357 – Characteristics of earliest and most recent injection drug use in a canadian low-threshold methadone maintenance treatment sample

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.

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Reduction of the Frequency of Drug Use of Veterans Enrolled in an Outpatient Methadone Maintenance Treatment Program

International Journal of the Addictions ◽

10.3109/10826088109039184 ◽

1981 ◽

Vol 16 (7) ◽

pp. 1277-1280

Author(s):

Mark Eisenberg ◽

Cecil D. Isaacs ◽

Andre Bourque

Keyword(s):

Drug Use ◽

Treatment Program ◽

Methadone Maintenance Treatment ◽

Maintenance Treatment ◽

Methadone Maintenance ◽

Methadone Maintenance Treatment Program

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Predictors of Positive Outcomes for Out-of-Treatment Opiate Injectors Recruited into Methadone Maintenance through Street Outreach

Journal of Drug Issues ◽

10.1177/002204260203200316 ◽

2002 ◽

Vol 32 (3) ◽

pp. 999-1016 ◽

Cited By ~ 17

Author(s):

Karen Fortuin Corsi ◽

Carol F. Kwiatkowski ◽

Robert E. Booth

Keyword(s):

Drug Use ◽

Behavior Change ◽

Hiv Risk ◽

Methadone Maintenance Treatment ◽

Injection Drug Users ◽

Drug Users ◽

Maintenance Treatment ◽

Methadone Maintenance ◽

Positive Outcomes

This study was conducted to assess behavior change in the areas of drug use, productivity, criminal activity, and HIV risk among street-recruited injection drug users who entered methadone maintenance treatment. In addition, the study examined a number of variables that could account for these changes, including demographics, intervention effects, and treatment-related measures. A total of 168 participants were interviewed at baseline, received outreach interventions, entered methadone maintenance treatment, and were reinterviewed 5–9 months later. Significant (p<.001) improvements were seen in the areas of drug use, productivity, criminality, and HIV risk behaviors. The only variables significantly associated with behavior change were related to drug treatment. In particular, being in treatment at the time of the follow-up assessment had the strongest relationship to positive outcomes, including length of treatment. Having no prior treatment experience was associated with fewer injections at follow-up. These findings emphasize the importance of retaining clients, given the likelihood that positive change is likely to be evidenced while they remain in treatment

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The relationship between self-reported substance use and psychiatric symptoms in low-threshold methadone maintenance treatment clients

Harm Reduction Journal ◽

10.1186/1477-7517-8-18 ◽

2011 ◽

Vol 8 (1) ◽

pp. 18 ◽

Cited By ~ 4

Author(s):

Heather G Fulton ◽

Sean P Barrett ◽

Cindy MacIsaac ◽

Sherry H Stewart

Keyword(s):

Substance Use ◽

Methadone Maintenance Treatment ◽

Maintenance Treatment ◽

Methadone Maintenance ◽

Psychiatric Symptoms ◽

Low Threshold ◽

The Relationship

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Faktor-Faktor yang Mempengaruhi Pengguna Napza Suntik dalam Tindakan Pemanfaatan Layanan Program Terapi Rumatan Methadon (PTRM) di Kota Cirebon

JURNAL PROMOSI KESEHATAN INDONESIA ◽

10.14710/jpki.11.2.18-31 ◽

2016 ◽

Vol 11 (2) ◽

pp. 18

Author(s):

Dessy Aryanti ◽

Bagoes Widjanarko ◽

Kusyogo Cahyo

Keyword(s):

Drug Use ◽

Harm Reduction ◽

Treatment Program ◽

Methadone Maintenance Treatment ◽

Maintenance Treatment ◽

Health Workers ◽

Methadone Maintenance ◽

Family Attitudes ◽

Methadone Maintenance Treatment Program ◽

Hiv Aids

ABSTRACTAccording to the risk factors as a result of injecting drug use (IDU) were second highest, after the heterosexual and homo-bisexual. In IDUs face two risks for contracting HIV / AIDS, from the use of unsterilized needles and performed together or alternately with other IDUs and also through sexual intercourse, especially that done with more than one partner without using a condom. Methadone maintenance treatment program (PTRM) is included in the Harm Reduction program – This is a program of harm reduction drug use in preventing transmission of HIV / AIDS. This research is quantitative with correlational design, sampling using the technique across sectional the total population 50 person IDUs of injecting drug users in the city of Cirebon -use structured questionnaires technique. From the 50 IDUs who were respondents in this research note that 68% did not use PTRM services. It is because most IDUs still can not stop using injection drugs and have not been willing to switch to PTRM. Results of univariate analysis to determine the level of knowledge of IDUs about PTRM 88% have a good category, the attitude of the respondents 80% have category support PTRM, family attitudes 50% have category support PTRM, attitudes of peers 72% have a category does not support the utilizations PTRM, attitude of health workers 66% category does not support PTRM, and the availability of facilities and health facilities 52% support in PTRM services. For the bivariate analysis showed that the attitude of IDUs to program substitution therapy methadone-related measures the utilization of PTRM, whereas knowledge factors, family attitudes, attitudes of peers, attitude of health workers, and the availability of facilities. Then knowledge of IDUs about PTRM shows no relationship with the actions the utilization of PTRM , And based on multivariate analysis known that the action the utilization of PTRM is influenced by the family attitudes were supportive of the utilizations of Methadone maintenance treatment program (PTRM).Keywords: drug, injection, PTRM, HIV/AIDS

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