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STUDY 2000 PDF file 111Kb
Careful induction prevents overdose deaths among methadone patients
Studies from Australia and Scotland both find that overdose death during methadone maintenance is closely related to continued illegal drug use in the early stages of treatment.
STUDY 2001 PDF file 161Kb
Under-dosing and poor initial assessment undermine success of British methadone services
Reports from the NTORS study in England confirm that the benefits of methadone prescribing persist to two years after treatment entry though nearly a fifth of patients do not respond well to an often ill-defined programme not delivered as intended.
STUDY 2001 PDF file 188Kb
Outcomes from GP methadone maintenance in Britain match those from specialist clinics
Findings from Liverpool make a valuable addition to a limited UK evidence base confirming that outcomes from addiction treatment by well-supported GPs are at least as good as those achieved by specialist clinics.
STUDY 2004 PDF file 105Kb
British GPs as effective as specialist methadone clinics
A two-year follow-up of opiate dependent patients sampled by the national English NTORS study showed that experienced or supported GPs can provide methadone maintenance treatment at least as effectively as specialist clinics.
IN PRACTICE 2005 PDF file 927Kb
Barriers cleared in Endell Street
How a team in London's West End set about systematically overcoming the barriers which prevented the residents of a homelessness hostel getting the treatment they needed. The key step was simple – asking the residents just what it was which stood in the way.
DOCUMENT 2012 HTM file
Has methadone been rehabilitated?
Arousing visceral opposition and passionate defence, prescribing opiate-type drugs for as long as needed has for decades been the mainstay of heroin addiction treatment in Britain. With the weight of government behind them, that position was challenged by ‘recovery’ advocates; in 2012 an expert report sought to reconcile the competing perspectives.
This British study concluded that it takes extended opiate substitute prescribing to realise the treatment's life-saving potential. The implication is that the current push to get people off methadone sooner could cost lives.
NOTES 2010 PDF file 239Kb
Preventing unauthorised use of medications prescribed for the treatment of opiate addiction
Detailed and fully referenced notes on preventing the diversion of maintenance medications like methadone on to the illicit market, with an emphasis on the pros and cons of supervised consumption.
Survey responses from clinicians prescribing methadone at Scottish addiction treatment clinics show how the requirement that patients be observed taking the medication involves striking a balance between safety, individualising treatment, and attracting and retaining patients.
DOCUMENT 2012 HTM file
Medications in recovery: re-orientating drug dependence treatment
On behalf of the UK government an expert group has developed and documented a clinical consensus on how prescribing-based treatment for heroin addiction can be made more recovery-oriented in line with national strategy. Their report will be the main reference point in tussles over what recovery means for methadone services and patients.
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