Adopted MeasuresDeveloping MeasuresStanding WorkgroupsResourcesBibliography
Medication Assisted Treatment

Background

Substantial evidence exists for the use of prescription medications as an adjunct for treatment of opioid addiction and alcohol abuse and dependence. For alcohol abuse and dependence, medications that have been shown to be effective include naltrexone (Volpicelli et al, 1992; OMalley et al, 1992; CSAT 2004; Anton et al, 2006), disulfiram (Fuller et al 1986; Chick et al, 1992), acamprosate (Tempesta et al, 2000; Mann et al, 2004), and extended-release naltrexene (Garbutt et al., 2005). For opioid addiction, office-based treatment with buprenorphine is effective (Johnson et al, 1995; Ling et al, 1998; Fudala et al, 2003; CSAT 2004; CSAT 2005). In each case, adherence to treatment is critical. In spite of recommendations for use of medication assisted treatment and endorsement by the National Quality Forum, the prevalence of such treatment continues to be low (Thomas et al, 2003; Thomas et al 2006), and there are few examples of performance indicators currently being used in this context. The Washington Circle work group on medication assisted treatment is developing such a performance measure, to be applied in treatment settings.

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