By Nicholas Seivewright
Methadone has been used effectively as a substitution agent for heroin dependency for greater than 30 years. because of its luck, different powerful tools of remedy were missed. verified as a key textual content on all remedies for drug misusers, group therapy of Drug Misuse: greater than Methadone has been hugely praised for its functional orientation in response to an exceptional examine heritage. For the second one variation, all of the major evidence-based and extra pragmatic remedy ways are reviewed, not just within the administration of opiate dependence, yet around the diversity of gear. It focuses largely on advancements within the previous few years because of coverage projects and examine findings, together with assurance of buprenorphine therapy, the systematic therapy of cocaine abuse and paintings with detailed sufferer teams. this is often of direct relevance to clinical in addition to non-medical practitioners venture scientific paintings within the addictions.
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Extra resources for Community Treatment of Drug Misuse: More Than Methadone
Entry criteria included at least a four-year history of opiate addiction and at least one previous unsuccessful rehabilitation attempt. Twelve individuals started methadone treatment, with 16 randomized to no treatment, and at 12 months the ﬁndings were overwhelmingly in favour of methadone maintenance. Indeed, all of the control sample had returned to daily heroin use and prison, while none of the methadone patients was using heroin daily and only three had been imprisoned. A larger study in a broader population was carried out in Hong Kong, where methadone treatment was not in other ways available (Newman & Whitehill 1979).
1993) randomly assigned 92 methadone patients to three groups which differed in levels of psychosocial services, with the actual methadone treatment remaining the same. Some 69% of subjects who received virtually only the methadone prescription continued to use other opiates or cocaine, with lower levels in groups who received additional counselling (41%), or counselling plus on-site medical and psychiatric services, workshops on employment skills and family therapy (19%). There is other evidence supporting the addition of a wide range of forms of counselling to methadone maintenance, including motivational interviewing (Saunders et al.
This preparation does have a syrupy consistency, but the problem for clinicians is that the alternatives – sugar-free mixture or methadone tablets – are both more injectable, and therefore requests or implied requirements for these are often manipulative. So are requests for the antiemetic cyclizine tablets, which are crushed and injected by drug misusers along with injected methadone. As indicated in Chapter 4, thankfully these particular claims have become less common now that guidelines are much more discouraging of any use of methadone tablets.
Community Treatment of Drug Misuse: More Than Methadone by Nicholas Seivewright