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Methadone maintenance: some client opinions.

B S Brown, G J Benn, D R Jansen

    The American Journal of Psychiatry
    |June 1, 1975
    PubMed
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    Clients in methadone treatment programs show mixed feelings. While seeing methadone as a tool to end heroin addiction, they worry about dependence and side effects. Limiting treatment duration may help.

    Area of Science:

    • Addiction medicine
    • Psychopharmacology
    • Public health

    Background:

    • Opioid addiction is a major public health concern.
    • Methadone is a common medication for opioid use disorder.
    • Patient attitudes significantly influence treatment adherence and outcomes.

    Purpose of the Study:

    • To investigate client attitudes towards methadone and treatment programs.
    • To understand the ambivalence surrounding methadone maintenance therapy.
    • To explore potential strategies for improving patient acceptance and outcomes.

    Main Methods:

    • Surveyed 75 detoxification clients.
    • Surveyed 115 methadone maintenance clients.
    • Assessed attitudes regarding methadone efficacy, dependence, and side effects.

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    Main Results:

    • Both client groups expressed ambivalence towards methadone.
    • Clients recognized methadone's potential to end heroin addiction.
    • Concerns were raised about methadone dependence and side effects (real and perceived).

    Conclusions:

    • Societal context influences patient concerns about methadone.
    • Limiting methadone maintenance duration from the start may alleviate some concerns.
    • Addressing patient ambivalence is crucial for effective opioid addiction treatment.