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Home > Medicine & Health Science textbooks > Medical specialties, branches of medicine > Psychiatry > The Effectiveness of Methadone Maintenance Treatment: Patients, Programs, Services, and Outcome
The Effectiveness of Methadone Maintenance Treatment: Patients, Programs, Services, and Outcome

The Effectiveness of Methadone Maintenance Treatment: Patients, Programs, Services, and Outcome


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About the Book

The most important finding of this study of drug abuse treatment programs is the establishment of a successful procedure for evaluating such programs. This procedure, with modifications, could serve as a basis for evaluating other programs in the United States and elsewhere.

Table of Contents:
1 Status of Methadone Maintenance Treatment and Research in the United States.- Current Status of Methadone Maintenance Treatment.- The AIDS Era.- Prior Research and Treatment Evaluation of Methadone Maintenance.- The “Black Box” of Methadone Maintenance Treatment.- Four-Domain Schema for Treatment Evaluation.- Conclusion.- References.- 2 Research Plan and Data Collection Procedure at the Programs.- Objective of the Study.- Development of the Research Design.- Data Collection at the Programs.- Collecting Treatment Domain and Output Data in 1985.- Patient Interviews in 1985 and 1986.- Treatment Domain Data Collection in 1986.- Record Data Collection and Assessment in 1986.- Other Sources of Data.- Conclusion.- References.- 3 Pretreatment Characteristics of 617 Male Methadone Maintenance Patients.- Characteristics of the Addict Patients.- Commonality Among the Addict Patients.- Conclusion.- References.- 4 Candid Descriptions of the Six Programs.- On-Site Data Collection During 3 Years.- The Six Programs.- Discussion.- References.- 5 Treatment Domain.- Elements of the Treatment Domain.- Measurement of the Treatment Domain.- Additional Areas of Measurement.- Conclusion.- 6 Treatment and Rehabilitation Provided to Patients at the Six Programs in 1985 & 1986.- Measurement of Services Provided.- Daily Hours of Operation.- Methadone Dispensing Practices at the Six Programs.- Urinalysis.- Counseling Services.- Medical Services.- Year to Year Change in the Provision of Treatment Services.- Overview of Measurement and Assessment.- Conclusion.- 7 Reduction in Drug Abuse During Methadone Maintenance Treatment.- Issues and Plan of Analysis.- Pretreatment Drug Abuse Prevalence.- Reduction in Drug Abuse During Methadone Maintenance Treatment.- Differences Among the Six Programs inReducing IV Drug Use.- Discussion.- Conclusion.- References.- 8 Follow-up Study of 105 Patients Who Left Treatment.- Rates of Retention in Treatment.- Follow-up of Patients Who Left Treatment.- Relapse to IV Drug Use After Treatment.- Discussion.- Conclusion.- References.- 9 Prevalence and Change in Psychiatric Symptomatology Among Methadone Maintenance Patients.- Lifetime Prevalence of Psychiatric Symptoms.- Recent Psychiatric Symptoms.- Psychiatric Severity Composite Scores by Time in Treatment.- Discussion.- References.- 10 Reduction of Crime Through Methadone Maintenance Treatment.- Measurement of Crime Among Heroin Addicts.- Pretreatment Criminality of Addict Patients.- Reduction in Crime During Methadone Maintenance Treatment.- Discussion.- References.- 11 Treatment Success: Association With Patient Baseline, Program Elements, and In-treatment Process.- Research Questions Addressed.- The Data.- Patient Groups.- Statistical Procedures.- Findings: Outcomes and Independent Variables.- Discussion and Conclusion.- References.- 12 Summation of Findings and Conclusion.- Obtaining Comprehensive Program Data.- Interviewing Patients at the Six Programs.- Candid Program Descriptions.- Treatment Domain.- Treatment Provided.- Determination of Effectiveness.- Reduction in Crime.- Multivariate Analysis.- Local Environment and City.- Conclusion.- References.- Appendix A: 89 Measures of the Treatment Domain.- Appendix C: Further Analysis with Regard to Chapter 11.


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Product Details
  • ISBN-13: 9781461390916
  • Publisher: Springer-Verlag New York Inc.
  • Publisher Imprint: Springer-Verlag New York Inc.
  • Height: 235 mm
  • No of Pages: 283
  • Returnable: N
  • Width: 155 mm
  • ISBN-10: 1461390915
  • Publisher Date: 10 Nov 2011
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Sub Title: Patients, Programs, Services, and Outcome


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