49. Risk perceptions and recovery threats for clients with a history of methadone maintenance therapy dropout

49. Risk perceptions and recovery threats for clients with a history of methadone maintenance therapy dropout

49. Risk perceptions and recovery threats for clients with a history of methadone maintenance therapy dropout

Jordan Sherstobitoff, BScN, RN, MN Student; University of Saskatchewan; Canada Geoffrey Maina, RN, BScN, MN, PhD; University of Saskatchewan; Canada

Learning objectives:
  1. Increase understanding of clients perspectives of the systemic and personal barriers present in the treatment for Opiate Use Disorder in Prince Albert Region, SK.
  2. Increase understanding of clients perspectives of opiate use disorder risks and management before, during treatment and following treatment failure and re enrollment to opiate substitution therapy in Prince Albert Region, SK.
  3.  
Abstract:

Background: Methadone treatment is one of the opioid substitution therapies (OSTs) used to manage opioid use disorder (OUD). Clients on methadone treatment experience a high attrition rate from OST programs. Barriers commonly experienced by participants include limited options in rural communities, treatment modality, transportation, and stigma. Methods: The aim of this project is to explore the experiences and perspectives of clients on methadone treatment who had previously dropped out of an OST program. We used a explorative qualitative design to interview 22 participants currently receiving methadone at a clinic in a small city western Canada. Results: Four phases designated as critical moments in their lives were identified from their narratives: 1) pre-addiction phase 2) early substance use, 3) first methadone treatment, and 4) methadone treatment failure and reenrollment. Conclusion: Understanding the lived experiences of clients with OUD who have received OST therapy is important when creating interventions that improve retention and participant health. Experiences on OST treatment and presenting them temporarily on a prevention rehabilitation continuum expands possibilities for community-based interventions focusing on the individuals, their family, and the community on substance use prevention, harm reduction activities and supported treatment and recovery.

IMPERIAL 6

MEETING ID: 828 2329 0199
PASSWORD: MAPLE22

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