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Sociodemographic Profiles and Clinical Outcomes for Clients on Methadone Maintenance Treatment in a Western Canadian Clinic

Implications for Practice

Maina, Geoffrey RN, PhD1; Crizzle, Alexander PhD2; Maposa, Sithokozile RN, PhD1; Fournier, Bonnie RN, PhD3

doi: 10.1097/JFN.0000000000000246
Original Articles
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Introduction: Clients on methadone maintenance treatment (MMT) have high attrition rates that are attributed to personal and system-related factors. To develop supportive interventions for these clients, it is imperative to understand social demographic characteristics and challenges that clients in the MMT program face.

Objectives: This article aims to describe (a) the sociodemographic characteristics and clinical profiles of clients in a MMT program, (b) factors that impact their positive clinical outcomes, and (c) the study's implications for practice.

Methods: A retrospective review of 101 randomly selected electronic medical records representing one third of all the records were examined for sociodemographic characteristics, clinical profiles, and outcomes. Descriptive statistics were used to analyze these variables. Interviews with 18 healthcare providers focusing on their experiences of caring for clients in the MMT program were analyzed thematically.

Results: The average age of clients on MMT is 35.5 years. Clients had early exposure to alcohol and drugs, and at the time of enrollment to the program, they presented with complex healthcare needs, borne from chronic use, and exposure to adverse traumatic events. Personal and systemic factors impact clients' recovery. These include poverty, homelessness, and inadequate healthcare services. Understanding sociodemographic characteristics, clinical profiles, and clients' challenges is central to the development of supportive interventions that enhance retention to care and recovery.

Author Affiliations:1College of Nursing, University of Saskatchewan

2School of Public Health, University of Saskatchewan

3School of Nursing, Thomson Rivers University.

The project was funded by the funds from the University of Saskatchewan's Faculty Recruitment and Retention Grant.

The authors declare no conflict of interest.

Correspondence: Geoffrey Maina, RN, PhD, College of Nursing, University of Saskatchewan, 210-1301 Central Avenue, Prince Albert S6V 4W1, Saskatchewan, Canada. E-mail: geoffrey.maina@usask.ca.

Received January 7, 2019; Accepted April 13, 2019

Online date: July 10, 2019

© 2019 by the International Association of Forensic Nurses. All rights reserved.
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