Reliability and validity of the Treatment Outcome Profile among patients attending methadone maintenance treatment programs in Kunming, China

2017 ◽  
Vol 77 ◽  
pp. 89-94 ◽  
Author(s):  
Mei Wang ◽  
Jiucheng Shen ◽  
Xianling Liu ◽  
Yuan Deng ◽  
Jiahua Li ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Reliability And Validity ◽  
Treatment Programs

Problem drinking in relation to treatment outcome among opiate addicts in methadone maintenance treatment

2007 ◽  
Vol 26 (1) ◽  
pp. 55-63 ◽  
Author(s):  
M. STENBACKA ◽  
O. BECK ◽  
A. LEIFMAN ◽  
A. ROMELSJÖ ◽  
A. HELANDER
Keyword(s):  
Treatment Outcome ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Problem Drinking ◽  
Opiate Addicts

scholarly journals Cost-effectiveness of hepatitis C screening and treatment linkage intervention in US methadone maintenance treatment programs

2018 ◽  
Vol 185 ◽  
pp. 411-420 ◽  
Author(s):  
Bruce R. Schackman ◽  
Sarah Gutkind ◽  
Jake R. Morgan ◽  
Jared A. Leff ◽  
Czarina N. Behrends ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Hepatitis C ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Treatment Programs

Clinician Knowledge in Methadone Maintenance Treatment Programs

2005 ◽  
Vol 2 (4) ◽  
pp. 45-54
Author(s):  
Peter A. Demaria ◽  
Robert C. Sterling ◽  
Susan Neshin ◽  
J. Thomas Payte
Keyword(s):  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Treatment Programs

scholarly journals Epidemiology of pain among outpatients in methadone maintenance treatment programs

2013 ◽  
Vol 128 (1-2) ◽  
pp. 161-165 ◽  
Author(s):  
Lara Dhingra ◽  
Carmen Masson ◽  
David C. Perlman ◽  
Randy M. Seewald ◽  
Judith Katz ◽  
...  
Keyword(s):  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Treatment Programs

Methadone as an analgesic for patients with chronic pain in methadone maintenance treatment programs (MMTPs)

2018 ◽  
Vol 5 (2) ◽  
pp. 107 ◽  
Author(s):  
Craig D. Blinderman, MD, MA ◽  
Ryuichi Sekine, MD ◽  
Baohui Zhang, MS ◽  
Matthew Nillson, MS ◽  
Lauren Shaiova, MD
Keyword(s):  
Chronic Pain ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Pain Clinic ◽  
Treatment Programs ◽  
Methadone Dose ◽  
Pain Syndromes ◽  
The Mean ◽  
Chronic Pain Syndromes

Background: Limited case reports have suggested a role for methadone as an analgesic for chronic pain in patients maintained on methadone for treatment of opiate addiction. Patients with HIV are disproportionately represented in this population and often have severe, debilitating chronic pain syndromes of multiple etiologies, including cancer-related pain syndromes.Objective: This study evaluated the safety and efficacy of initiating and maintaining additional methadone for chronic pain in HIV-positive patients with ongoing treatment for opiate addiction in methadone maintenance treatment programs (MMTPs).Methods: We performed a retrospective chart review of 53 HIV/AIDS patients (36 male, 17 female; 24 with cancer) with diverse chronic pain syndromes who were followed in an HIV Pain Clinic and were currently enrolled in an MMTP. The outcome measure was pain, assessed using a numeric rating scale (0-10). Incidence of heroin use was also measured.Results: The mean methadone dose initially prescribed for analgesia was approximately equal to 67 percent of the methadone dose used in the MMTP for addiction. Over the 12-month retrospective observation period, methadone was titrated to approximately 200 percent of the methadone maintenance dose. The mean pain score at initial visit to the Pain Clinic was 9.4 + 1.03. After methadone for analgesia has been administered for 1 month, the mean pain score decreased to 5.35 ± 1.7 (p < 0.001), at 3 months, 4.8 ± 1.3 (p < 0.001), at 6 months, 4.2 ± 1.7 (p < 0.001), and at 12 months, 4.2 ± 1.4 (p < 0.001). No serious adverse events or side effects were observed with methadone therapy for analgesia.Conclusion: HIV/AIDS patients with chronic pain enrolled in MMTPs achieved improved analgesia with no serious side effects when additional methadone was administered for pain relief. Further controlled studies are needed to confirm our findings and to establish the safety and efficacy of methadone therapy for chronic pain in this population.

scholarly journals Perceptions of Problem Gambling Among Methadone Maintenance Treatment Clients and Counsellors

2018 ◽  
Author(s):  
Megan E Wall ◽  
Cassandra R Durand ◽  
Hana Machover ◽  
Rachel Arnold ◽  
Haley A Miles-McLean ◽  
...  
Keyword(s):  
Substance Use ◽  
Problem Gambling ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Negative Impact ◽  
Treatment Options ◽  
Current Treatment ◽  
Treatment Programs ◽  
Structured Interviews

Problem gambling is highly prevalent and rarely treated among clients who attend methadone maintenance treatment programs (MMTPs). Compared with those of the general population, rates of gambling disorder have been found to be elevated among individuals receiving methadone maintenance treatment. Our study aims were to (a) develop a clearer understanding of the gambling experience of clients and counsellors at a methadone clinic and (b) gain insight into the current treatment options and obstacles to treatment in the clinic. Semi-structured interviews focusing on gambling issues were conducted with 8 clients and 8 counsellors at an MMTP located in an urban area. Participants were asked questions to gain an understanding about their perspectives on, treatment options for, and treatment barriers to problem gambling in the clinic. Data were coded by 4 investigators by using a constant comparison, open coding approach. The findings revealed important differences between clients and counsellors: Opinions differed on the definition of problem gambling, obstacles to treatment, and optimal treatment settings. Clients and counsellors also agreed on some elements, including the negative impact that problem gambling can have on recovery from substance use. This examination of responses of counsellors and client feedback provides a useful mechanism to better understand problem gambling in MMTPs.  In addition, the findings have important clinical implications, including a need for more effective screening and treatment in MMTPs and to provide substance use counsellors with training related to problem gambling.RésuméLe jeu compulsif est hautement répandu et rarement traité parmi les clients qui suivent un programme de traitement d’entretien à la méthadone. Comparés à ceux de la population en général, les taux de jeu pathologique ont jugé élevés chez les personnes qui suivent un tel traitement. Les objectifs de notre étude étaient de deux ordres : a) mieux comprendre l’expérience de jeu des clients et les connaissances en cette matière des conseillers d’une clinique de traitement à la méthadone, et b) avoir une meilleure compréhension des options de traitement actuelles et des obstacles au traitement en clinique. Des entretiens semi-structurés portant sur les problèmes de jeu ont été menés auprès de 8 clients et de 8 conseillers dans un centre de traitement, situé en zone urbaine. On a posé des questions aux participants pour mieux comprendre leurs points de vue sur les options et les obstacles au traitement contre le jeu problématique à la clinique. Les données ont été codées par quatre chercheurs en utilisant une approche de codification ouverte à comparaison constante. Les résultats ont révélé des différences importantes entre les clients et les conseillers : les opinions divergeaient quant à la définition du jeu problématique, les obstacles au traitement et les paramètres de traitement optimaux. Les clients et les conseillers ont par ailleurs été d’accord sur certains éléments, notamment l’impact négatif que le jeu problématique peut avoir sur le rétablissement d’une consommation abusive. L’examen des réponses des conseillers et des commentaires des clients constitue un mécanisme efficace pour mieux comprendre le jeu problématique dans les programmes de traitement d’entretien à la méthadone. De plus, les résultats ont d’importantes répercussions cliniques, notamment la nécessité d’un dépistage et d’un traitement d’entretien à la méthadone plus efficaces et d’une formation sur le jeu problématique pour les conseillers en toxicomanie. 

Correlates of enrollment in methadone maintenance treatment programs differ by HIV-serostatus

AIDS ◽  
2000 ◽  
Vol 14 (13) ◽  
pp. 2035-2043 ◽  
Author(s):  
Nina G Shah ◽  
David D Celentano ◽  
David Vlahov ◽  
Veronica Stambolis ◽  
Lisette Johnson ◽  
...  
Keyword(s):  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Treatment Programs ◽  
Hiv Serostatus

Retention in Methadone Maintenance Treatment Programs, Connecticut and Massachusetts, 1990 – 1993

1996 ◽  
Vol 28 (3) ◽  
pp. 259-265 ◽  
Author(s):  
Robin J. MacGowan ◽  
Nancy M. Swanson ◽  
Robert M. Brackbill ◽  
Deborah L. Rugg ◽  
Thomas Barker ◽  
...  
Keyword(s):  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Treatment Programs

New Community-Based Methadone Maintenance Treatment Programs in Guangdong, China, and Their Impact on Patient Quality of Life

2010 ◽  
Vol 46 (6) ◽  
pp. 749-757 ◽  
Author(s):  
Qun He ◽  
Xiaorong Wang ◽  
Yinghua Xia ◽  
Jeffrey S. Mandel ◽  
Ang Chen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Treatment Programs ◽  
Community Based ◽  
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