scholarly journals Evaluation of a Low-Threshold/High-Tolerance Methadone Maintenance Treatment Clinic in Saint John, New Brunswick, Canada: One Year Retention Rate and Illicit Drug Use

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Timothy K. S. Christie ◽  
Alli Murugesan ◽  
Dana Manzer ◽  
Michael V. O'Shaughnessey ◽  
Duncan Webster
Keyword(s):  
New Brunswick ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Illicit Drug ◽  
Methadone Maintenance ◽  
Retention Rate ◽  
High Tolerance ◽  
Low Threshold ◽  
One Year ◽  
The One

Objective. To report the one-year retention rate and the prevalence of illicit opioid use and cocaine use in the Low-Threshold/High-Tolerance (LTHT) methadone maintenance treatment (MMT) clinic located in Saint John, New Brunswick, Canada.Methods. A description of the LTHT MMT clinic is provided. The one-year retention rate was determined by collecting data on patients who enrolled in the LTHT MMT clinic between August 04, 2009 and August 04, 2010. The prevalence of illicit drug use was determined using a randomly selected retrospective cohort of 84 participants. For each participant the results of six consecutive urine tests for the most recent three months were compared to the results of the first six consecutive urine tests after program entry.Results. The one-year retention rate was 95%, 67% of the cohort achieved abstinence from illicit opioids and an additional 13% abstained from cocaine use.Conclusion. The novel feature of the LTHT MMT clinic is that patients are not denied methadone because of lack of ancillary services. Traditional comprehensive MMT programs invest the majority of financial resources in ancillary services that support the biopsychosocial model, whereas the LTHT approach utilizes a medical model and directs resources at medical management.

What is low threshold methadone maintenance treatment?

2013 ◽  
Vol 24 (6) ◽  
pp. e51-e56 ◽  
Author(s):  
Carol Strike ◽  
Margaret Millson ◽  
Shaun Hopkins ◽  
Christopher Smith
Keyword(s):  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Low Threshold

scholarly journals Factors Influencing Client Retention in Methadone Maintenance Treatment Clinics in the Kathmandu Valley

2019 ◽  
Vol 8 (2) ◽  
pp. 9-14
Author(s):  
B. Sapkota ◽  
P. Tulachan ◽  
S.P. Ojha ◽  
M. Chapagai ◽  
S. Dhungana
Keyword(s):  
Treatment Program ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Retention Rate ◽  
Categorical Variables ◽  
Kathmandu Valley ◽  
Factors Associated ◽  
Treatment History ◽  
History Of

 Introduction: Methadone maintenance treatment program is one of the accepted form of treatment modalities for opioid dependence individuals in Nepal. Retention in the treatment represents the assessment of the effectiveness of the treatment program. The aim of this study was to find out the factors associated with the retention of clients in the Methadone maintenance clinics in the Kathmandu Valley. Material and Method: A total of 84 clients were recruited from the 5 different methadone clinics of Kathmandu valley. A prospective follow-up design was used. The patients were followed up at the end of 6 months and retention rate was calculated. The patient was considered ‘drop out “if the patient did not take methadone for 7 consecutive days. Group differences between ‘dropout’ and non-dropout (retained) clients on MMT program were tested using t-test and Chi-square test for continuous variables and categorical variables respectively. Results: At the end of 6 months 63 patients still remained in the MMT program, so the retention rate was found to be 75% in the study. The factors associated with the retention included higher dosage of methadone (p<0.001), history of multiple substance intake (p=0.004) and previous treatment history of the drug related problems (p=0.015). Conclusion: Opioid dependent individuals may stick to the MMT program for longer durtion if they are offered with higher dosage of Methadone and special attention should be given to the patients with history of poly substance abuse and prior treatment history to prevent their relapse.

scholarly journals Variation Overtime among Patients of the Six Methadone Maintenance Treatment Clinics in Thai Nguyen from 2011 to 2015

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
An Thi Minh Dao ◽  
Huong Thi Thu Nguyen ◽  
Long Hoang Nguyen
Keyword(s):  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Retention Rate ◽  
Drop Out ◽  
Cumulative Probability ◽  
Cumulative Hazard ◽  
Drop Out Rate ◽  
Risk Period ◽  
Increasing Trend

Background. Methadone Maintenance Treatment (MMT) program’s success depends on the likelihood of reducing drop-out rate and keeping patients remaining in the program. There have been neither comprehensive studies about variation among patients who have been experiencing MMT for long period nor prediction of MMT period in which the risk of drop-out would be the highest in Thai Nguyen, a northern mountainous province where the MMT was established in 2011.Objectives. To analyze variation of the MMT population through indicators of drop-out and death, re-enrolment, and retention rate in the six Thai Nguyen MMT clinics.Methods. A retrospective study by reviewing daily treatment notebooks of the six MMT clinics in Thai Nguyen to identify events of drop-out, death, reenrolment among 2,567 patients registered from 12 May 2011 to 6 September 2015.Results. Cumulative hazard of drop-out over period from the first to the fourth year of MMT treatment has an increasing trend at 0.15; 0.31; 0.46; and 0.61, respectively. The cumulative probability of re-enrolment among 740 patients who have already quit the MMT program and then returned slightly increased from 0.07 to 0.16 between the first years and the fourth year in which the highest returning rate occurred within the first 2 years after drop-out. The cumulative retention rate decreased annually and stayed at 71.7% after 4 years of running the MMT.Conclusions. MMT patients and their families should be informed and consulted about the highest risk period of drop-out and also about period when drop-out patients are most likely to reenter the MMT. Counseling adherence for patients should be conducted not only at the beginning but also during the ongoing MMT and play an extremely important role in reducing drop-out of the program while special counseling should also be reenforced for the re-enrolment patients of MMT.

scholarly journals The impact of low-threshold methadone maintenance treatment on mortality in a Canadian setting

2015 ◽  
Vol 156 ◽  
pp. 57-61 ◽  
Author(s):  
Seonaid Nolan ◽  
Kanna Hayashi ◽  
M.-J. Milloy ◽  
Thomas Kerr ◽  
Huiru Dong ◽  
...  
Keyword(s):  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Low Threshold ◽  
Canadian Setting ◽  
The Impact
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