Are supplementary services provided during methadone maintenance really cost-effective ?
Previous research has suggested support services supplementing methadone maintenance programs vary in their cost-effectiveness.
This study examined the cost-effectiveness of varying levels of supplementary support services to determine whether the relative cost-effectiveness of alternative levels of support is sustained over time.
A group of 100 methadone-maintained opiate users were randomly assigned to three treatment groups receiving different levels of support services during a 24-week clinical trial.
One group received methadone treatment with a minimum of counseling, the second received methadone plus more intensive counseling, and the third received methadone plus enhanced counseling, medical, and psychosocial services.
The results at the end of the trial period have been published elsewhere.
This article reports the results of an analysis at a 6-month follow-up.
The follow-up analysis reaffirmed the preliminary findings that the methadone plus counseling level provided the most cost-effective implementation of the treatment program.
At 12 months, the annual cost per abstinent client was $16,485, $9,804, and $11,818 for the low, intermediate, and high levels of support, respectively.
Abstinence rates were highest, but modestly so, for the group receiving the high-intensity, high-cost methadone with enhanced services intervention. (...)
Mots-clés Pascal : Toxicomanie, Opiacés, Sevrage toxique, Méthadone, Analgésique narcotique, Traitement substitutif, Chimiothérapie, Support social, Conseil psychologique, Efficacité traitement, Analyse coût, Economie santé, Santé mentale, Homme
Mots-clés Pascal anglais : Drug addiction, Opiates, Poison withdrawal, Methadone, Narcotic analgesic, Replacement therapy, Chemotherapy, Social support, Psychological counseling, Treatment efficiency, Cost analysis, Health economy, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0098484
Code Inist : 002B18I15. Création : 22/06/1998.