{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:19:07Z","timestamp":1777897147465,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,10,1]],"date-time":"2017-10-01T00:00:00Z","timestamp":1506816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Substance Abuse"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Without aftercare treatment, persons discharged from short-term inpatient detoxification for opioid use disorder are at high risk of relapse. In previous work, those who were recently homeless or had pending legal problems were more likely to prefer residential treatment for aftercare. Here, based on clinical experience, the authors hypothesize that a particular clinical factor, surviving an opioid overdose, will be associated with aftercare preference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between May and December 2015, the authors surveyed consecutive persons seeking inpatient opioid detoxification. To assess aftercare treatment preference, participants were asked, \u201cIf you had unlimited treatment options and all were free, which one would work best for you when you leave here?\u201d To assess overdose history, participants were asked about overdose \u201csince your first drug use,\u201d and \u201cin the last year.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants\u2019 ( N = 440) mean age was 32.3 (\u00b1 8.7) years; 70.7% were male. More than half (51.1%) of participants expressed an aftercare preference for medication-assisted treatment (MAT), 12.7% for outpatient counseling only, 10.7% for residential treatment,18.6% for no formal treatment (Narcotics Anonymous\/Alcoholics Anonymous only or a halfway house), and 6.8% did not want any postdetoxification treatment. About 40% reported a history of overdose, and 24.8% reported past year overdose. In the multivariate model, treatment preference was associated with sex ( P &lt; .001), homelessness ( P = .01), and history of drug overdose ( P = .02).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although MAT was preferred by the majority of participants, the experience of a nonfatal overdose was associated with the choice of residential treatment as postdetoxification treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1080\/08897077.2017.1353570","type":"journal-article","created":{"date-parts":[[2017,7,10]],"date-time":"2017-07-10T12:49:28Z","timestamp":1499690968000},"page":"389-393","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Overdose History is associated with Postdetoxification Treatment Preference for Persons with Opioid use Disorder"],"prefix":"10.1177","volume":"38","author":[{"given":"Michael D.","family":"Stein","sequence":"first","affiliation":[{"name":"General Medicine Research Unit, Butler Hospital, Providence, Rhode Island, USA"},{"name":"Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica N.","family":"Flori","sequence":"additional","affiliation":[{"name":"General Medicine Research Unit, Butler Hospital, Providence, Rhode Island, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan M.","family":"Risi","sequence":"additional","affiliation":[{"name":"General Medicine Research Unit, Butler Hospital, Providence, Rhode Island, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micah T.","family":"Conti","sequence":"additional","affiliation":[{"name":"General Medicine Research Unit, Butler Hospital, Providence, Rhode Island, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley J.","family":"Anderson","sequence":"additional","affiliation":[{"name":"General Medicine Research Unit, Butler Hospital, Providence, Rhode Island, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genie L.","family":"Bailey","sequence":"additional","affiliation":[{"name":"Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA"},{"name":"Stanley Street Treatment and Resources, Inc., Fall River, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,10,1]]},"reference":[{"key":"bibr1-08897077.2017.1353570","unstructured":"United Nations Office on Drugs and Crime. 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