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Changes in methadone treatment practices: results from a panel study, 1988-1995
T D'Aunno1, N Folz-Murphy, X Lin
1University of Chicago, School of Social Service Administration, Department of Health Studies, USA. Tdaunno@midway.uchicago.edu
Methadone treatment practices, including dose levels, duration, and client input, significantly improved between 1988 and 1995. These advancements in methadone maintenance units show progress in effective addiction treatment.
Area of Science:
- Addiction Medicine
- Public Health Policy
- Clinical Practice Improvement
Background:
- Early studies (late 1980s-early 1990s) indicated suboptimal methadone treatment practices nationwide.
- Significant efforts have since been directed towards enhancing critical aspects of methadone maintenance treatment.
Purpose of the Study:
- To assess changes in key methadone treatment practices from 1988 to 1995.
- To identify factors influencing variations in these treatment practices.
Main Methods:
- Utilized panel data from a national random sample of 172 (1988), 140 (1990), and 116 (1995) methadone maintenance units.
- Collected phone survey data from unit directors and clinical supervisors regarding dose levels, duration, and client involvement.
Main Results:
- Demonstrated significant improvements in methadone dose levels, client influence in dose decisions, and treatment duration between 1988 and 1995.
- Identified client characteristics (race, age) and unit attributes (staff, ownership, location) associated with less effective practices.
Conclusions:
- Methadone treatment practices have shown positive evolution, indicating progress in the field.
- Continued efforts are crucial to further refine and standardize effective methadone treatment protocols nationwide.
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