Online Program

Risk Factors Associated With Prescription Opioid Use Disorder Among Youth In an Outpatient Substance Abuse Treatment Program

Wednesday, November 4, 2015

Anthony Estreet, Ph.D., LCSW-C, LCADC, School of Social Work, Morgan State University, Baltimore, MD
Paul Archibald, Dr.Ph, LCSW-C, School of Social Work, Morgan State University, Baltimore, MD
Angelica Mooney, MSW, School of Social Work, Morgan State University, Baltimore, MD
The significant increase in prescription opioid use disorders has become a major public health problem.  It is imperative that treatment professionals understand the risk factors associated with this problem.  As such, the purpose of this study is to examine risk factors associated with prescription opioid use in standard clinical substance abuse treatment. 

Retrospective chart abstraction data was collected from a sample (n=332) of youth ages 16-24 who completed an intake assessment at a community outpatient treatment program in a large urban setting. Subjects were grouped according to baseline self-reported substance of abuse (primary prescription opioid (n=103) vs other primary substance (n=229)).  Baseline intake assessment was gathered on current use as well as previous use history in addition to demographic and other psychosocial factors. 

Individuals who used prescription opioids were older but indicated earlier onset of substance use problems with alcohol and marijuana (12.9 vs 14.2).  Additionally, those with prescription opioid use had an increased likelihood of using other medications (57.8% vs 21.6%). Those who used prescription opioids had higher frequencies of delinquency, diagnosis of externalizing behavior, and psychiatric diagnosis (62.6% vs 36.7%).  A stepwise logistic regression identified significant risk factors, youth who identified prescription opioid use as primary were significantly more likely to be non-Hispanic white (OR: 0.56 95% CI: 0.50-0.64), have a history of non-violent criminal involvement (OR: 1.21 95% CI: 1.17-1.24), and have a co-occurring psychiatric diagnosis (OR: 2.57 95%CI: 2.12-2.79) compared to those who used other substances.

Youth who identify prescription opioids as their substance of choice have higher rates of substance use in addition to compounding psychosocial dysfunction.  It is imperative that additional research be conducted to understand contributing factors related to these differences in order to better inform treatment approaches and better equip providers with the necessary tools to effect positive change in treatment outcomes.

Learning Areas:

Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Public health or related education
Social and behavioral sciences

Learning Objectives:
Identify 3 Risk factors associated with prescription opioid use disorder Describe the health related risk of prescription opioid use disorder Compare risk factors of two youth substance using populations

Keyword(s): Drug Abuse Treatment, Youth

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been researching program implementation and treatment related outcomes for the past 5 years. Additionally, I have been practicing for over 10 years in addiction treatment. My primary focused was the strategic development of interventions and exploring treatment related outcomes with regards to the specific interventions. As a previous clinical director at a large urban treatment center, he was responsible for overseeing the outpatient behavioral health programs which included opioid specific program.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.