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[4 years' methadone substitution therapy in Austria]
1Allgemeines Krankenhaus der Stadt Wien, Psychiatrische Universitätsklinik.
Wiener Klinische Wochenschrift
|January 1, 1992
Summary
Methadone maintenance treatment in Austria has successfully aided over 1800 opiate addicts since 1987. This substitution therapy significantly improves social rehabilitation and reduces criminal behavior among participants.
Area of Science:
- Addiction Medicine
- Pharmacology
- Public Health
Context:
- Methadone maintenance treatment (MMT) was legalized in Austria in 1987.
- Over 1828 opiate addicts have received MMT in the past four years.
- Current treatment involves 439 females and 926 males aged 16-59, with daily doses from 10-250 mg.
Purpose:
- To evaluate the effectiveness of MMT in Austria.
- To assess the social and criminal behavior changes in patients undergoing MMT.
- To highlight the need for improved physician training and wider treatment accessibility.
Summary:
- Austrian MMT data from 1987-1991 shows significant positive changes in socioeconomic status and criminal behavior.
- Despite increased funding, treatment access is limited by the number of participating physicians and pharmacies.
- Physician training and routine therapeutic drug monitoring are crucial for optimizing MMT outcomes and patient compliance.
Impact:
- MMT serves as a crucial first step towards social rehabilitation for individuals previously on the fringes of society.
- The Austrian model demonstrates successful outcomes, offering a positive example for international MMT implementation.
- Improved physician expertise and wider accessibility are recommended to enhance the program's reach and efficacy.