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The Prevalence of Medically Assisted Treatment
and of Associated Attitudes in
Maryland Oxford Houses
Emily Stecker and Dr....
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The Prevalence of Medically Assisted Treatment and of Associated Attitudes in Maryland Oxford Houses

2015 John S. Toll Summer Science Program Student Presentation

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The Prevalence of Medically Assisted Treatment and of Associated Attitudes in Maryland Oxford Houses

  1. 1. The Prevalence of Medically Assisted Treatment and of Associated Attitudes in Maryland Oxford Houses Emily Stecker and Dr. Christopher Beasley Department of Psychology Washington College Abstract This study aimed to identify and quantify the experienced and perceived stigma of medically assisted therapy in Oxford Houses across Maryland. The goals of this investigation were to describe the prevalence of MAT in Oxford Houses, identify the degree to which MAT patients disclose their treatments to their Oxford Houses, and explain willingness to accept MAT members among Oxford Houses. Overall, the results of the study indicated that a third of residents have negative attitudes toward medically assisted treatment. Introduction • In Baltimore, MD from 1995 to 2009, the number of overdose deaths attributed to heroin were between 106 (2008) and 312 (1999) (Schwartz et al., 2013). • 7,479 patients were treated with buprenorphine (Suboxone) in Baltimore in 2009 (Schwartz et al., 2013). • Greater access to opioid agonist treatment is associated with a decrease in deaths from heroin overdose (Schwartz et al, 2014). • Of patients receiving methadone-treatment (MT), buprenorphine-treatment (BT), and out-of-treatment (OT), all patients have more positive attitudes toward buprenorphine than methadone. The BT group have more positive attitudes toward buprenorphine than do the MT and OT groups (Kelly et al., 2012). • Oxford Houses are democratic, self-run addiction recovery homes (Oxford House, Inc. 2011). As of 2015, there are 1,900 individual Houses internationally (Oxford House, Inc. 2015). Objectives • Describe prevalence of buprenorphine in Maryland Oxford Houses. • Identify residents’ disclosure of buprenorphine treatment to their respective Houses. • Explain willingness of Oxford House residents to vote in residents being treated with buprenorphine. • Determine attitudes toward buprenorphine in Maryland Oxford Houses. Methods Participants: Maryland Oxford House residents (N=89) • 73% male • 51.7% White/not of Hispanic origin, 42.7% Black, 1.4% Hispanic • 25.8% ages 20-29, 27.3% ages 30-39, 11.3% ages 40-49, 30.2% ages 50-59, 4.3% ages 60-69 • 6.7% completed 9th-10th grade, 23.6% GED/High school, 5.6% trade school, 47.2% some college, 7.9% undergraduate degree, 5.6% graduate degree Measures: The survey was composed of measures of experienced MAT stigma- related rejection, MAT perceived stigma in the recovery community, and MAT-related shame. A resident is determined to be participating in MAT if he or she discloses in the questionnaire that he or she is currently taking methadone, buprenorphine (Suboxone or Subutex), or naltrexone (Vivitrol). Discussion • Nearly 15% of respondents are currently using MAT • Less than a quarter of those using MAT disclose their treatment in their recovery meetings. • Approximately two-thirds of respondents would consider voting in a resident that uses MAT. • About four-fifths of respondents perceive the recovery community to have positive attitudes toward MAT. Limitations: Low rates of participation, self-report methods, and missing data. Future Directions: • National survey of prevalence of MAT in Maryland Oxford House • Study of how attitudes toward MAT affect success. • Measure of success of MAT patients placed in Oxford Houses. Conclusions: • A majority of residents in Oxford Houses perceive the recovery community to be accepting of MAT. • A considerable majority of those using MAT do not feel out of place in the recovery community. • A majority of MAT patients do not disclose their treatment in recovery meetings. • Oxford House residents are not adamantly opposed to residents using MAT as a form of recovery treatment. Figure 1. Visual representation of respondents’ answers to question: Do you receive medication assisted treatment (MAT) for opioid dependence. References Kelly, S. M., Brown, B. S., Katz, E. C., O'Grady, K. E., Mitchell, S. G., King, S., & Schwartz, R. P. (2012). A Comparison of Attitudes Toward Opioid Agonist Treatment among Short-Term Buprenorphine Patients. American Journal Of Drug & Alcohol Abuse, 38(3), 233-238. doi:10.3109/00952990.2011.643983 Luoma, J. B., O'Hair, A. K., Kohlenberg, B. S., Hayes, S. C., Fletcher, L. (2010). The development and psychometric properties of a new measure of perceived stigma toward substance users. Substance Use and Misuse, 45, 47-57. Oxford House, Inc. (2011). Oxford House Manual, (4). Silver Spring, MD: Oxford House, Inc. Oxford House, Inc. (2015). 2015 Annual Oxford House World Convention. Retrieved from: Schwartz, R. R., Gryczynski, J., O'Grady, K. E., Sharfstein, J. M., Warren, G., Olsen, Y., & ... Jaffe, J. H. (2013). Opioid Agonist Treatments and Heroin Overdose Deaths in Baltimore, Maryland, 1995-2009. American Journal Of Public Health, 103(5), 917-922.