The Effectiveness of In-Jail Methadone Maintenance

1993 ◽  
Vol 23 (1) ◽  
pp. 75-99 ◽  
Author(s):  
Stephen Magura ◽  
Andrew Rosenblum ◽  
Carla Lewis ◽  
Herman Joseph
Keyword(s):  
New York ◽  
Methadone Maintenance ◽  
Methadone Treatment ◽  
Outcome Evaluation ◽  
Community Treatment ◽  
Maintenance Program ◽  
Lower Drug ◽  
Methadone Maintenance Program ◽  
Abuse Treatment

Process and outcome evaluation results are reported for a unique in-jail methadone maintenance program in New York City with three thousand admissions annually. The main study examined inmates who were not enrolled in methadone at arrest. Eighty percent were drug injectors (usually both heroin and cocaine) who admitted committing an average of 117 property crimes and nineteen violent crimes in the six months before jail. Methadone program participants' post-release outcomes were compared with outcomes for similar addicts who received seven-day heroin detoxification in jail. Multivariate analyses indicated that program participants were more likely than controls to apply for methadone or other drug abuse treatment after release and to be in treatment at a 6.5-month follow-up. Moreover, being in treatment at follow-up was associated with lower drug use and crime, but rates of retention in community treatment after release were modest. KEEP participants have more chronic and severe social and personal deficits than other addicts applying for treatment. The in-jail program was most effective in maintaining post-release continuity of methadone treatment for inmates already enrolled in methadone at arrest. The process evaluation yielded several recommendations to help overcome client-centered, administrative, and systemic obstacles to improved outcomes for this difficult-to-treat population of criminally-involved addicts.

scholarly journals Impact of Co-Occurring Psychiatric Disorders on Retention in a Methadone Maintenance Program: An 18-Month Follow-Up Study

2009 ◽  
Vol 6 (11) ◽  
pp. 2822-2832 ◽  
Author(s):  
Mònica Astals ◽  
Laura Díaz ◽  
Antònia Domingo-Salvany ◽  
Rocío Martín-Santos ◽  
Antoni Bulbena ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Methadone Maintenance ◽  
Follow Up Study ◽  
Maintenance Program ◽  
Methadone Maintenance Program

An Assessment of Prior Methadone Use by Residents of a Drug-Free Therapeutic Community

1973 ◽  
Vol 3 (4) ◽  
pp. 322-332
Author(s):  
Walter V. Collier
Keyword(s):  
Therapeutic Community ◽  
Methadone Maintenance ◽  
Methadone Treatment ◽  
Treatment Programs ◽  
Maintenance Program ◽  
Free Treatment ◽  
Methadone Maintenance Program ◽  
Statistical Trends ◽  
Drug Free

Along with the increase in methadone treatment programs, there has also been an increase in on-the-street use of methadone. One of the effects of these statistical trends has been an increase of prior methadone users and abusers among individuals entering drug-free treatment programs. The present study sought to profile former methadone users within Daytop Village's drug-free therapeutic community. The study also included a sub-investigation on the outcome of treatment within the TC as a function of prior involvement within a methadone maintenance program.

Homogeneous Enzyme Immunoassay for Opiates in Urine

1973 ◽  
Vol 19 (8) ◽  
pp. 821-825 ◽  
Author(s):  
Richard S Schneider ◽  
Peggy Lindquist ◽  
Emmy Tong-in Wong ◽  
Kenneth E Rubenstein ◽  
Edwin F Ullman
Keyword(s):  
Enzyme Activity ◽  
Enzyme Immunoassay ◽  
Methadone Maintenance ◽  
Biological Fluids ◽  
Methadone Treatment ◽  
Treatment Programs ◽  
Emergency Rooms ◽  
Maintenance Program ◽  
Methadone Maintenance Program ◽  
Homogeneous Enzyme Immunoassay

Abstract An assay technique, homogeneous enzyme immunoassay, is described for the quantitative determination of morphine derivatives in biological fluids. An enzyme is labeled with morphine. When the enzyme-labeled morphine is bound by antimorphine antibodies, the enzyme is rendered inactive. Free morphine competes with enzyme—morphine for antibody binding sites preventing inhibition of enzyme activity. Enzyme activity is thus directly related to the concentration of free morphine. See PDF for Equation Where the enzyme used is lysozyme, the assay can detect 0.5 µg of morphine per milliliter of urine with >95% confidence (CV, 5.0% at 0.5 µg/ml morphine). The technique gave nearly twice as many confirmed positives as did thin-layer chromatography in a comparative study of urines from a methadone maintenance program. The immediacy of the results (assay time: <1 min) permits use of the assay in hospital emergency rooms, law-enforcement facilities, and methadone treatment programs.

Evaluation of a Methadone Rehabilitation Program

1984 ◽  
Vol 55 (1) ◽  
pp. 99-106 ◽  
Author(s):  
Suzanne Graham-Bafus ◽  
Richard H. Allen ◽  
Jack R. Gordon
Keyword(s):  
Health Status ◽  
Illicit Drugs ◽  
Methadone Maintenance ◽  
Single Case ◽  
Methadone Treatment ◽  
Criminal Activity ◽  
Rehabilitation Program ◽  
Maintenance Program ◽  
Drug Involvement ◽  
Methadone Maintenance Program

The present single-case study was initiated to determine whether our methadone maintenance program was of service to patients and community. Criteria used to make this determination were drug involvement, criminal activity, employment status, dependence on the welfare system, and health status. 25 randomly selected patients who had been in methadone maintenance for 6 mo. or longer were compared to 25 randomly selected patients who had not become engaged in methadone treatment. The results indicated that patients in the methadone maintenance program decreased their use of illicit drugs, decreased criminal activities, and increased self-support. No change was found between groups in welfare and health status.

The Monitoring of Saliva Drug Levels: Psychiatric Applications

1981 ◽  
Vol 26 (1) ◽  
pp. 43-48 ◽  
Author(s):  
N. El-Guebaly ◽  
W.J. Davidson ◽  
H.A. Sures ◽  
W. Griffin
Keyword(s):  
Drug Interaction ◽  
Screening Tool ◽  
Methadone Maintenance ◽  
Human Saliva ◽  
Clinical Applications ◽  
Drug Levels ◽  
Maintenance Program ◽  
The Status ◽  
Depot Neuroleptic ◽  
Methadone Maintenance Program

An overview is presented of the status of human saliva as a clinical monitoring medium in medicine and psychiatry. Despite the present controversy about the reliability of saliva lithium levels, an evaluation of the prospects of saliva for other pharmacokinetic estimations as well is recommended. The second part of the paper outlines the authors’ attempt to expand the use of saliva monitoring in a depot neuroleptic clinic and a methadone maintenance program. This technique, well accepted by the patient populations, is found useful as a screening tool for drug use and compliance can be checked. It can also be indicated prior to the evaluation of the toxicity of prescribed medication as well as the assessment of drug interaction. On humanitarian, clinical and economical grounds, further investigation of the clinical applications of saliva in psychiatric practice is warranted.

Maintenance Programs for Treatment of Heroin Addicts in Post-war Bosnia and Herzegovina

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. Hasanović ◽  
I. Pajević
Keyword(s):  
Methadone Maintenance ◽  
World Health Organisation ◽  
World Health ◽  
High Threshold ◽  
Maintenance Program ◽  
Sporadic Cases ◽  
Post War ◽  
Methadone Maintenance Program ◽  
Year 2000 ◽  
Methadone Program

Methadone maintenance program in Bosnia-Herzegovina (BH) has been introduced in Sarajevo for the first time in 1989 year. During the war years 1992-95, only sporadic cases of drug addicts, because of overdosing or because of toxic psychotic states were treated. Number of addicts increased in BH, especially after the war, and needed adequate solution of the problem as well as use of the experiences from the other countries that faced us before, "epidemy" of addictions. One of the solutions for harm reduction caused by use of opioid substances, primarily heroin, was use of methadone, which is a good replacement pharmacological. After opening the Unit for drug addiction in year 2000 in Sarajevo, the methadone program of detoxifying and maintenance was re-established in 2002. Nowadays in BH high-threshold methadone program is used in five centres, in accordance with the criteria for European guides for methadone therapy. In addition to the subject of methadone programs, there are serious preparations for the use of Suboxone (Buprenorphine+Naloxone) in BH. The basic component of medicine (Buprenorphine) was placed on the essential list of the World Health Organisation (WHO) in September 2005. In BH, this drug was registered 18.12.2007 year. At the Clinic for Psychiatry in Tuzla, the establishing of Suboxone maintenance program was planned for the autumn of 2008.

scholarly journals Impact of a methadone maintenance program on an Aboriginal community: a qualitative study: Table 1:

CMAJ Open ◽  
2016 ◽  
Vol 4 (3) ◽  
pp. E431-E435 ◽  
Author(s):  
Michel Landry ◽  
Nadia Veilleux ◽  
Julie-Eve Arseneault ◽  
Saneea Abboud ◽  
André Barrieau ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Methadone Maintenance ◽  
Aboriginal Community ◽  
Maintenance Program ◽  
Methadone Maintenance Program
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