Community-Based Relapse Prevention for Opiate Dependents: A Randomized Community Controlled Trial

  • Masoomeh Maarefvand
  • , Mostafa Eghlima
  • , Hasan Rafiey
  • , Mahdi Rahgozar
  • , Nazanin Tadayyon
  • , Abbas Deilamizadeh
  • , Hamed Ekhtiari

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Relapse prevention (RP) programs mainly focus on patients and their families; however a patient’s community can also play a significant role in RP. A randomized-controlled-trial was conducted among opiate-dependents discharging from residential abstinence-based treatment programs to assess the effect of a community-based relapse prevention program (CBRP) on the RP. Seventy-one participants were consented and randomized into CBPR (n = 35) or treatment-as-usual arms. Developing and implementing CBRP, social-workers and peer-group counselors facilitated and advocated thirty-six RP projects across 7 communities during a three-month follow-up period. Negative-drug-tests, 45 and 90 days after discharge from residential programs were considered as the main outcome. Abstinence rates were significantly greater for patients who received CBRP in comparison to the subjects in the treatment-as-usual arm at 45 days (27 and 20, P < 0.004) and 90 days (27 and 21, P < 0.007) after discharge. CBRP was an effective method for RP among opiate-dependents after being discharged from the residential programs.

Original languageEnglish (US)
Pages (from-to)21-29
Number of pages9
JournalCommunity Mental Health Journal
Volume51
Issue number1
DOIs
StatePublished - Jan 2014
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2014, Springer Science+Business Media New York.

Keywords

  • Addiction
  • Community-based
  • Relapse prevention
  • Social work

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