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Related Experiment Videos

Changing patient characteristics with increased methadone maintenance availability.

Bruna Brands1, Joan Blake, David Marsh

  • 1Centre for Addiction and Mental Health, 33 Russell St. Toronto, M5S 2S1, Ontario, Canada. brunabrands@camh.net

Drug and Alcohol Dependence
|February 19, 2002
PubMed
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Expansion of methadone maintenance treatment (MMT) in Ontario did not negatively impact existing programs. Instead, it allowed more individuals, including higher-functioning opioid-dependent patients, to access care while maintaining high retention rates.

Area of Science:

  • Addiction Medicine
  • Public Health Policy

Background:

  • Methadone maintenance treatment (MMT) availability is increasing in many regions.
  • Existing treatment providers are key stakeholders in MMT expansion.
  • The Centre for Addiction and Mental Health (CAMH) has a long-standing MMT program.

Purpose of the Study:

  • To assess the impact of rapid MMT expansion in Ontario on the established CAMH MMT program.
  • To understand how community-based MMT expansion affects demand and patient profiles in a central clinic.

Main Methods:

  • The study examined changes in the CAMH MMT program during a period of significant MMT expansion in Ontario.
  • Expansion involved increasing capacity at existing sites, private physician offices, and new clinics.

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Main Results:

  • Demand for the CAMH MMT program did not decrease; patient population continued to grow.
  • Patient profile broadened, including more educated and employed individuals with a history of injection drug use.
  • Excellent treatment retention was maintained despite these shifts.

Conclusions:

  • MMT expansion can increase access for a wider range of opioid-dependent patients without harming existing programs.
  • Expansion facilitated access for higher-functioning individuals previously deterred by waitlists and priority access criteria.
  • Findings support MMT providers in areas considering or undergoing treatment expansion.