Methadone Maintenance Treatment In The U S
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The Effectiveness Of Methadone Maintenance Treatment
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Author : John C. Ball
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
The Effectiveness Of Methadone Maintenance Treatment written by John C. Ball and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Medical categories.
Legislators, journalists and concerned citizens in general, when consider ing what to do about the plague of heroin addiction in large cities, ask an obvious question: "Is methadone treatment effective?" This question is a critical one since maintenance with methadone is at present the only prac tical alternative to leaving tens of thousands (in New York City, hundreds of thousands) of untreated addicts on the streets. Other treatments, although effective for limited groups, could not conceivably be expanded to stop heroin use in as much as 10% of the addicted population. The present study, sponsored by the National Institute on Drug Abuse, was undertaken to provide an authoritative answer to this question. Under the direction of a distinguished expert, the evaluation team made an inten sive examination of techniques and outcomes in six different methadone programs located in New York, Philadelphia, and Baltimore, and followed this by two yhears of data analysis and literature review. The present re port is the product of this work. The primary conclusion-namely that methadone treatment is substan tially effective in reducing heroin use and associated criminal behavior-is consistent with the findings of several previous independent evaluations.
Federal Regulation Of Methadone Treatment
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Author : Committee on Federal Regulation of Methadone Treatment
language : en
Publisher: National Academies Press
Release Date : 1995-02-01
Federal Regulation Of Methadone Treatment written by Committee on Federal Regulation of Methadone Treatment and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995-02-01 with Medical categories.
For nearly three decades, methadone hydrochloride has been the primary means of treating opiate addiction. Today, about 115,000 people receive such treatment, and thousands more have benefited from it in the past. Even though methadone's effectiveness has been well established, its use remains controversial, a fact reflected by the extensive regulation of its manufacturing, labeling, distribution, and use. The Food and Drug Administration regulates the safety and effectiveness of methadone, as it does for all drugs, and the Drug Enforcement Administration regulates it as a controlled substance. However, methadone is also subjected to a unique additional tier of regulation that prescribes how and under what circumstances it may be used to treat opiate addiction. Federal Regulation of Methadone Treatment examines current Department of Health and Human Services standards for narcotic addiction treatment and the regulation of methadone treatment programs pursuant to those standards. The book includes an evaluation of the effect of federal regulations on the provision of methadone treatment services and an exploration of options for modifying the regulations to allow optimal clinical practice. The volume also includes an assessment of alternatives to the existing regulations.
Methadone Maintenance Treatment In The U S
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Author : Wendee M. Wechsberg, PhD
language : en
Publisher: Springer Publishing Company
Release Date : 2007-05-07
Methadone Maintenance Treatment In The U S written by Wendee M. Wechsberg, PhD and has been published by Springer Publishing Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007-05-07 with Psychology categories.
The abuse of heroin and other opiates is a serious and growing public health problem. According to the 2004 National Survey on Drug Use and Health, an estimated 166,000 Americans use heroin. In addition, 4.4 million use opiate pain relievers (including Vicodin, Percodan, Percocet, and OxyContin) without a prescription. Abuse of legal pain relievers represents a growing category: in 2004, approximately 2.4 million Americans abused prescription pain relievers for the first time. In total, about 1.9% of Americans are abusing illegal or legal opiates. Furthermore, opiate dependence is increasing worldwide, and significantly exacerbating the HIV/AIDS pandemic. Methadone maintenance treatment (MMT) has been the primary form of treatment for opiate dependence in the U.S. for over 40 years. It involves providing drug abusers with a less addictive opiate (methadone) in a clinical setting, and then gradually tapering the methadone dosage. While on methadone, patients receive counseling and other medical treatments (i.e. hepatitis screening) as needed. The ability to provide all of these treatments in one location has made MMT the most effective treatment for opiate dependence to date. In the United States alone, there are more than 1,200 MMT programs, with an estimated staff of 20,000, serving more than 200,000 patients annually yet, to date, there has been no comprehensive, user-friendly professional reference book on these programs. This book fills the gap. It is written for a diverse audience, including clinicians, program administrators, substance abuse treatment researchers, and other health service professionals who want to learn about all aspects of MMT. Policy makers interested in establishing new programs, domestically and internationally, will find the information useful. The book offers insights into the effectiveness of methadone, and the characteristics of successful methadone treatment programs (budgets, services, staff, etc.), as well as regulation and accreditation issues. The information presented is based on a study of nearly 150 MMT programs in 15 states. About RTI International RTI International is dedicated to conducting research and development that improves the human condition by turning knowledge into practice. With a staff of more than 2,500, RTI offers innovative research and technical solutions to governments and businesses worldwide in the areas of heatlh and pharmaceuticals, education and training, surveys and statistics, demographic governance, economic and social development, advanced technology, energy, and the environment. The second largest independent nonprofit research organization in the United States, RTI maintains nine offices in the U.S., five internationally, and one international subsidiary, as well as project offices around the world.This book fills the gap. It is written for a diverse audience, including clinicians, program administrators, substance abuse treatment researchers, and other health service professionals who want to learn about all aspects of MMT. Policy makers interested in establishing new programs, domestically and internationally, will find the information useful. The book offers insights into the effectiveness of methadone, and the characteristics of successful methadone treatment programs (budgets, services, staff, etc.), as well as regulation and accreditation issues. The information presented is based on a study of nearly 150 MMT programs in 15 states.
Guidelines For The Psychosocially Assisted Pharmacological Treatment Of Opioid Dependence
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Author : World Health Organization. Department of Mental Health and Substance Abuse
language : en
Publisher: World Health Organization
Release Date : 2009
Guidelines For The Psychosocially Assisted Pharmacological Treatment Of Opioid Dependence written by World Health Organization. Department of Mental Health and Substance Abuse and has been published by World Health Organization this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with Medical categories.
"These guidelines were produced by the World Health Organization (WHO), Department of Mental Health and Substance Abuse, in collaboration with the United Nations Office on Drugs and Crime (UNODC) a Guidelines Development Group of technical experts, and in consultation with the International Narcotics Control Board (INCB) secretariat and other WHO departments. WHO also wishes to acknowledge the financial contribution of UNODC and the Joint United Nations Programme on HIV/AIDS (UNAIDS) to this project. " - p. iv
Medications For Opioid Use Disorder Save Lives
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Author : National Academies of Sciences, Engineering, and Medicine
language : en
Publisher: National Academies Press
Release Date : 2019-06-16
Medications For Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-06-16 with Medical categories.
The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
The Enlightened Guide To Methadone Maintenance Treatment
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Author : Kay John Borzsony
language : en
Publisher:
Release Date : 2020-02-17
The Enlightened Guide To Methadone Maintenance Treatment written by Kay John Borzsony and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-02-17 with categories.
The dawn of a new era is upon us, and that is the era of medication assisted treatment (MAT) for opioid addiction as a first-line treatment. Ever since the first methadone clinics opened in the early 1970s in the U.S., nothing in medicine has been the subject of more stigma, controversy, misinformation, and downright mythology than methadone maintenance treatment (MMT.) The stigma against MMT is staggering and well-known, and it is the primary intent of this text to eliminate all of the false myths and fears surrounding MMT by providing accurate, if not always politically correct information in an easy to understand format.Do you, a loved one, friend, or family member suffer from severe opioid addiction? Tired of using the revolving door of abstinence-only-based treatment, only to constantly feel like a failure in spite of the fact that you want desperately to get better? Are you interested in the most researched, evidence-based, and most importantly, effective treatment modality for opioid addiction, one which has been considered the "Gold Standard" amongst addiction specialists for 50 years?If you are reading this, chances are that what you will discover between the covers of this book will astonish, shock, and possibly even anger you. Considering that abstinence-based treatment has been widely known to be ineffective for serious opioid addiction for at least a century, you may even have some questions of your own as to why such an effective treatment for opioid addiction has been hidden for so long from public-view, until now.This book has been designed to answer almost any serious question about Methadone Maintenance Treatment, and it does so in a manner which is groundbreaking: No more "conventional wisdom" or politically-correct B.S., this text cuts to the chase and, for the first time in publishing, tells the naked, unvarnished Truth about this vastly under-utilized, life-saving, indeed, life-changing treatment modality. Once you've read it, you'll never see methadone in the same tired and slanderous light ever again. Rigorously researched and cross-referenced over a period of five years, this book is the only serious text on the subject written for everyone from patients to treatment providers.
The Economics Of Methadone Maintenance
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Author : Timothy H. Hannan
language : en
Publisher:
Release Date : 1975
The Economics Of Methadone Maintenance written by Timothy H. Hannan and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1975 with Self-Help categories.
Federal Regulation Of Methadone Treatment
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Author : Institute of Medicine
language : en
Publisher: National Academies Press
Release Date : 1995-02-18
Federal Regulation Of Methadone Treatment written by Institute of Medicine and has been published by National Academies Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995-02-18 with Medical categories.
For nearly three decades, methadone hydrochloride has been the primary means of treating opiate addiction. Today, about 115,000 people receive such treatment, and thousands more have benefited from it in the past. Even though methadone's effectiveness has been well established, its use remains controversial, a fact reflected by the extensive regulation of its manufacturing, labeling, distribution, and use. The Food and Drug Administration regulates the safety and effectiveness of methadone, as it does for all drugs, and the Drug Enforcement Administration regulates it as a controlled substance. However, methadone is also subjected to a unique additional tier of regulation that prescribes how and under what circumstances it may be used to treat opiate addiction. Federal Regulation of Methadone Treatment examines current Department of Health and Human Services standards for narcotic addiction treatment and the regulation of methadone treatment programs pursuant to those standards. The book includes an evaluation of the effect of federal regulations on the provision of methadone treatment services and an exploration of options for modifying the regulations to allow optimal clinical practice. The volume also includes an assessment of alternatives to the existing regulations.
Handbook Of Methadone Prescribing And Buprenorphine Therapy
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Author : Ricardo A. Cruciani
language : en
Publisher: Springer Science & Business Media
Release Date : 2014-07-08
Handbook Of Methadone Prescribing And Buprenorphine Therapy written by Ricardo A. Cruciani and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-08 with Medical categories.
Methadone and buprenorphine are the only two opioids that are indicated for the management of both pain and opioid-related drug addiction. Both present unique challenges to the general practitioner and pain specialist, requiring a separate analysis from the rest of the drugs in the same family. Handbook of Methadone Prescribing and Buprenorphine Therapy is an invaluable guide to the safe use of these opioids. Authored by clinical and academic leaders from a variety of settings and backgrounds, this book includes chapters on pharmacology, adverse effects, safe rotation from other opioids, cardiac toxicity, prescribing, pharmacokinetics, equianalgesic dose and replacement therapy. This comprehensive text provides clinicians, researchers, policy-makers and academicians a resource for all the relevant points in methadone prescribing and buprenorphine therapy.
Therapeutic Effectiveness Of Methadone Maintenance Programs In The Management Of Drug Dependence Of Morphine Type In The Usa
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Author : Stephen S. Wilmarth
language : en
Publisher:
Release Date : 1974
Therapeutic Effectiveness Of Methadone Maintenance Programs In The Management Of Drug Dependence Of Morphine Type In The Usa written by Stephen S. Wilmarth and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1974 with Psychology categories.