A randomized clinical trial of methadone maintenance for prisoners: Results at 1-month post-release
A randomized clinical trial of methadone maintenance for prisoners: Results at 1-month post-release
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DOI：
10.1016/j.drugalcdep.2007.05.022
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发表时间：
2007-12-01
影响因子：
4.2
通讯作者：
Wilson, Monique
中科院分区：
文献类型：
--
作者：
Kinlock, Timothy W.;Gordon, Michael S.;Wilson, Monique
背景：尽管它的有效性，美沙酮维持很少提供在美国的惩教设施。这项研究是第一个随机临床试验，在美国，以探讨美沙酮维持治疗提供给囚犯与监禁前海洛因addiction.Methods的有效性：一个三组随机对照试验进行了2003年9月至2005年6月。211名巴尔的摩释放前的囚犯谁是海洛因依赖在监禁前一年参加了这项研究。参与者被随机分配到以下组：仅咨询：监狱咨询，释放后被动转介治疗（n=70）;咨询+转移：监狱咨询，释放后转移到美沙酮维持治疗（n = 70）;咨询+美沙酮：美沙酮维持和咨询在监狱中，继续在社区为基础的美沙酮维持计划后释放（n=71）。200名参与者被定位为后续访谈，并被纳入当前的分析。每种情况下进入社区治疗的参与者百分比分别为：咨询仅7.8%，咨询+转移50.0%，咨询+美沙酮68.6%，p
Background: Despite its effectiveness, methadone maintenance is rarely provided in American correctional facilities. This study is the first randomized clinical trial in the US to examine the effectiveness of methadone maintenance treatment provided to prisoners with pre-incarceration heroin addiction.Methods: A three-group randomized controlled trial was conducted between September 2003 and June 2005. Two hundred eleven Baltimore pre-release inmates who were heroin dependent during the year prior to incarceration were enrolled in this study. Participants were randomly assigned to the following: counseling only: counseling in prison, with passive referral to treatment upon release (n=70); counseling +transfer: counseling in prison with transfer to methadone maintenance treatment upon release (n = 70); and counseling + methadone: methadone maintenance and counseling in prison, continued in a community-based methadone maintenance program upon release (n=71).Results: Two hundred participants were located for follow-up interviews and included in the current analysis. The percentages of participants in each condition that entered community-based treatment were, respectively, counseling only 7.8%, counseling+transfer 50.0%, and counseling + methadone 68.6%, p