What is low threshold methadone maintenance treatment?

2013 ◽  
Vol 24 (6) ◽  
pp. e51-e56 ◽  
Author(s):  
Carol Strike ◽  
Margaret Millson ◽  
Shaun Hopkins ◽  
Christopher Smith
2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Timothy K. S. Christie ◽  
Alli Murugesan ◽  
Dana Manzer ◽  
Michael V. O'Shaughnessey ◽  
Duncan Webster

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.


2015 ◽  
Vol 156 ◽  
pp. 57-61 ◽  
Author(s):  
Seonaid Nolan ◽  
Kanna Hayashi ◽  
M.-J. Milloy ◽  
Thomas Kerr ◽  
Huiru Dong ◽  
...  

1994 ◽  
Vol 11 (4) ◽  
pp. 267-267
Author(s):  
C Castillo ◽  
M Torrens ◽  
E Garrell ◽  
A Martínez ◽  
V Perez

2014 ◽  
Vol 50 (1) ◽  
pp. 24-31 ◽  
Author(s):  
Michel Perreault ◽  
Dominic Julien ◽  
Noe Djawn White ◽  
Daniel Rabouin ◽  
Pierre Lauzon ◽  
...  

MedPharmRes ◽  
2018 ◽  
Vol 2 (4) ◽  
pp. 7-14
Author(s):  
Kien To ◽  
Anh Huynh ◽  
Vi Vu ◽  
Hoang Vu ◽  
Trung Nguyen ◽  
...  

Introduction: Continuing Medical Education (CME) significantly improves the competency of healthcare workers in Methadone Maintenance Treatment (MMT) clinics. However, CME courses are very costly, and a few participants fully attended a course. Online training is an alternative approach to efficiently improve training outcomes. The study assessed needs and possibility of online training courses of MMT clinics in southern Vietnam. Methods: A google form was designed to collect characteristics, man-powers, facilities, online activities and training needs of MMT clinics. E-mails were sent to all MMT clinics in southern Vietnam to ask for their participants. A representative of MMT clinics who satisfied the inclusion invited to complete the form. Result: 93 MMT clinics completed the survey. The response rate was 62% (93/150). One MMT clinic had 3 doctors/assistant doctors, 3 pharmacists/drug dispensers, 2 consultants and 3 other professionals on average. The number of clients visiting the clinic in the last month was 150. About 94% (93/95) of MMT clinics provide other additional services. On average, 385 clients came to MMT for other services. All clinics had adequate devices for online and blended training. Conclusion: MMT clinics had high training needs and were willing to attend online and blended training courses. Online and blended training were possible in MMT clinics.


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