Methadone Treatment for Opioid Dependence

Methadone Treatment for Opioid Dependence

by Eric C. Strain
     
 

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Throughout the world, hundreds of thousands of people are addicted to opiates. The human, economic, and societal costs of this addiction are staggering: more than one-quarter of prison inmates are incarcerated for drug offenses and there has been a dramatic increase in the prevalence of HIV and hepatitis among intravenous drug users.

Methadone Treatment

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Overview

Throughout the world, hundreds of thousands of people are addicted to opiates. The human, economic, and societal costs of this addiction are staggering: more than one-quarter of prison inmates are incarcerated for drug offenses and there has been a dramatic increase in the prevalence of HIV and hepatitis among intravenous drug users.

Methadone Treatment for Opioid Dependence examines various aspects of the most widely used medication for the treatment of opioid dependence. Used clinically for more than thirty years, methadone is the most common pharmacological treatment for opioid dependence. Some 115,000 people are actively enrolled in methadone programs in the United States, and estimates range as high as 250,000 worldwide. Methadone eases withdrawal symptoms and blocks the sensation of "high" if the person should take an opioid. But as the authors note, methadone treatment is more than simply the delivery of medication -- it is a combination of pharmacologic and nonpharmacologic treatments. The latter can include individual and group therapies, urine testing, education and vocation training, medical and psychiatric treatment of co-morbid conditions, and other services appropriate to the needs of the patient. When delivered properly, methadone treatment can be highly effective in decreasing illicit drug use and increasing prosocial behaviors in patients.

The authors -- all faculty members of the Johns Hopkins Medical Institutions -- provide a historical overview of methadone treatment as well as a review of the regulations associated with the treatment. While important principles and theory are thoroughly examined, the emphasis throughout is on such practicalissues as dosing, urine testing, detoxification schedules, and contingency management. Other topics include individual and group counseling, behavioral treatments, and special issues for women. Finally, the book provides comparative information about the utility of other pharmacotherapies for opioid dependence, such as LAAM, buprenorphine, naltrexone, clonidine, and lofexidine. Methadone Treatment for Opioid Dependence is a focused and comprehensive reference for drug treatment policy makers, as well an invaluable resource for professionals who treat opioid substance abusers -- psychiatrists, psychologists, social workers, mental health nurses, and addictions counselors.

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Editorial Reviews

Booknews
Such practical issues as dosing, urine testing, detoxification schedules, contingency management, and counseling are addressed in the 13 contributions. The book also provides a historical overview of methadone treatment, a review of the regulations associated with the treatment, and comparative information about the utility of other pharmacotherapies for opioid dependence. Annotation c. Book News, Inc., Portland, OR (booknews.com)

Product Details

ISBN-13:
9780801861369
Publisher:
Johns Hopkins University Press
Publication date:
06/10/1999
Pages:
368
Product dimensions:
6.00(w) x 9.00(h) x (d)

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