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Date: April 30, 2024 Tue

Time: 2:58 am

Results for drug abuse and addiction (california)

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Author: Keaton, Sandy

Title: Enhancing Treatment in a Drug Court Setting: An Evaluation of San Diego County's Pilot Vivitrol Project

Summary: In 2012, the North County Drug Court began a pilot project administering Vivitrol to drug court clients with a primary opiate addiction. Vivitrol is an extended-release injectable formulation of naltrexone that was approved in 2006 by the U.S. Food and Drug Administration (USFDA) for the treatment of alcohol dependence and in 2010 for the treatment of opiate dependence (USFDA, 2010). The County of San Diego Health and Human Services Agency (HHSA) contracted with the San Diego Association of Governments' (SANDAG) Criminal Justice Research Division to conduct a two-year evaluation of the Vivitrol Pilot Project to determine if the program was implemented as planned and if the expected outcomes were achieved. This is the fourth and final evaluation report and provides the findings from data collected between August 2012 and June 2014. Key Findings of Vivitrol Pilot Project This report constitutes a two-year evaluation of the North County Vivitrol Pilot Project. It is one of the first studies to look at the longer term impacts of Vivitrol among opioid dependents. While the evaluation was limited by small sample size and available comparison group, the findings support further exploration of intramuscular injections of Vivitrol to support engagement and retention in drug treatment among individuals involved in the criminal justice system. Some key findings included: Regardless of the number of shots received, program clients generally reported that Vivitrol helped to control their cravings and supported their recovery. Program clients who completed the prescribed six or more doses of Vivitrol experienced decreased desire to use, did not relapse, and did not reoffend during the study period (a total of 18 months). While positive outcomes were realized for those clients who received the full dosage amount, only around one quarter (26%) received six or more shots. Older clients (36 years old on average) whose primary method of heroin administration was injection were more likely to receive six or more doses than those who were younger and reported other primary modes of use. Program stakeholders surveyed recommended that the Vivitrol project continue because of the success of the clients they witnessed during the pilot project including decreased cravings and greater focus on treatment.

Details: San Francisco: Criminal Justice Research Division, SANDAG, 2014. 19p.

Source: Internet Resource: CJ Bulletin: Accessed October 9, 2014 at: http://www.sandag.org/uploads/publicationid/publicationid_1873_17990.pdf

Year: 2014

Country: United States

URL: http://www.sandag.org/uploads/publicationid/publicationid_1873_17990.pdf

Shelf Number: 133626

Keywords:
Drug Abuse and Addiction (California)
Drug Abuse Treatment
Drug Courts
Drug Offenders
Problem-Solving Courts
Substance Abuse Treatment