Medicaid coverage, methadone maintenance, and felony arrests: Outcomes of opiate treatment in two states

Dennis Deck; Wyndy Wiitala; Bentson McFarland; Kevin Campbell; John Mullooly; Antoinette Krupski; Dennis McCarty

doi:10.1080/10550880902772373

Medicaid coverage, methadone maintenance, and felony arrests: Outcomes of opiate treatment in two states

Dennis Deck, Wyndy Wiitala, Bentson McFarland, Kevin Campbell, John Mullooly, Antoinette Krupski, Dennis McCarty

Research output: Contribution to journal › Article › peer-review

34 Scopus citations

Abstract

A modest number of clinics in Oregon and Washington provide MMT maintenance treatment (MMT) services. More than 10,000 clients in each state were followed for 3 years after an initial admission for opiate use between 1993 and 2000. Medicaid clients in both states had far greater access to MMT than their non-Medicaid counterparts, controlling for differences in client characteristics using propensity scores. Months in MMT were associated with much lower arrest rates than time not in treatment, but unexpectedly this was only true for clients participating in MMT for many months. Despite differences in the treatment systems for opiate addiction in these two states observed in previous studies, the current findings generalized across both states.

Original language	English (US)
Pages (from-to)	89-102
Number of pages	14
Journal	Journal of Addictive Diseases
Volume	28
Issue number	2
DOIs	https://doi.org/10.1080/10550880902772373
State	Published - Apr 2009

Keywords

Arrests
Methadone
Opiate treatment
Substance abuse

ASJC Scopus subject areas

Medicine (miscellaneous)
Clinical Psychology
Psychiatry and Mental health

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10.1080/10550880902772373

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title = "Medicaid coverage, methadone maintenance, and felony arrests: Outcomes of opiate treatment in two states",

abstract = "A modest number of clinics in Oregon and Washington provide MMT maintenance treatment (MMT) services. More than 10,000 clients in each state were followed for 3 years after an initial admission for opiate use between 1993 and 2000. Medicaid clients in both states had far greater access to MMT than their non-Medicaid counterparts, controlling for differences in client characteristics using propensity scores. Months in MMT were associated with much lower arrest rates than time not in treatment, but unexpectedly this was only true for clients participating in MMT for many months. Despite differences in the treatment systems for opiate addiction in these two states observed in previous studies, the current findings generalized across both states.",

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note = "Funding Information: Address correspondence to: Dennis Deck, PhD, RMC Research Corporation, 111 S.W. Columbia St., Suite 1200, Portland, OR 97201 (E-mail: ddeck@rmccorp.com). This study was supported in part by grant R01 DA015060 from the National Institute for Drug Abuse.",

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AU - Campbell, Kevin

AU - Mullooly, John

AU - Krupski, Antoinette

AU - McCarty, Dennis

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Medicaid coverage, methadone maintenance, and felony arrests: Outcomes of opiate treatment in two states

Abstract

Keywords

ASJC Scopus subject areas

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