Scaling-up interim methadone maintenance: treatment for 1,000 heroin-addicted individuals.
Scaling-up interim methadone maintenance: treatment for 1,000 heroin-addicted individuals.
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DOI：
10.1016/j.jsat.2009.04.002
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发表时间：
2009-12
影响因子：
3.9
通讯作者：
Wilson ME
中科院分区：
文献类型：
--
作者：
Schwartz RP;Jaffe JH;O'Grady KE;Das B;Highfield DA;Wilson ME
本研究的目的是确定：（1）扩大中期美沙酮治疗（IM）的可行性;（2）IM对海洛因和可卡因使用的影响;（3）对IM收取适度费用的影响。六个诊所提供每日美沙酮加紧急咨询（IM）海洛因成瘾者的等待名单上的治疗。在转入常规美沙酮治疗之前，提供IM长达120天。在进入IM和转移到MTP时进行药物检测。一半的患者收取10美元/周的IM。Logistic回归分析被用来确定的影响，费用状况和其他变量的转移。在入组IM的1，000例患者中，762例患者（76.2%）接受常规MTP。对于那些谁转移（n = 762），阿片类药物阳性测试从89.6%下降到38.4%;可卡因，从49.9%到44.9%从入院转移。Logistic回归分析表明，在基线的费用状况是没有显着相关的转移。当有限的公共资源创建等待名单时，IM可以允许更多的患者在等待进入MTP时大幅减少海洛因使用。
The objectives of this study were to determine: 1) the feasibility of expanding interim methadone treatment (IM); (2) the impact of IM on heroin and cocaine use; and (3) the effect of charging a modest fee for IM. Six clinics provided daily methadone plus emergency counseling only (IM) to heroin addicts on a waiting list for treatment. IM was provided for up to 120 days before transfer to regular methadone treatment. Drug testing was conducted at admission to IM and at transfer to MTP. Half the patients were charged $10/week for IM. Logistic regression analysis was utilized to determine the effect of fee status and other variables on transfer. Of 1,000 patients enrolled in IM, 762 patients (76.2%) were admitted to a regular MTP. For those who transferred (n = 762), opioid positive tests decreased from 89.6% to 38.4%; cocaine, from 49.9% to 44.9% from admission to transfer. Logistic regression analysis indicated that fee status at baseline was not significantly associated with transfer. When limited public resources create waiting lists, IM can allow additional patients to sharply reduce heroin use while waiting for admission to MTP.