Opioid substitution treatment, relapse and addiction-related outcomes in prison setting and after release: A longitudinal study

Geisselsoeder, Kerstin and Weiss, Maren and Boksan, Klara and Dechant, Michael and Endres, Johann and Breuer, Maike and Stemmler, Mark and Wodarz, Norbert (2024) Opioid substitution treatment, relapse and addiction-related outcomes in prison setting and after release: A longitudinal study. NORDIC STUDIES ON ALCOHOL AND DRUGS, 41 (6). pp. 640-655. ISSN 1455-0725, 1458-6126

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Abstract

Aims: Opioid addiction is a common problem among prisoners. The aim of this study was to examine differences between people who are incarcerated receiving opioid substitution treatment (OST) and those not receiving OST on addiction-related outcome variables during incarceration and after release from prison. Variables covered illicit use of opioids, non-prescribed substitution medication and other substances, opioid withdrawal symptoms, opioid craving, non-fatal overdoses and post-release substitution treatment. Design: Interviews (European Addiction Severity Index, EuropASI) were conducted with 247 participants in German prisons before release. Participants were interviewed again 1 month and 3-6 months after release from prison. Results: During incarceration, participants who received OST used less illicit opioids and non-prescribed substitution medication than those who did not receive OST. After release from prison, participants in the OST group reported less illicit opioid use and less non-prescribed substitution medication use, as well as less opioid craving. Participants who received OST in prison were more likely to be in OST at post-release follow-up than those who had not received in-prison OST. Conclusion: OST appears to have a positive effect on illicit opioid use and craving both in prison and after release, as well as on treatment at follow-up, which can be considered a protective factor.

Item Type: Article
Uncontrolled Keywords: MAINTENANCE TREATMENT; DEATHS SOON; FOLLOW-UP; METHADONE; DEPENDENCE; INTENTION; DRUGS; METAANALYSIS; INJECTION; MORTALITY; opioid addiction; opioid substitution treatment; prison
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Psychiatrie und Psychotherapie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 10 Dec 2025 06:17
Last Modified: 10 Dec 2025 06:17
URI: https://pred.uni-regensburg.de/id/eprint/64950

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