A RANDOMIZED TRIAL OF AN INTERIM METHADONE-MAINTENANCE CLINIC
A RANDOMIZED TRIAL OF AN INTERIM METHADONE-MAINTENANCE CLINIC
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DOI：
10.2105/ajph.81.9.1185
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发表时间：
1991-09-01
影响因子：
12.7
通讯作者：
ROBINSON, JW
中科院分区：
文献类型：
--
作者：
YANCOVITZ, SR;DESJARLAIS, DC;ROBINSON, JW
Background. Interim methadone maintenance has been proposed as a method of providing clinically effective services to heroin addicts waiting for treatment in standard comprehensive methadone maintenance programs.Methods. A clinic that provided initial medical evaluation, methadone medication, and AIDS education, but did not include formal drug abuse counseling or other social support services was established in New York City. A sample of 301 volunteer subjects recruited from the waiting list for treatment in the Beth Israel methadone program were randomly assigned to immediate entry into the interim clinic or a control group.Results. There were no differences in initial levels of illicit drug use across the experimental and control groups. One-month urinalysis follow-up data showed a significant reduction in heroin use in the experimental group (from 63% positive at intake to 29% positive) with no change in the control group (62% to 60% positive). No significant change was observed in cocaine urinalyses (approximately 70% positive for both groups at intake and follow-up). A higher percentage of the experimental group were in treatment at 16-month follow-up (72% vs 56%).Conclusions. Limited services interim methadone maintenance can reduce heroin use among persons awaiting entry into comprehensive treatment and increase the percentage entering treatment.
