TABLE 1.

Patient reasons for medication diversion and misuse while in OBOT

Reasons for diversion	Reasons for misuse
Peer pressure (e.g., expectation that medication is shared, may be facilitated by excessively high daily doses and large supplies)	Habit (e.g., history of IV or intranasal drug use increases risk of injecting or snorting medication, respectively)
Help addicted friend or family member	Perceived under-dosing
Make money (e.g., pay off bad debt, pay for living expenses/medical fees, to buy preferred opioid for misuse)	Relieve opioid withdrawal, craving and/or treat addiction
	Achieve positive effects (e.g., get high, increased energy)
	Relieve negative states (e.g., pain, anxiety, depression)