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Methadone “callbacks” within a veterans affairs opioid treatment program: Detecting methadone misuse
Author(s) -
Cotton Ann J.,
Shipley Leandra J.,
Glynn Lisa H.,
Tracy Josie,
Saxon Andrew J.
Publication year - 2017
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/ajad.12479
Subject(s) - callback , methadone , medicine , psychology , psychiatry , computer science , programming language
Background and Objectives A “callback” requires patients to bring in take‐home methadone doses for inspection. An opioid treatment program (OTP) quality‐improvement project examined random versus “for‐cause” callbacks. Method Eighty‐two random callbacks and 60 for‐cause callbacks were conducted among patients enrolled in an OTP ( N = 183). Results Among patients with more take home doses, 6% of random callbacks versus 44% of for‐cause callbacks were failed. Among patients with fewer take home doses, 36% of for‐cause callbacks were failed. Discussion and Conclusions For‐cause callbacks are more useful than random ones. Scientific Significance For‐cause callbacks based on clinical judgment detect methadone misuse. (Am J Addict 2017;26:50–52)