{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T09:32:34Z","timestamp":1789551154458,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,5,8]],"date-time":"2019-05-08T00:00:00Z","timestamp":1557273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005268","name":"Center for Mental Health Services","doi-asserted-by":"publisher","award":["SM\u201014\u2010007"],"award-info":[{"award-number":["SM\u201014\u2010007"]}],"id":[{"id":"10.13039\/100005268","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000058","name":"Substance Abuse and Mental Health Services Administration","doi-asserted-by":"publisher","award":["SM\u201014\u2010007"],"award-info":[{"award-number":["SM\u201014\u2010007"]}],"id":[{"id":"10.13039\/100000058","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Addict"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Despite high comorbidity between substance use disorders and other mental health diagnoses, there is a paucity of literature on buprenorphine treatment outcomes in outpatient mental health settings. This study aimed to identify rates and predictors of outpatient buprenorphine treatment retention in a Behavioral Health Clinic (BHC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort study of adults on buprenorphine used multiple logistic regression to identify clinical and demographic factors associated with 1\u2010 and 2\u2010year treatment retention and buprenorphine adherence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 321 subjects, 169 (52.6%) were retained in treatment for at least 1 year; 114 (35.5%) were retained for 2 years or more. Buprenorphine adherence was 95.8% and 97.3% for 1\u2010 and 2\u2010year retention groups, respectively. Predictors of 1\u2010year retention included benzodiazepine co\u2010prescription (adjusted odds ratio [AOR]\u2009=\u20092.4; 95% CI [1.30, 4.55]), having a diagnosis of other mood disorder (AOR\u2009=\u20093.4; [1.95, 5.98]), or nicotine use disorder (AOR\u2009=\u20092.4; [1.35, 4.27]). Predictors of 2\u2010year retention included female gender (AOR\u2009=\u20092.1; [1.16, 3.73]), having a diagnosis of depressive disorder (AOR\u2009=\u20094.6; [1.49, 14.29]), other mood disorder (AOR\u2009=\u20093.6; [1.88, 6.88]), or nicotine use disorder (AOR\u2009=\u20092.0; [1.13, 3.52]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusion<\/jats:title><jats:p>During the study period, 52.7% and 35.5% of BHC patients treated with buprenorphine were retained for 1 and 2 years, respectively, comparable to the studies performed within primary care. Providing buprenorphine treatment within mental health clinics may serve patients who are already engaged with mental health providers but are reluctant to start new treatment within another treatment setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Scientific Significance<\/jats:title><jats:p>Identifying common predictors of retention can help determine which patients require additional substance use treatment support. (Am J Addict 2019;28:339\u2013346)<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajad.12896","type":"journal-article","created":{"date-parts":[[2019,5,8]],"date-time":"2019-05-08T13:10:47Z","timestamp":1557321047000},"page":"339-346","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Long\u2010Term Retention in an Outpatient Behavioral Health Clinic With Buprenorphine"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0296-5757","authenticated-orcid":false,"given":"Cristina","family":"Montalvo","sequence":"first","affiliation":[{"name":"Department of Psychiatry VA Boston Healthcare System  West Roxbury Massachusetts"},{"name":"Department of Psychiatry Boston University School of Medicine  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brad","family":"Stankiewicz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Bournewood Health Systems  Brookline Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annelise","family":"Brochier","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Boston Medical Center  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Henderson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Boston University School of Medicine  Boston Massachusetts"},{"name":"Department of Psychiatry Boston Medical Center  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina P.C.","family":"Borba","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Boston University School of Medicine  Boston Massachusetts"},{"name":"Department of Psychiatry Boston Medical Center  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,5,8]]},"reference":[{"key":"e_1_2_8_1_2_1","unstructured":"Substance Abuse and Mental Health Services Administration.Key Substance Use and Mental Health Indicators in the United States: Results From the 2016 National Survey on Drug Use and Health. 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