Efficacy of enhanced outreach counseling to reenroll high-risk drug users 1 year after discharge from treatment.
Because discharged methadone maintenance patients represent a population at particularly high public health risk, the authors studied such patients 1 year after their discharge from a methadone program.
The locations of 94 of 110 discharged patients were successfully determined 1 year after discharge.
Nine (10%) of these patients had died, 37 (39%) were already reenrolled in treatment, and 7 (7%) did not require treatment.
The 41 remaining subjects were randomly assigned to either the enhanced outreach counseling condition (N=2 7) or a standard referral condition (N=14).
Within 2 weeks following this intervention, 17 (63%) of the 27 patients in the enhanced outreach counseling program and one (7%) of the 14 patients not in the program had reenrolled in treatment.
These data suggest that enhanced outreach counseling may be an effective outreach strategy as well as a risk reduction approach for discharged methadone maintenance patients.
Mots-clés Pascal : Toxicomanie, Opiacés, Traitement, Sevrage toxique, Méthadone, Analgésique narcotique, Traitement substitutif, Evolution, Etude longitudinale, Facteur risque, Récidive, Efficacité traitement, Conseil psychologique, Programme thérapeutique, Adulte, Homme, Prévention secondaire, Suivi cas
Mots-clés Pascal anglais : Drug addiction, Opiates, Treatment, Poison withdrawal, Narcotic analgesic, Replacement therapy, Evolution, Follow up study, Risk factor, Relapse, Treatment efficiency, Psychological counseling, Therapeutic schedule, Adult, Human
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0395499
Code Inist : 002B18H05A. Création : 10/04/1997.