By Nicholas Seivewright
Methadone has been used effectively as a substitution agent for heroin dependency for greater than 30 years. due to its good fortune, different powerful tools of remedy were ignored. validated as a key textual content on all cures for drug misusers, group remedy of Drug Misuse: greater than Methadone has been hugely praised for its useful orientation in accordance with an excellent learn historical past. For the second one version, the entire major evidence-based and extra pragmatic therapy methods are reviewed, not just within the administration of opiate dependence, yet around the diversity of gear. It focuses generally on advancements within the previous couple of years due to coverage projects and study findings, together with assurance of buprenorphine therapy, the systematic remedy of cocaine abuse and paintings with particular sufferer teams. this can be of direct relevance to scientific in addition to non-medical practitioners venture medical paintings within the addictions.
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Extra resources for Community Treatment of Drug Misuse: More Than Methadone 2nd Edition
Example text
In addition, they are exposed constantly to non-recovering patients and experience this as additionally burdensome, as these are the very people they are trying to avoid. Following the evolution of methadone treatment internationally, as summarized earlier in the chapter, in many clinics medical and counselling appointments are at about that monthly frequency, with general drug counselling mainly on an individual basis. In our 23 Section 1: Treatments experience it is preferable to have the two kinds of appointments as separate, with the drug counsellor – or as we say ‘keyworker’, with the term ‘caseworker’ being similar – spending some of his or her time discussing the methadone treatment, but also looking at wider personal and lifestyle aspects.
Once again, at follow-up after two years almost none of the control group had ceased drug use or made other satisfactory progress, while in the treatment group there were high levels of cessation of other drugs and gaining employment or further education. A further randomized controlled study by Yancovitz et al. (1991) is interesting in that it tested the effects of ‘interim’ methadone treatment, involving limited other services, in those awaiting treatment in comprehensive methadone programmes.
2005), and sero-conversion rates (Metzer et al. 1993, Gibson et al. 1999). Because of these impressive aspects, and the benefits in the other areas referred to above, access to methadone treatment is generally encouraged, and in a low-threshold programme relatively few demands may be made. Criteria for receiving methadone are often not rigorous and, once in treatment, if it broadly appears that the harm-reduction aims are being met, there is a tendency for prescribing to ‘drift’ into the long term in individuals who are not necessarily definite maintenance candidates.
