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STUDY 2000 PDF file 144Kb
Methadone's failures respond to heroin
A large-scale trial in Switzerland suggests that despite failures with other treatments, many long-term heroin addicts respond well to a treatment based on injectable heroin.
REVIEW 2000 PDF file 2709Kb
Overdosing on opiates part I: causes
The most thorough review to date of the greatest risk posed by illegal drug use in Britain. An international team of authors analyses the causes and finds they go way beyond just taking too much. Includes in the “The Swedish experience” on p. 6 of PDF early studies which established methadone’s lifesaving potential.
STUDY 2000 PDF file 148Kb
English residential rehabilitation services doing well but could do better
A report from the UK National Treatment Outcome Research Study (NTORS) spotlights the achievements of residential services for drug users but more could be done to improve retention and it is unclear how much the treatment had to do with the outcomes.
STUDY 1999 PDF file 182Kb
Heroin prescribing can help methadone's failures
Studies in UK and Switzerland show that many opiate-dependent patients failed by oral methadone, or seeking treatment but unwilling to give up heroin, do better if prescribed heroin in terms of crime, illicit opiate use and psychological wellbeing.
STUDY 1999 PDF file 255Kb
Methadone treatment cost-effective life saver
Three studies which show that getting in to and staying in methadone treatment cost-effectively saves the lives of heroin addicts. Conversely, being denied treatment or discharged for rule-breaking costs lives.
STUDY 1999 PDF file 223Kb
Treatment staff matter as much as the drug
Three US studies prove there is more to methadone maintenance than the drug. The individual counsellor and whether they respond constructively to patient problems can dramatically affect retention and drug use outcomes.
In Sydney in Australia an official campaign and educational efforts had the desired effect of shifting staff attitudes in methadone maintenance clinics away from achieving abstinence and withdrawal and towards long-term treatment aimed at reducing harm.
STUDY 1997 HTM file
Performance contracting for substance abuse treatment
This US study finds that performance contracting may be associated with improvements in service utilisation and treatment outcomes, but does not appear to increase engagement with under-served populations.
STUDY 1995 HTM file
An evaluation of private methadone clinics
Comparison of three Australian clinics highlights the importance of good organisation and an ethos of individualised treatment and care for patients, rather than acting as a more or less efficient ‘methadone dispensary’.
Seminal English study which turned the spotlight on organisational factors in the development of a positive attitude to working with problem drinkers, in particular the availability of experience in working with these patients and the support of experienced colleagues. Without these the effects of training are less and less well sustained.
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