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Published on: January 22, 2016
Residential treatment modifications: adjunctive services to accommodate clients on methadone
TeChieh Chen1, Carmen L Masson, James L Sorensen
1Purdue University, West Lafayette, Indiana 47906, USA. Chent@psych.purdue.edu
Therapeutic community (TC) services were adapted for methadone patients, who accessed tailored support groups and acupuncture. However, psychiatric care access remained low, questioning integrated treatment for co-occurring disorders.
Area of Science:
- Addiction Medicine
- Psychiatry
- Public Health
Background:
- Therapeutic communities (TCs) offer modified services for patients on methadone maintenance.
- Understanding service utilization is crucial for optimizing treatment in TCs.
Purpose of the Study:
- To evaluate the utilization of modified TC services by methadone-maintained patients.
- To compare service access between methadone and non-methadone participants within a TC.
Main Methods:
- A study of 231 TC patients, comparing methadone and non-methadone groups over 12 months.
- Service utilization data collected from counselors, acupuncturists, and psychiatrists.
- Descriptive statistics and Pearson chi-square tests used for analysis.
Main Results:
- 97% of methadone patients attended support groups; 52% used acupuncture.
- Non-methadone participants used psychiatric services more frequently (p < .05).
- 32% of all participants had psychiatric disorders, but only 22% received onsite psychiatric care.
Conclusions:
- Methadone patients accessed tailored TC services, including support groups and acupuncture.
- Limited access to onsite psychiatric care suggests potential gaps in integrated treatment for co-occurring disorders.
- Further research is needed to ensure adequate integrated care for TC patients with psychiatric comorbidities.
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