Lifelong Learning: The role of behavioral interventions in buprenorphine maintenance treatment: A review-View Article

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This review examines the role of behavioral interventions in office-based buprenorphine treatment for opioid use disorders. The authors conducted a review of randomized controlled studies and found that while some studies showed no benefit from adding a behavioral intervention to buprenorphine treatment, others indicated some benefit for specific interventions, such as contingency management. The authors also explore questions about the effectiveness of buprenorphine treatment, the effectiveness of medical management, and the effectiveness of behavioral interventions in this population. They conclude that while medical management may be sufficient for some patients, there is limited data on the types of individuals for whom it is sufficient. They suggest that a stepped-care model, where patients begin with relatively non-intensive treatment and increase intensity as needed, may be appropriate. They also highlight the importance of improving retention in buprenorphine treatment, as well as exploring innovative strategies for enhancing retention. Overall, the review provides insights into the current understanding of the role of behavioral interventions in buprenorphine maintenance treatment.

Keywords

behavioral interventions

office-based buprenorphine treatment

opioid use disorders

randomized controlled studies

benefit

specific interventions

contingency management

effectiveness

medical management

stepped-care model