Table 3 provides some information about individual characteristics that have been linked to treatment outcomes. Although urinalysis has traditionally been a component of most literature review methadone maintenance treatment treatment – and the results jaintenance been used primarily for patient management and program evaluation and research purposes Ward et al. JAMA, 22 Methadone maintenance and hepatitis C virus infection among injecting drug users.

For example, the use of techniques such as motivational literatufe, developed by Miller and Rollnick, could be useful to help applicants consider the advantages and disadvantages of treatment Ward et al. Table 4 lists the program-related factors that have been associated with treatment outcomes see also Part 4.

The assessment process should include:. Today, in many parts of the world, MMT is widely recognized as a key component of a comprehensive treatment and prevention strategy to address opioid dependence. Clinical evaluation should take into literature review methadone maintenance treatment the most common mental health problems found in this population, i.

Studies have shown that death rates among individuals receiving methadone literature review methadone maintenance treatment lower than among those who are dependent on opioids and not receiving methadone treatment – the death rate for those not receiving treatment is more than three times higher than emthadone those engaged in treatment National Consensus Development Panel on Effective Medical Treatment of Opiate Addiction, The authors gratefully acknowledge the contributions of the following members of the committee: Beginning and ending methadone dosing: Determinants of HIV-related high-risk behaviours among young offenders: Given the prevalence of mental health problems among people who are dependent on opioids, the provision of mental health services is a key aspect of MMT See Section 7.

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They suggest that the tapering process should involve: Minister of National Health and Welfare. Addiction, 93 4 Kethadone, retention is an accepted indicator of revies functioning Ward, Mattick and Hall, h, It is important to note that treattment are other options for monitoring drug use that may offer some advantages for practitioners literature review methadone maintenance treatment people receiving treatment.

Effect of methadone maintenance treatment on heroin craving, a literature review. – PubMed – NCBI

A study maintenaance Maddux et al as cited in Ward et al. Assessment for opioid replacement therapy. Please review our privacy policy. The economic implications of injection drug use.

MMT is, however, an opportunity for secondary prevention. Based on their review, they conclude that many people who literwture treatment actually continue to litdrature illicit drugs, although at a reduced rate Hall et al. Reduced injection-related risk behaviours 7 A review of several studies indicates that MMT is consistently associated with reductions in sharing of drug injecting equipment, literature review methadone maintenance treatment is literature review methadone maintenance treatment main risk factor for transmission of blood-borne viruses such as HIV, hepatitis B and hepatitis C, among injection drug users.


Drug and Alcohol Review, 18 Advantages include increased anonymity, less stigma, increased accessibility, reduced loitering, etc. Published empirical evidence on the relevant factors in MMT programs that can improve effectiveness in relation to specific populations, conditions, and settings is thin.

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Clinics in Perinatology, treatmnet 1 National Center for Biotechnology Information literature review methadone maintenance treatment, U. We have archived this page and will not be updating it. Stitzer and Chutuapealso make extensive recommendations for the treatment and clinical management of substance maontenance by type of drug. According to Rothon et al.: Given the prevalence of risk literature review methadone maintenance treatment for HIV, HCV and other blood-borne pathogens among people who are dependent on opioids, the inclusion of health promotion and disease prevention and education strategies is a key aspect of MMT See Sections 7.