scholarly journals Predictors of One-Year Retention in Methadone Maintenance Treatment (MMT) in Iran, Rafsanjan

Author(s):  
Mahmood Sheikh Fathollahi ◽  
Fateme Torkashvand ◽  
Hamid Najmeddin ◽  
Mohsen Rezaeian
2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Timothy K. S. Christie ◽  
Alli Murugesan ◽  
Dana Manzer ◽  
Michael V. O'Shaughnessey ◽  
Duncan Webster

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.


2020 ◽  
Vol 294 ◽  
pp. 113526
Author(s):  
Odelia Elkana ◽  
Miriam Adelson ◽  
Anat Sason ◽  
Glen M. Doniger ◽  
Einat Peles

2015 ◽  
Vol 225 (3) ◽  
pp. 673-679 ◽  
Author(s):  
Chih Yin Hsiao ◽  
Kao Chin Chen ◽  
Lan-Ting Lee ◽  
Hsin Chun Tsai ◽  
Wei Hung Chang ◽  
...  

2012 ◽  
Vol 21 (6) ◽  
pp. 524-530 ◽  
Author(s):  
Seth Himelhoch ◽  
Elyssa Weber ◽  
Deborah Medoff ◽  
Melanie Charlotte ◽  
Sara Clayton ◽  
...  

1990 ◽  
Vol 21 (2) ◽  
pp. 45-57 ◽  
Author(s):  
Lorinda R. Arella ◽  
Sherry Deren ◽  
Joan Randell ◽  
Vincent Brewington

Interventions were designed to increase utilization ofvocational services and client vocational/educational status in methadone treatment programs. The impact of two variables was assessed: (a) compensating programs for Medicaid reimbursement losses associated with client vocational progress (MC), and (b) placement of a vocational specialist whose role was to facilitate clinic integration of vocational services with other program goals, resources, and policies (VI). The study was conducted in four methadone maintenance treatment programs located in New York City. Conclusions were that: (a) involvement in the study itself can cause a significant increase in V/E activity, (b) the VI factor alone was related to higher rates of V/E referral, while the MC factor alone was associated with decrease in both V/E activity and status, and (c) given the high degree of V/E status stability and the inverse relationship of V/E status to continued drug use and Medicaid dependence, the greatest V/E status gains are likely to occur where both issues are addressed.


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