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Prevalence of Prescription Opioid Abuse
among New Admissions to OTP’s

NDRI Investigator: Andrew Rosenblum, Ph.D.

Funding Source: AATOD

Project period: 6/1/2004 - 11/30/2007

Objective:
To determine the prevalence and type of prescription opioid abuse among admissions to methadone programs and to describe the relationship between type of opioid drug and pain severity, psychological distress and dependence severity.

Significance:
Abuse of prescription opioids has reached epidemic proportions, especially among enrollees in methadone maintenance treatment (MMT) in certain regions of the United States. Our previous work indicated that chronic pain contributes to opioid abuse, especially among MMT patients.1 However little is known about current and lifetime prevalence of different types of opioids among methadone enrollees or factors that may contribute to the use of different types of opioid drugs.

Methods:
In collaboration with the American Association for the Treatment of Opioid Dependence (AATOD), NDRI is conducting a survey of opioid abuse among methadone enrollees.

Applications:
The data collected by this study will help policy makers, government agencies, the pharmaceutical industry and treatment providers better understand the prevalence of prescription opioid abuse and assist them in making rational, science-based decisions regarding the prevention and treatment of this disorder.

1. Rosenblum A, Joseph J, Fong C, Kipnis S, Cleland C, Portenoy R. Prevalence and characteristics of chronic pain among chemically dependent patients in methadone maintenance and residential treatment facilities. JAMA, 18(289):230-2378, 2003.