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Methadone maintenance and the problem with alcohol.

I Siassi, D C Alston

    The American Journal of Drug and Alcohol Abuse
    |January 1, 1976
    PubMed
    Summary

    The Michigan Alcoholism Screening Test (MAST) effectively identifies alcohol problems in methadone patients. This screening tool showed significant agreement with clinical diagnoses, aiding in managing co-occurring alcohol abuse.

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    Area of Science:

    • Addiction Medicine
    • Clinical Psychology
    • Public Health

    Background:

    • Methadone patients exhibit rapid physical and psychosocial deterioration, often exacerbated by alcohol abuse.
    • Accurate screening for alcohol problems is crucial for effective patient management in methadone maintenance clinics.

    Purpose of the Study:

    • To evaluate the validity of the Michigan Alcoholism Screening Test (MAST) as a screening tool for alcohol abuse in methadone patients.
    • To compare MAST scores with independent clinical diagnoses of alcoholism.

    Main Methods:

    • The MAST was administered to 125 patients at an urban methadone maintenance clinic.
    • Nursing staff independently diagnosed alcoholism using Keller's definition.
    • MAST scores were compared with nursing staff diagnoses for agreement.

    Main Results:

    • 46% of patients screened positive for alcoholism using the MAST.
    • 34% of patients were diagnosed as alcoholics by the nursing staff.
    • A significant agreement (75%, p < .001) was found between MAST results and clinical diagnoses.

    Conclusions:

    • The MAST is a valid and effective screening tool for identifying alcohol abuse among methadone patients.
    • The findings support the integration of the MAST into routine clinical practice in methadone clinics.
    • Further psychiatric reevaluation of treatment roles for complex patients is recommended.

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