Background and Objectives
A “callback” requires patients to bring in take‐home methadone doses for inspection. An opioid treatment program (OTP) quality‐improvement project examined random versus “for‐cause” callbacks.
Method
Eighty‐two random callbacks and 60 for‐cause callbacks were conducted among patients enrolled in an OTP (N = 183).
Results
Among patients with more take home doses, 6% of random callbacks versus 44% of for‐cause callbacks were failed. Among patients with fewer take home doses, 36% of for‐cause callbacks were failed.
Discussion and Conclusions
For‐cause callbacks are more useful than random ones.
Scientific Significance
For‐cause callbacks based on clinical judgment detect methadone misuse. (Am J Addict 2017;26:50–52)