By Nicholas Seivewright
Lately, methadone has been the remedy of selection for heroin dependency. This technique has had massive good fortune, yet for that reason different therapies were overlooked. This ebook attracts at the author's direct medical event and uses foreign learn findings to supply a complete and distinct advisor to provider provision and therapy for drug misuse, together with methadone and replacement opiate substitutes, detoxing equipment, naltrexone and relapse prevention, and attainable methods with non-opiate clients. assurance locations emphasis on social elements in drug misuse and dependency, and the resultant therapy matters and useful problems. Illustrative case experiences are featured in the course of the textual content. Combining a hugely functional strategy with a robust learn base, this publication should be an important source for psychiatrists and different execs focused on the administration of drug misuse.
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Extra resources for Community Treatment of Drug Misuse: More than Methadone
Rather atypical situations where methadone treatment was not otherwise available, so that those randomized to no treatment would not receive the drug elsewhere. The ﬁrst was by Dole et al. (1969) in recidivist opiate addicts who were due for release from prison. Entry criteria included at least a four-year history of opiate addiction and at least one previous unsuccessful rehabilitation attempt. Twelve individuals started methadone treatment, with 16 randomized to no treatment, and at 12 months the ﬁndings were overwhelmingly in favour of methadone maintenance.
Of those, however, ﬁve had current substance misuse problems, mainly with alcohol. Twenty-ﬁve had resumed methadone maintenance and had usually achieved good stability, but quality of life measures were generally better in those who had succeeded in withdrawing from methadone. In this group who were very long-term drug users, therefore, it appeared that attempting to withdraw from maintenance treatment was The nature of methadone treatment 25 risky, with a tendency to substitute with other substances, but that if it could be achieved, it resulted in a better quality of life.
Some of the changes which have occurred in methadone treatment have come about as a result of the threat posed by the involvement of drug misusers in the HIV epidemic. g. Advisory Council on the Misuse of Drugs 1988), but it was recognized that the delivery of treatment needed Other long-term methadone prescribing 21 to be substantially altered if it was to make an impact in public health terms (see Chapter 7). There was much emphasis on engagement in treatment, with methadone in effect attracting users into services so that other HIV-preventive work could be undertaken, and also on subsequent retention, with routine discharge from treatment for additional drug use considered inappropriate.
Community Treatment of Drug Misuse: More than Methadone by Nicholas Seivewright