The Effectiveness of Methadone Maintenance Treatment: Patients, Programs, Services, and Outcome
The work constitutes the most comprehensive evaluation of methadone maintenance treatment in the United States to date. Based upon three years of data collection at drug abuse treatment programs in New York City, Philadelphia and Baltimore, the study contains findings for 617 male intra- venous addicts, interviewed during and after six methadone programs. The major findings of the project concern the effectiveness of methadone maintenance in reducing drug use, crime and other deviant behavior, the effectiveness of cer- tain programs as compared to others, the pressing need to improve the quality of care at mostprograms and the estab- lishment of successful procedures and methodology for evalu- ating drug abuse treatment programs.
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Status of Methadone Maintenance Treatment and Research
Research Plan and Data Collection Procedure at the Programs
Pretreatment Characteristics of 617 Male Methadone
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addict patients administrative admission Alcohol amphetamines analysis arrests assessment attendance Ball JC barbiturates census cities clinic cocaine cohort counseling services counseling sessions counselors crime-days criminal behavior detoxification director dispensing nurses drug abuse treatment effectiveness EMMT evaluation follow-up grams heroin addicts in-treatment Int J Addict interview intravenous drug involved last addiction period length of stay long-term male measure medical services medical staff ment metha methadone dose methadone maintenance patients methadone maintenance programs methadone maintenance treatment methadone programs Metrocity months Narcotic Narcotic Addiction needle sharing NIDA number of patients nurse practitioner obtained offenses on-site opiate addiction Opioid outpatient overall past 30 days patient baseline patient outcome percent of patients physicians prior procedures program data collection rates reduction sample scheduled services provided six methadone maintenance six programs status Table tion travenous treatment and rehabilitation treatment domain treatment policy treatment programs treatment services treatment staff urinalysis urine specimens week York City