In 1965, when this study began, there were no clear guidelines about the optimum duration of in-patient treatment for alcoholics. Davieset al.(1956) had reported that at the Maudsley Hospital the aim was for a ‘short stay’ of between two and three months—but some individuals stayed for up to ten months. The policy at Warlingham Park Hospital as described by Glatt (1955) was for an in-patient stay of at least two months, though ‘on the whole about three months is the optimum period’.
The aim of this paper is to present an enumerative survey of abuse of heroin and methadone by persons of 30 years of age and under, known to have resided at some time within the Oxford City boundaries during the year 1969.
SummaryHome Office statistics provide some evidence of the rapid growth of heroin abuse. In 1960 there were 63 known addicts in the age group 34 years and under, and by 1968, when notification of addiction to heroin was made compulsory under the Notification of Addicts' Act, the number had risen to 2,294. The use of methadone (“Physeptone”) both in withdrawal and in long‐term maintenance therapy, has resulted in cases of additional dependence.The aim of this paper is to present an enumerative survey of abuse of these two drugs by persons of 30 years of age and under, known to have resided at some time within the Oxford City boundaries during the year 1969. The initial model for this study was that published by de Alarcon and Rathod in 1968.1
SummaryThe Oxford Detoxification Unit was established in 1975 as part of reorganisation within the existing services. From the outset a policy of open admission has been pursued. Referrals are accepted by telephone, limited only by bed availability.The development of the Unit is discussed in relation to other services provided for alcoholics.
For the study reported in the accompanying paper (Willemset al., 1973), a number of variables, thought to be of prognostic relevance in alcoholism, were selected and categorized in a rank order. These can be regarded asordinalscales, since in every case (a) each category differs from the others, and (b) each is related to the others. In each case there can be said to be an underlying continuum and in all cases a higher number indicates, in our opinion, a less ‘desirable’ state.
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