Triggers of Substance Abuse Slip and Relapse During Outpatient Treatment in Methadone/Buprenorphine Maintenance Therapy Clinics: A Predictive Model with Emphasis on Treatment-Related Factors

Abstract

Background: Most addicts relapse in the first year of treatment especially in the first 3 -6 months, which is the most vulnerable period.

Applying Behavioural Incentives to Increase Adherence to Maintenance Treatment

“…Of course, in order to prevent the financial loss of the health system teams and prevents their opposition to the implementation of the plan, (iv) it is advisable to pay the discount in the form of a subsidy to the MMT centres. This subsidy can be provided directly by the Ministry of Health or the Welfare Organisation and the medical sciences universities ( 16 ). Thus, both patients and healthcare personnel have enough motivation to implement this programme.…”

Mobile Intervention: A New Proposal for Increased Success of Methadone/Buprenorphine Maintenance Treatment in Iranian Population

“…The center's treatment protocol is multi-component. Except for medication delivery, the protocol simultaneously involves psychological interventions and social worker services (2,3). According to available reports, these centers have been able to control drug abuse.…”

“…Routinely, the patients receive face to face pharmaceutical and psychological care services. On the other hand, according to the Iranian Health Ministry protocol, a significant number of the patients are referred to receive medication and other services weekly (3). The time gap between weekly physical referrals is a high-risk period for slip and relapse of substance abuse.…”

Development of Maintenance Treatment Centers for Comprehensive Rehabilitation Services Clinics for Drug Abuse Based on Lifestyle Modification

“…Nevertheless, recent reports indicate a failure of these programs and abuse recurrence in many patients (2,3). Several factors, such as family, socioeconomic, environmental, cultural, and treatment-related factors can lead to treatment failure and the resumption of substance abuse in patients (4,5). However, it seems that the main reason for the resumption of drug abuse by patients is the failure to adopt a healthy lifestyle (6)(7)(8).…”

“…In other words, it seems that there is virtually no change in their lifestyle, except for the replacement of the illegal drug with the maintenance medication. In fact, psychological and environmental risk factors, malnutrition or unhealthy nutrition, physical inactivity, and weakness in stress management and family challenges are still persistent (4)(5)(6)(7)(8).…”