The Effectiveness of Methadone Maintenance Treatment

Patients, Programs, Services, and Outcome

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February 26, 2022 | History

The Effectiveness of Methadone Maintenance Treatment

Patients, Programs, Services, and Outcome

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The work constitutes the most comprehensive evaluation of methadone maintenance treatment in the United States to date. Based upon three years of data collection at drug abuse treatment programs in New York City, Philadelphia and Baltimore, the study contains findings for 617 male intra- venous addicts, interviewed during and after six methadone programs. The major findings of the project concern the effectiveness of methadone maintenance in reducing drug use, crime and other deviant behavior, the effectiveness of cer- tain programs as compared to others, the pressing need to improve the quality of care at mostprograms and the estab- lishment of successful procedures and methodology for evalu- ating drug abuse treatment programs.

Publish Date
Publisher
Springer New York
Language
English
Pages
283

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Book Details


Table of Contents

1 Status of Methadone Maintenance Treatment and Research in the United States
Current Status of Methadone Maintenance Treatment
The AIDS Era
Prior Research and Treatment Evaluation of Methadone Maintenance
The 'Black Box' of Methadone Maintenance Treatment
Four-Domain Schema for Treatment Evaluation
Conclusion
References
2 Research Plan and Data Collection Procedure at the Programs
Objective of the Study
Development of the Research Design
Data Collection at the Programs
Collecting Treatment Domain and Output Data in 1985
Patient Interviews in 1985 and 1986
Treatment Domain Data Collection in 1986
Record Data Collection and Assessment in 1986
Other Sources of Data
Conclusion
References
3 Pretreatment Characteristics of 617 Male Methadone Maintenance Patients
Characteristics of the Addict Patients
Commonality Among the Addict Patients
Conclusion
References
4 Candid Descriptions of the Six Programs
On-Site Data Collection During 3 Years
The Six Programs
Discussion
References
5 Treatment Domain
Elements of the Treatment Domain
Measurement of the Treatment Domain
Additional Areas of Measurement
Conclusion
6 Treatment and Rehabilitation Provided to Patients at the Six Programs in 1985 & 1986
Measurement of Services Provided
Daily Hours of Operation
Methadone Dispensing Practices at the Six Programs
Urinalysis
Counseling Services
Medical Services
Year to Year Change in the Provision of Treatment Services
Overview of Measurement and Assessment
Conclusion
7 Reduction in Drug Abuse During Methadone Maintenance Treatment
Issues and Plan of Analysis
Pretreatment Drug Abuse Prevalence
Reduction in Drug Abuse During Methadone Maintenance Treatment
Differences Among the Six Programs in Reducing IV Drug Use
Discussion
Conclusion
References
8 Follow-up Study of 105 Patients Who Left Treatment
Rates of Retention in Treatment
Follow-up of Patients Who Left Treatment
Relapse to IV Drug Use After Treatment
Discussion
Conclusion
References
9 Prevalence and Change in Psychiatric Symptomatology Among Methadone Maintenance Patients
Lifetime Prevalence of Psychiatric Symptoms
Recent Psychiatric Symptoms
Psychiatric Severity Composite Scores by Time in Treatment
Discussion
References
10 Reduction of Crime Through Methadone Maintenance Treatment
Measurement of Crime Among Heroin Addicts
Pretreatment Criminality of Addict Patients
Reduction in Crime During Methadone Maintenance Treatment
Discussion
References
11 Treatment Success: Association With Patient Baseline, Program Elements, and In-treatment Process
Research Questions Addressed
The Data
Patient Groups
Statistical Procedures
Findings: Outcomes and Independent Variables
Discussion and Conclusion
References
12 Summation of Findings and Conclusion
Obtaining Comprehensive Program Data
Interviewing Patients at the Six Programs
Candid Program Descriptions
Treatment Domain
Treatment Provided
Determination of Effectiveness
Reduction in Crime
Multivariate Analysis
Local Environment and City
Conclusion
References
Appendix A: 89 Measures of the Treatment Domain
Appendix C: Further Analysis with Regard to Chapter 11.

Edition Notes

Published in
New York, NY

Classifications

Dewey Decimal Class
616.89
Library of Congress
RC434.2-574

The Physical Object

Pagination
1 online resource (xiv, 283 pages 11 illustrations)
Number of pages
283

ID Numbers

Open Library
OL26685524M
Internet Archive
TheEffectivenessOfMethadoneMaintenanceTreatment
ISBN 10
1461390893, 1461390915
ISBN 13
9781461390893, 9781461390916
OCLC/WorldCat
852788537

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Download catalog record: RDF / JSON / OPDS | Wikipedia citation
February 26, 2022 Edited by ImportBot import existing book
February 26, 2022 Edited by ImportBot import existing book
February 5, 2019 Created by MARC Bot Imported from Internet Archive item record