Medicaid Coverage, Methadone Maintenance, and Felony Arrests: Outcomes of Opiate Treatment in Two States

被引：36

作者：

Deck, Dennis ^{[1
]}

Wiitala, Wyndy ^{[2
]}

McFarland, Bentson ^{[3
,4
]}

Campbell, Kevin ^{[5
]}

Mullooly, John ^{[4
]}

Krupski, Antoinette ^{[6
]}

McCarty, Dennis ^{[3
]}

机构：

[1] RMC Res Corp, Portland, OR 97201 USA

[2] Elite Res LLC, Carrollton, TX USA

[3] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[4] Kaiser Permanente Ctr Hlth Res, Portland, OR USA

[5] Dept Hlth & Social Serv, Div Alcohol & Subst Abuse, Olympia, WA USA

[6] Univ Washington, Harborview Med Ctr, Seattle, WA 98104 USA

来源：

JOURNAL OF ADDICTIVE DISEASES | 2009年 / 28卷 / 02期

关键词：

Methadone; substance abuse; arrests; opiate treatment; DRUG-ABUSE TREATMENT; PROPENSITY SCORE; WESTERN STATES; MENTAL-HEALTH; MANAGED-CARE; ACCESS; COSTS; REDUCTION; ADDICTION; BENEFITS;

D O I：

10.1080/10550880902772373

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

A modest number of clinics in Oregon and Washington provide MMT maintenance treatment (MMT) services. More than 10,000 clients in each state were followed for 3 years after an initial admission for opiate use between 1993 and 2000. Medicaid clients in both states had far greater access to MMT than their non-Medicaid counterparts, controlling for differences in client characteristics using propensity scores. Months in MMT were associated with much lower arrest rates than time not in treatment, but unexpectedly this was only true for clients participating in MMT for many months. Despite differences in the treatment systems for opiate addiction in these two states observed in previous studies, the current findings generalized across both states.

引用

页码：89 / 102

页数：14

共 53 条

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