Methadone treatment in the scottish context : outcomes of a community-based service for drug users in Lothian.
Few studies investigating the effectiveness of methadone treatment for opiate dependence have emanated from the UK.
The core feature of treatment offered by Lothian Health's Community Drug Problems Service involves the prescribing of methadone by the client's general practitioner.
Of a cohort of 494 daily users of opiates attending the service, 39% remained in treatment for at least 12 months.
Up to 2 years in-treatment follow-up revealed significant improvement in injecting and criminal behaviour.
There were no HIV seroconversions reported during the treatment period.
There was no improvement in injection equipment sharing, condom use, illicit drug use or employment status.'Satisfactory'discharge was achieved for 40% of those in treatment for at least 6 months.
These results are largely consistent with the outcomes of methadone programmes elsewhere.
Mots-clés Pascal : Dépendance, Opiacés, Toxicomanie, Chimiothérapie, Traitement, Sevrage toxique, Méthadone, Analgésique narcotique, Traitement substitutif, Prescription médicale, Médecin généraliste, Communauté, Ecosse, Grande Bretagne, Royaume Uni, Europe, Prévention, Prise risque, SIDA, Virose, Infection, Homme
Mots-clés Pascal anglais : Dependence, Opiates, Drug addiction, Chemotherapy, Treatment, Poison withdrawal, Methadone, Narcotic analgesic, Replacement therapy, Medical prescription, General practitioner, Community, Scotland, Great Britain, United Kingdom, Europe, Prevention, Risk taking, AIDS, Viral disease, Infection, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0284552
Code Inist : 002B03D. Création : 27/11/1998.