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Research ArticleRegular Article

Practice Patterns in Prescribing Buprenorphine in the New Jersey Department of Corrections

Anthony Tamburello, Fatima Masumova and Kerri Edelman
Journal of the American Academy of Psychiatry and the Law Online June 2022, 50 (2) 252-262; DOI: https://doi.org/10.29158/JAAPL.210087-21
Anthony Tamburello
Dr. Tamburello is Associate Director of Psychiatry, University Correctional Health Care, and Associate Professor of Psychiatry, Rutgers University-Robert Wood Johnson Medical School, Department of Psychiatry, Piscataway, NJ. Dr. Masumova is Private Practice Psychiatrist, Harrison Forensic Psychiatry, Mullica Hill, NJ. Dr. Edelman is Staff Psychologist, University Correctional Health Care, Garden State Youth Correctional Facility, Yardville, NJ.
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Fatima Masumova
Dr. Tamburello is Associate Director of Psychiatry, University Correctional Health Care, and Associate Professor of Psychiatry, Rutgers University-Robert Wood Johnson Medical School, Department of Psychiatry, Piscataway, NJ. Dr. Masumova is Private Practice Psychiatrist, Harrison Forensic Psychiatry, Mullica Hill, NJ. Dr. Edelman is Staff Psychologist, University Correctional Health Care, Garden State Youth Correctional Facility, Yardville, NJ.
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Kerri Edelman
Dr. Tamburello is Associate Director of Psychiatry, University Correctional Health Care, and Associate Professor of Psychiatry, Rutgers University-Robert Wood Johnson Medical School, Department of Psychiatry, Piscataway, NJ. Dr. Masumova is Private Practice Psychiatrist, Harrison Forensic Psychiatry, Mullica Hill, NJ. Dr. Edelman is Staff Psychologist, University Correctional Health Care, Garden State Youth Correctional Facility, Yardville, NJ.
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    Figure 1.

    Clinical Variablesa; OUD = Opioid Use Disorder; UD = Use Disorder; aAll categories p < .001.

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    Figure 2.

    Mean TCU-DSa; TCU-DS = Texas Christian University Drug Screen; OUD = Opioid Use Disorder; UD = Use Disorder; ap < .001.

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    Figure 3.

    Buprenorphine Dosage Frequencies on December 31, 2019 in the NJDOC.

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    Figure 4.

    Substance-Related Institutional Chargesa, TCU-DS = Texas Christian University Drug Screen, OUD = Opioid Use Disorder; UD = Use Disorder, aAll Categories p < .001

Tables

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    Table 1

    Demographic Variables

    OUD and BuprenorphineOUD without BuprenorphineNo OUD
    n875396367
    Average age (years)37.136.438.1
    Gender
     Malea97.7%93.2%95.6%
     Femalea2.3%6.8%b4.4%
    Race
     Whitea67.3%b29.5%15.3%
     Blacka17.0%57.1%b64.0%b
    Hispanica13.9%12.1%19.1%b
     Asian1.0%0%1.4%
     Native American0%0.5%0%
     Other0.2%0%0%
    • ↵a p < .001.

    • ↵b z > 2.0.

    • View popup
    Table 2

    Clinical Variables

    OUD and Buprenorphine (n = 875)OUD without Buprenorphine (n = 396)No OUD (n = 367)
    Mental health rostera48.4%b33.6%16.1%
    Average TCU-DSa8.2c6.1c1.5c
    % > 3 substancesa49.4%b53.5%b6.5%
    Stimulant UDa45.9%b31.1%11.2%
    Cannabis UDa45.8%59.1%b33.5%
    Alcohol UDa31.4%37.9%b19.3%
    Sedative UDa17.9%b18.9%b2.5%
    Hallucinogen UDa9.3%11.1%b2.5%
    Phencyclidine UD2.2%2.3%1.4%
    Other UD0.5%0.8%0.3%
    • TCU-DS = Texas Christian University Drug Screen.

    • OUD = Opioid Use Disorder; UD = Use Disorder.

    • ↵a p < .001.

    • ↵b z > 2.0.

    • ↵c Tukey HSD p < .01.

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    Table 3

    Institutional Variables

    OUD and Buprenorphine (n = 875)OUD without Buprenorphine (n = 396)No OUD (n = 367)
    Years remaining on sentencea2.1c3.1c4.9c
    Any substance-related chargea25.3%b7.6%3.3%
    Misuse of authorized medicationa10.1%b1.3%0.5%
    Use of prohibited substancesa9.0%b1.8%0.8%
    Possession of prohibited substancesa8.5%b3.8%1.9%
    Refusing testinga2.3%b0.0%0.0%
    Being intoxicated1.3%1.8%0.3%
    Making intoxicants0.7%0.5%0.0%
    Distribution of prohibited substances0.2%0.0%0.0%
    • ↵a p < .001.

    • ↵b z > 2.0.

    • ↵c Tukey HSD p < .01.

    • View popup
    Table 4

    Reasons Stated for Prescribing Buprenorphine without Naloxone Component

    #%
    Liver enzymes/disease4450.0%
    Side effects from buprenorphine-naloxone2326.1%
    No reason given1719.3%
    Patient preference33.4%
    Refused buprenorphine-naloxone11.1%
    • View popup
    Table 5

    Reasons for Discontinuing Buprenorphine

    #%
    Side effects743.8%
    Release related318.8%
    Refused/did not want318.8%
    Prefers methadone16.3%
    Disagreement about dosing16.3%
    Misuse16.3%
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Journal of the American Academy of Psychiatry and the Law Online: 50 (2)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 50, Issue 2
1 Jun 2022
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Practice Patterns in Prescribing Buprenorphine in the New Jersey Department of Corrections
Anthony Tamburello, Fatima Masumova, Kerri Edelman
Journal of the American Academy of Psychiatry and the Law Online Jun 2022, 50 (2) 252-262; DOI: 10.29158/JAAPL.210087-21

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Practice Patterns in Prescribing Buprenorphine in the New Jersey Department of Corrections
Anthony Tamburello, Fatima Masumova, Kerri Edelman
Journal of the American Academy of Psychiatry and the Law Online Jun 2022, 50 (2) 252-262; DOI: 10.29158/JAAPL.210087-21
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