both the type and degree of neurocognitive abnormalities ...
Addiction 16 hours ago | not rated yet | 0 |
Researchers from Moffitt Cancer Center and the University of South Florida have evaluated how Florida health care and social service agencies distribute "Libres para Siempre", a Spanish smoking relapse prevention booklet ...
Addiction May 17, 2013 | not rated yet | 0
Tobacco use remains the leading preventable cause of death and disease in the United States. Declines in smoking among youths were observed from the late 1990s. "However, limited information exists on trends in smokeless ...
Addiction May 14, 2013 | not rated yet | 0
Big names in medicine are set to give an upbeat assessment of the war on AIDS on Tuesday, 30 years after French researchers identified the virus that causes the disease.
6 hours ago | not rated yet | 0
For combat veterans suffering from post-traumatic stress disorder, 'fear circuitry' in the brain never rests
Chronic trauma can inflict lasting damage to brain regions associated with fear and anxiety. Previous imaging studies of people with post-traumatic stress disorder, or PTSD, have shown that these brain regions can over-or ...
7 hours ago | not rated yet | 0 |
(Medical Xpress)—What if the quality of your work depends more on your focus on the piano keys or canvas or laptop than your musical or painting or computing skills? If target users can be convinced, they ...
18 hours ago | 3.7 / 5 (3) | 0 |
The neural machinery underlying our olfactory sense continues to be an enigma for neuroscience. A recent review in Neuron seeks to expand traditional ideas about how neurons in the olfactory bulb might encode information about ...
18 hours ago | not rated yet | 0 |
In 2008 researchers from the University of Southern Denmark showed that the drug thioridazine, which has previously been used to treat schizophrenia, is also a powerful weapon against antibiotic-resistant bacteria such as ...
15 hours ago | 3.7 / 5 (3) | 0 |