The role of detoxification using methadone reduction in a drug treatment service.
Introduction and Methods: Drug treatment services in the UK are currently being encouraged to reduce their waiting lists for treatment. This paper describes the reorganization of the services offered by an inner-city community drug team in order to offer immediate access to detoxification, and so re...
| Publicado en: | Journal of Substance Use Vol. 8; no. 4; pp. 252 - 260 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Dec2003
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106735968&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106735968 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14659891 ILV jtl: Journal of Substance Use issn: 14659891 maglogo: Y pubinfo: dt: Dec2003 vid: 8 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 106735968 106735968 2004076334 10.1080/14659890310001636080 106735968 ppf: 252 ppct: 8 formats: fmt: @attributes: type: P tig: atl: The role of detoxification using methadone reduction in a drug treatment service. aug: au: Day E Fisher K Watson J Al-Gommer O McCormick T affil: Slade Road Community Drug Team, Birmingham, UK sug: subj: Drug Rehabilitation Programs Methadone Therapeutic Use Outcomes (Health Care) Substance Use Rehabilitation Programs Substance Withdrawal, Controlled Adolescence Adult Age Factors Behavioral Changes Chi Square Test Comparative Studies Data Analysis Software Descriptive Statistics Dose-Response Relationship, Drug Female Fisher's Exact Test Male Mann-Whitney U Test Methadone Administration and Dosage Motivation Organizational Restructuring Outcomes Research P-Value Race Factors Record Review Research Dropouts Retrospective Design Self Report Sex Factors Substance Abuse Detection Persons with Substance Use Disorders Treatment Duration Treatment Outcomes Two-Tailed Test Urban Areas Waiting Lists White Persons Human Adolescent: 13-18 years Adult: 19-44 years Female Male ab: Introduction and Methods: Drug treatment services in the UK are currently being encouraged to reduce their waiting lists for treatment. This paper describes the reorganization of the services offered by an inner-city community drug team in order to offer immediate access to detoxification, and so reduce overall waiting times for assessment and treatment. In describing the outcomes of the first year of the service, we aimed to determine the degree of effectiveness of methadone reduction as a detoxification technique, and to highlight some of the sociodemographic and drug-related factors that predict detoxification success.Results: A total of 19 out of 82 (23.2%) participants were opiate-free at the end of the detoxification period, confirmed by both self-report and urinary drug screen. Completion rates were lower for participants opting to continue methadone reduction below 10 mgs per day than for those opting for lofexidine or dihydrocodeine. The rate of reduction of methadone made no difference to the likelihood of completing the detoxification, but being female, having a drug-using partner, having current financial difficulties and committing crime in the month prior to detoxification were predictive of noncompletion of the programme.Conclusions: The reorganization of the service reduced the waiting times for treatment and was acceptable to both participants and staff. Methadone reduction doesn't appear to be the optimum detoxification strategy, and even within a reduction programme of fixed duration there was a tendency for the period of detoxification to become extended. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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