Read e-book online Community Treatment of Drug Misuse: More than Methadone PDF

By Nicholas Seivewright

Lately, methadone has been the remedy of selection for heroin dependency. This strategy has had huge luck, yet accordingly different remedies were missed. This ebook attracts at the author's direct scientific event and uses overseas study findings to supply a entire and targeted advisor to carrier provision and therapy for drug misuse, together with methadone and substitute opiate substitutes, cleansing tools, naltrexone and relapse prevention, and attainable ways with non-opiate clients. insurance areas emphasis on social elements in drug misuse and dependency, and the resultant therapy concerns and sensible problems. Illustrative case stories are featured during the textual content. Combining a hugely functional technique with a robust study base, this ebook should be a vital source for psychiatrists and different execs desirous about the administration of drug misuse.

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Extra resources for Community Treatment of Drug Misuse: More than Methadone

Sample text

Further, it is relatively easy to avoid other substances of misuse, given that a drug is provided, and so there are consequent reductions in many other indices of drug use such as injecting or HIV-risk behaviours. Methadone is seen as being somewhat nonspecific in its impact on drug-taking patterns, but as a good starting point in attempts to convert individuals from street drug use to the clinically more desirable effects of a prescribed regime. It is clear that many opiate misusers cannot make this transition fully, and there need to be alternatives to simply discharging them from treatment, including other long-term prescribing options in some cases (see Chapter 2).

All subjects were stabilized in hospital on 60 mg of methadone per day, and were randomly assigned either to be withdrawn from methadone under double-blind conditions and then receive placebo maintenance, or to receive methadone maintenance, both groups also having additional counselling treatments. Methadone maintenance dose was determined by the patients and averaged 97 mg per day, and those who had more than six urine tests positive for heroin during the followup, or who missed six daily doses, were discharged from the programme.

1988), but studies have typically been in established maintenance candidates who have had treatment restricted, rather than individuals who have chosen to reduce as an option within a flexible policy. For our purposes this intermediate duration of treatment is classed as slow detoxification, and is discussed in the section on methadone detoxification in Chapter 3. The elements of counselling and urine testing remain integral to long-term methadone provision in many services, although both to a lesser degree than in formal maintenance programmes.

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