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Parpouchi M, Moniruzzaman A, Rezansoff SN, et al. Characteristics of adherence to methadone maintenance treatment over a 15-year period among homeless adults experiencing mental illness. Addict Behav Rep. 2017;6:106-111doi: 10.1016/j.abrep.2017.09.001.
Parpouchi, M., Moniruzzaman, A., Rezansoff, S. N., Russolillo, A., & Somers, J. M. (2017). Characteristics of adherence to methadone maintenance treatment over a 15-year period among homeless adults experiencing mental illness. Addictive behaviors reports, 6106-111. https://doi.org/10.1016/j.abrep.2017.09.001
Parpouchi, Milad, et al. "Characteristics of adherence to methadone maintenance treatment over a 15-year period among homeless adults experiencing mental illness." Addictive behaviors reports vol. 6 (2017): 106-111. doi: https://doi.org/10.1016/j.abrep.2017.09.001
Parpouchi M, Moniruzzaman A, Rezansoff SN, Russolillo A, Somers JM. Characteristics of adherence to methadone maintenance treatment over a 15-year period among homeless adults experiencing mental illness. Addict Behav Rep. 2017 Sep 23;6:106-111. doi: 10.1016/j.abrep.2017.09.001. eCollection 2017 Dec. PMID: 29450244; PMCID: PMC5800549.
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Addict Behav Rep. 2017 Sep 23;6:106-111. doi: 10.1016/j.abrep.2017.09.001. eCollection 2017 Dec.

Characteristics of adherence to methadone maintenance treatment over a 15-year period among homeless adults experiencing mental illness.

Addictive behaviors reports

Milad Parpouchi, Akm Moniruzzaman, Stefanie N Rezansoff, Angela Russolillo, Julian M Somers

Affiliations

  1. Somers Research Group, Faculty of Health Sciences, Simon Fraser University, Blusson Hall, Room 11300 - 8888 University Dr., Burnaby, British Columbia V5A 1S6, Canada.

PMID: 29450244 PMCID: PMC5800549 DOI: 10.1016/j.abrep.2017.09.001

Abstract

BACKGROUND: Methadone maintenance treatment (MMT) has important protective effects related to reduced illicit opioid use, infectious disease transmission, and overdose mortality. Adherence to MMT has not been examined among homeless people. We measured MMT adherence and reported relevant characteristics among homeless adults experiencing mental illness in Vancouver, British Columbia, Canada.

MATERIAL AND METHODS: Homeless adults living with mental illness who had received MMT prior to the baseline interview of the Vancouver At Home study (

RESULTS: Mean MMT MPR was 0.47. A large proportion of participants reported blood-borne infectious disease, three or more chronic physical health conditions, and substance use. Being single and never married was associated with significantly lower MMT MPR (0.40 vs. 0.55,

CONCLUSIONS: The level of adherence to MMT was very low among homeless adults experiencing mental illness. Efforts are needed to improve adherence to MMT as a means of reducing illicit substance use, preventing overdose deaths, and attenuating infectious disease transmission.

Keywords: Adherence; BC, British Columbia; Homeless; MMT, methadone maintenance treatment; MPR, medication possession ratio; MSP, Medical Services Plan; Medication possession ratio; Mental illness; Methadone; Opioid dependence; VAH, Vancouver At Home

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