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Cover for Imperfect Substitutes: Examining whether and to what extent offering Opioid Subsitution Therapy (OST) may be increasing regional polydrug use
dc.contributor.advisorBednarzik, Robert Wen
dc.creatoren
dc.date.accessioned2016-05-27T17:50:11Zen
dc.date.available2016-05-27T17:50:11Zen
dc.date.created2016en
dc.date.issueden
dc.date.submitted01/01/2016en
dc.identifier.otherAPT-BAG: georgetown.edu.10822_1040820.tar;APT-ETAG: 6d50f063f1c3322e0c94351c9ffe5f19; APT-DATE: 2017-02-16_09:13:25en
dc.identifier.urien
dc.descriptionM.P.P.en
dc.description.abstractOpioid Substitution Therapy (OST) attempts to curb opioid addiction by substituting a treatment opioid (i.e. methadone, buprenorphine, naltrexone, etc.) for an addict’s primary drug of abuse (i.e. heroin, oxycodone, etc.). However, insofar as patients continue abusing their preferred drug during treatment, OST programs may be increasing the absolute number of drugs patients are abusing. To the extent that some OST patients “divert” their treatment drugs into illicit markets, OST programs may also be increasing the absolute number of opioids abused by the surrounding population, as well. If corroborated, these trends would indicate a connection between OST treatments and the phenomenon most correlated with drug overdoses— “polydrug use,” or the concurrent use multiple drugs by one person.en
dc.description.abstractTo ascertain whether and to what extent OST treatment provisioning may be affecting regional polydrug use, this study models the annual number polydrug treatment episodes reported in a state as a function of that state’s OST patient population. The study relies primarily on two administrative datasets—the National Survey of Substance Abuse Treatment Services (N-SSATS) and the Treatment Episode Data Set-Admissions (TEDS-A)—collected between 2002 and 2006.en
dc.description.abstractUsing a two-way fixed-effects model that controlled for both state and annual fixed-effects, as well as for state populations and population densities, this study discovered a statistically significant positive correlation (pen
dc.formatPDFen
dc.format.extent57 leavesen
dc.languageenen
dc.publisherGeorgetown Universityen
dc.sourceGeorgetown University-Graduate School of Arts & Sciencesen
dc.sourcePublic Policy & Policy Managementen
dc.subjectaddictionen
dc.subjectdrugsen
dc.subjectheroinen
dc.subjectmethadoneen
dc.subjectopioiden
dc.subjectsubstitutionen
dc.subject.lcshPublic healthen
dc.subject.lcshPublic policyen
dc.subject.lcshStatisticsen
dc.subject.otherPublic healthen
dc.subject.otherPublic policyen
dc.subject.otherStatisticsen
dc.titleImperfect Substitutes: Examining whether and to what extent offering Opioid Subsitution Therapy (OST) may be increasing regional polydrug useen
dc.typethesisen
dc.identifier.orcid0000-0002-2373-9540en


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