Methadone treatment of heroin addicts. Early results provide more questions than answers

JAMA ◽  
1971 ◽  
Vol 218 (10) ◽  
pp. 1536-1541 ◽  
Author(s):  
W. H. Dobbs
2001 ◽  
Vol 65 (1) ◽  
pp. 85-95 ◽  
Author(s):  
Gilberto Gerra ◽  
Amir Zaimovic ◽  
Maria Augusta Raggi ◽  
Francesca Giusti ◽  
Roberto Delsignore ◽  
...  

1996 ◽  
Vol 13 (5-6) ◽  
pp. 240-252
Author(s):  
Jan E. Grindheim

Taking as a point of departure Mary Douglas' grid-group analysis, elaborated on by Aaron Wildavsky in his cultural theory, the article explores the variations in the development of methadone treatment programmes in the Nordic countries from the mid-1960's to the mid-1990's. In Sweden, the first Nordic country to start an organized treatment of heroin addicts with methadone in 1966, the strategy has been characterized by many rules and strong control. In Denmark, methadone treatment was introduced in the late 1960's, and it has been characterized by few rules and weak control. In Norway, methadone treatment was banned in 1979, after some years of occasional experiments. But the spread of HIV among intravenous heroin addicts altered the attitudes and a small and highly regulated program was set up in the beginnings of the 1990's. In Finland, the attitude has been reserved, primarily due to the small population of heroin addicts. The organized treatment in the 1970's was limited, and still is, as it was set up again in 1995. In spite of the differences, however, there are two main patterns of harmonization that should be noticed. Firstly, as a result of HIV, regulated programmes have been developed in all four countries in the 1990's. Secondly, the prevailing abstinence-oriented philosophy has been questioned and supplemented by harm-reducing measures. Today, there is a stronger tendency to treat drug addicts as clients in the Nordic welfare state, entitled to individual treatment in the countries' general health and welfare systems.


JAMA ◽  
1972 ◽  
Vol 219 (7) ◽  
pp. 910
Author(s):  
Robert A. Maslansky

2014 ◽  
Vol 42 (03) ◽  
pp. 569-586 ◽  
Author(s):  
Yuan-Yu Chan ◽  
Wan-Yu Lo ◽  
Tsai-Chung Li ◽  
Lih-Jong Shen ◽  
Szu-Nian Yang ◽  
...  

Scant scientific evidence supports the efficacy of acupuncture in the treatment of opiate dependence. The purpose of this study was to examine the effectiveness of acupuncture for heroin addicts on methadone maintenance by measuring the daily consumption of methadone, variations in the 36-item Short Form Health Survey-36 (SF-36) and Pittsburgh Sleep Quality Index (PSQI) scores, and heroin craving. Sixty heroin addicts were randomly assigned to true acupuncture (electroacupuncture at the Hegu [LI4] and Zusanli [ST36] acupoints, as well as acupuncture at the Ear Shenmen) or sham acupuncture (minimal acupuncture at the Hegu and Zusanli acupoints without electrical stimulation and superficial acupuncture at the Ear Shenmen), twice weekly for 4 weeks. From week 2 onwards, the daily dose of methadone was reduced by a significantly greater amount with true acupuncture compared with sham acupuncture. True acupuncture was also associated with a greater improvement in sleep latency at follow-up. All adverse events were mild in severity. Acupuncture appears to be a useful adjunct to methadone maintenance therapy (MMT) in heroin addiction.


1995 ◽  
Vol 31 ◽  
pp. 33
Author(s):  
M.C. Grassi ◽  
P. Nencini ◽  
M.L. Antomilli ◽  
R. Marusso ◽  
E. Bermardini ◽  
...  

JAMA ◽  
1972 ◽  
Vol 219 (7) ◽  
pp. 910-911
Author(s):  
A. T. Canada

1975 ◽  
Vol 16 (2) ◽  
pp. 165-169 ◽  
Author(s):  
George Woody ◽  
Kate O'Hare ◽  
Jim Mintz ◽  
Charles O'Brien

JAMA ◽  
1972 ◽  
Vol 219 (7) ◽  
pp. 911
Author(s):  
Robert G. Newman

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