TY - JOUR PY - 2017// TI - Methadone "callbacks" within a veterans affairs opioid treatment program: detecting methadone misuse JO - American journal on addictions A1 - Cotton, Ann J. A1 - Shipley, Leandra J. A1 - Glynn, Lisa H. A1 - Tracy, Josie A1 - Saxon, Andrew J. SP - 50 EP - 52 VL - 26 IS - 1 N2 - 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)

Language: en

LA - en SN - 1055-0496 UR - http://dx.doi.org/10.1111/ajad.12479 ID - ref1 ER -