scholarly journals The impact of low-threshold methadone maintenance treatment on mortality in a Canadian setting

2015 ◽  
Vol 156 ◽  
pp. 57-61 ◽  
Author(s):  
Seonaid Nolan ◽  
Kanna Hayashi ◽  
M.-J. Milloy ◽  
Thomas Kerr ◽  
Huiru Dong ◽  
...  
Keyword(s):  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Low Threshold ◽  
Canadian Setting ◽  
The Impact

scholarly journals Evaluation of a Low-Threshold/High-Tolerance Methadone Maintenance Treatment Clinic in Saint John, New Brunswick, Canada: One Year Retention Rate and Illicit Drug Use

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Timothy K. S. Christie ◽  
Alli Murugesan ◽  
Dana Manzer ◽  
Michael V. O'Shaughnessey ◽  
Duncan Webster
Keyword(s):  
New Brunswick ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Illicit Drug ◽  
Methadone Maintenance ◽  
Retention Rate ◽  
High Tolerance ◽  
Low Threshold ◽  
One Year ◽  
The One

Objective. To report the one-year retention rate and the prevalence of illicit opioid use and cocaine use in the Low-Threshold/High-Tolerance (LTHT) methadone maintenance treatment (MMT) clinic located in Saint John, New Brunswick, Canada.Methods. A description of the LTHT MMT clinic is provided. The one-year retention rate was determined by collecting data on patients who enrolled in the LTHT MMT clinic between August 04, 2009 and August 04, 2010. The prevalence of illicit drug use was determined using a randomly selected retrospective cohort of 84 participants. For each participant the results of six consecutive urine tests for the most recent three months were compared to the results of the first six consecutive urine tests after program entry.Results. The one-year retention rate was 95%, 67% of the cohort achieved abstinence from illicit opioids and an additional 13% abstained from cocaine use.Conclusion. The novel feature of the LTHT MMT clinic is that patients are not denied methadone because of lack of ancillary services. Traditional comprehensive MMT programs invest the majority of financial resources in ancillary services that support the biopsychosocial model, whereas the LTHT approach utilizes a medical model and directs resources at medical management.

scholarly journals Outpatient methadone maintenance treatment program Quality of life and health of opioid-dependent persons in Lithuania

Medicina ◽  
2006 ◽  
Vol 43 (3) ◽  
pp. 235 ◽  
Author(s):  
Žilvinas Padaiga ◽  
Emilis Subata ◽  
Giedrius Vanagas
Keyword(s):  
Quality Of Life ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Perceived Health ◽  
Well Being ◽  
Life Study ◽  
Assess Quality ◽  
The Impact

Background. The evaluation of quality of life and self-perceived health represents an assessment of the impact of treatment on patient functioning and well-being. Objective. Our aim was to explore the impact of methadone maintenance treatment on quality of life and self-perceived health of opioid-dependent persons in Lithuania. Methods. A total of 102 opioid-dependent patients were recruited in the study. A prospective follow-up study design was used. To assess quality of life, the WHOQOL-BREF 26-item version was used. The impact of methadone maintenance treatment on self-perceived health was assessed by Opiate Treatment Index (OTI). Results. Following 6 months of methadone maintenance treatment, significant improvements in physical (P=0.004), psychological (P=0.004), and environmental (P=0.048) components of quality of life were observed; no statistically significant improvements were found in social component of quality of life. Study participants reported lower rates of medical morbidity associated with injection (P<0.001), cardiorespiratory (P=0.034), musculoskeletal (P<0.001), neurological (P=0.013), gastrointestinal (P<0.001), and general health (P<0.001). Conclusions. Methadone maintenance treatment substantially reduces morbidity associated with opioid dependence and improves the quality of life of patients.

What is low threshold methadone maintenance treatment?

2013 ◽  
Vol 24 (6) ◽  
pp. e51-e56 ◽  
Author(s):  
Carol Strike ◽  
Margaret Millson ◽  
Shaun Hopkins ◽  
Christopher Smith
Keyword(s):  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Low Threshold

The Impact of Benzodiazepine Use on Methadone Maintenance Treatment Outcomes

2008 ◽  
Vol 27 (3) ◽  
pp. 37-48 ◽  
Author(s):  
Bruna Brands ◽  
Joan Blake ◽  
David C. Marsh ◽  
Beth Sproule ◽  
Renuka Jeyapalan ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Benzodiazepine Use ◽  
The Impact

Defunding the Poor: The Impact of Lost access to Subsidized Methadone Maintenance Treatment on Women Injection Drug Users

1996 ◽  
Vol 26 (4) ◽  
pp. 923-942 ◽  
Author(s):  
Kelly R. Knight ◽  
Marsha Rosenbaum ◽  
Margaret S. Kelley ◽  
Jeanette Irwin ◽  
Allyson Washburn ◽  
...  
Keyword(s):  
Methadone Maintenance Treatment ◽  
Injection Drug Users ◽  
Drug Users ◽  
Maintenance Treatment ◽  
Qualitative Data ◽  
Illicit Drug ◽  
Methadone Maintenance ◽  
Educational Goals ◽  
Heroin Use ◽  
The Impact

Qualitative data from women defunded from a subsidized methadone maintenance treatment (MMT) program were analyzed to determine the impact of defunding on the women and their dependents. Women attested to the efficacy of MMT in creating a stable environment in which their illicit drug use was eliminated or controlled; they were able to decrease their participation in illicit activities and pursue further employment and educational goals. When defunding occurred women employed a variety of strategies including family borrowing, welfare funds, and illicit activities to remain on private MMT programs. The result of these payment strategies was often a premature detoxification from MMT due to unpaid clinic bills. Many women returned to heroin use to alleviate withdrawal symptoms from methadone detoxification. This return to heroin use was also accompanied by increased illicit activities. Defunded women reported severe emotional and financial destabilization as a result of lost access to subsidized methadone maintenance treatment.

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