Community Based Heroin Addicts Who Turn to Experimental Treatment Rather Than Conventional Care

Michaels, Jennifer; Galanter, Marc; Resnick, Richard B.; Marmor, Michael; Lifshutz, Harold; Perrone, Rosanne

doi:10.1300/j069v14n02_04

Cited by 5 publications

(2 citation statements)

References 16 publications

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“…However, cigarette smoking and alcohol drinking were seen more often in the MMT group, which is inconsistent with the results from earlier studies. 37 Sedative drug abuse was also more common in the MMT group. It suggests that sedative drug abuse in the dependent individuals is due to previous psychopathological diseases, such as anxiety and dysthymia.…”

Section: Discussionmentioning

confidence: 97%

Comparison of Psychopathologic Characteristics between Individuals Undergoing Methadone Maintenance Treatment, Opioid Dependents, and Control Group

et al. 2022

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Background: Methadone maintenance treatment (MMT) can theoretically reduce the psychosocial harms of opioid dependency. The increasing number of MMT clinics in Iran during the last two decades was not accompanied by a reduction in addiction rates. Therefore, this study was conducted to compare the psychopathological characteristics of individuals on MMT, opioid dependents, and a control group in the Iranian population. Methods: This cross-sectional study was conducted in Mashhad to evaluate the psychopathological profile of 99 participants (33 opioid-dependent individuals [ODI], 33 MMT clients, and 33 controls) using the Symptom Checklist-90-Revised (SCL-90-R) questionnaire and demographic form. Parametric and non-parametric tests were used to compare the mean score of symptoms between the three groups. The Spearman correlation test was used to test the correlation of psychological features with age and dependency duration. Findings: There was no significant difference between MMT clients and ODI regarding the Global Severity Index (GSI) and nine items of the SCL-90-R questionnaire. However, a significant difference was found between the controls and two other groups (P<0.001). Paranoid ideation in the ODI was more frequent compared to MMT clients significantly (P=0.015). Psychological characteristics had a direct correlation with dependency duration and an inverse correlation with age (P<0.05). Conclusion: Psychopathologic features observed in the dependent patients and MMT clients were significantly higher than in the control group. It seems that the psychopathology profile in MMT clients was not better than dependent individuals in Iran.

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Section: Discussionmentioning

confidence: 97%

Comparison of Psychopathologic Characteristics between Individuals Undergoing Methadone Maintenance Treatment, Opioid Dependents, and Control Group

et al. 2022

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“…Unlike stereotypes of heroin addicts, this group consisted primarily of individuals with relatively high levels of social adjustment, as indicated by employment, lack of criminal activity and marital status. 6 In contrast to the addicted professional, such as a physician or nurse, this population was made up of average people who could be your neighbor or co-worker. The tragedy, however, is that the majority of this group were unable to receive any treatment for their addiction under the existing treatment system (since past attempts to detoxify were unsuccessful and they were unwilling to accept methadone maintenance or enter a therapeutic community).…”

mentioning

confidence: 99%

Buprenorphine Treatment of Heroin Dependence (Detoxification and Maintenance) in a Private Practice Setting

Resnick

Galanter²,

Resnick³

et al. 2001

Journal of Addictive Diseases

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At the conclusion of a 3-year demonstration project in a medical setting in which refusal to accept methadone was an inclusion criterion, 12 subjects were unable to detoxify from buprenorphine and remained adamant in their refusal to enroll in a MMTP. In order to study the feasibility of expanding opportunities for treatment previously unavailable to this under-served population of heroin addicts, these 12 subjects plus an additional 11 subjects (N = 23) were recruited for a 12 months trial of buprenorphine treatment conducted in an office-based setting on a fee-for-service basis. An additional cohort of 40 heroin dependent subjects were entered in a protocol for detoxification only. The findings demonstrate both feasibility and patient acceptance of office based fee-for-service buprenorphine treatment, supporting the need for (1) additional studies of this population and (2) changes in government regulations to reintroduce addiction treatment under physician auspices in private practice settings.

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Substance Abuse Treatment Organizations as Mediators of Social Policy: Slowing the Adoption of a Congressionally Approved Medication

Wallack

Thomas

Martin

et al. 2008

J Behav Health Serv Res

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Most substance abuse treatment occurs in outpatient treatment centers, necessitating an understanding of what motivates organizations to adopt new treatment modalities. Tichy's framework of organizations as being comprised of three intertwined internal systems (technical, cultural, and political) was used to explain treatment organizations' slow adoption of buprenorphine, a new medication for opiate dependence. Primary data were collected from substance abuse treatment organizations in four of the ten metropolitan areas with the largest number of heroin users. Only about one fifth offered buprenorphine. All three internal systems were important determinants of buprenorphine adoption in our multivariate model. However, the cultural system, measured by attitude toward medications, was a necessary condition for adoption. Health policies designed to encourage adoption of evidence-based performance measures typically focus on the technical system of organizations. These findings suggest that such policies would be more effective if they incorporate an understanding of all three internal systems.

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Community Based Heroin Addicts Who Turn to Experimental Treatment Rather Than Conventional Care

Cited by 5 publications

References 16 publications

Comparison of Psychopathologic Characteristics between Individuals Undergoing Methadone Maintenance Treatment, Opioid Dependents, and Control Group

Comparison of Psychopathologic Characteristics between Individuals Undergoing Methadone Maintenance Treatment, Opioid Dependents, and Control Group

Buprenorphine Treatment of Heroin Dependence (Detoxification and Maintenance) in a Private Practice Setting

Substance Abuse Treatment Organizations as Mediators of Social Policy: Slowing the Adoption of a Congressionally Approved Medication

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