A randomized trial of an interim methadone maintenance clinic
Bibliographic Data
| ID | 11032787 |
|---|---|
| Authors | Stanley R Yancovitz (Mount Sinai Beth Israel), Don C Des Jarlais (0000-0002-0157-8168), Nina P Peyser (Yeshiva University), Edmund Drew (Yeshiva University), Patricia Friedmann (Yeshiva University), H L Trigg, H Trigg (Yeshiva University), J W Robinson (0009-0007-0499-6617), Jemima Robinson (Yeshiva University) |
| Year | 1991 |
| Volume | 81 |
| Issue | 9 |
| Pages | 1185-1191 |
| Publication date | 1991-09-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.81.9.1185 |
| PMID | 1659236 |
| OpenAlex | W2004727912 |
| Language | EN |
| Citations received | 25 |
| References cited | 2 |
BACKGROUND. Interim methadone maintenance has been proposed as a method of providing clinically effective services to heroin addicts waiting for treatment in standard comprehensive methadone maintenance programs. METHODS. A clinic that provided initial medical evaluation, methadone medication, and AIDS education, but did not include formal drug abuse counseling or other social support services was established in New York City. A sample of 301 volunteer subjects recruited from the waiting list for treatment in the Beth Israel methadone program were randomly assigned to immediate entry into the interim clinic or a control group. RESULTS. There were no differences in initial levels of illicit drug use across the experimental and control groups. One-month urinalysis follow-up data showed a significant reduction in heroin use in the experimental group (from 63% positive at intake to 29% positive) with no change in the control group (62% to 60% positive). No significant change was observed in cocaine urinalyses (approximately 70% positive for both groups at intake and follow-up). A higher percentage of the experimental group were in treatment at 16-month follow-up (72% vs 56%). CONCLUSIONS. Limited services interim methadone maintenance can reduce heroin use among persons awaiting entry into comprehensive treatment and increase the percentage entering treatment
Family medicine · Interim · Interim analysis · Methadone · Methadone maintenance · Political science · Psychiatry · Randomized controlled trial · HIV, Drug Use, Sexual Risk · Internal Medicine · Medicine · Opioid Use Disorder Treatment · Substance Abuse Treatment and Outcomes
Interim methadone clinics
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A comparison of levels of satisfaction of stable drug users treated in general practice and an outpatient (community based) drug treatment service
Cessation of Drug Use
Retention of Patients Who Entered Methadone Maintenance Via an Interim Methadone Clinic
Drug Treatment on Demand—Not
HIV-Risk Behavior Among Adults with Opioid Use Disorder During 12 Months Following Pre-trial Detention
Assessing the Temporality Between Transitions onto Opioid Agonist Therapy and Engagement with Antiretroviral Therapy in a Cohort of HIV-Positive People Who Use Opioids Daily
Opioid-related deaths in Europe
Why don’t out-of-treatment individuals enter methadone treatment programmes
Methadone as HIV prevention
Structural interventions to improve opiate maintenance
What is low threshold methadone maintenance treatment
The cost-effectiveness of harm reduction
Improving Detoxification Outcomes from Methadone Maintenance Treatment
Cocaine Abuse in Methadone Maintenance Programs
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| Citations per year | 0.71 |
|---|---|
| Citation span | 1991 - 2022 (32) |
| Highly cited | No |