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High-throughput and Comprehensive Drug Surveillance Using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry
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Supervised methadone consumption: client issues and stigma.

Susan Anstice1, Carol J Strike, Bruna Brands

  • 1Centre for Addiction and Mental Health, Toronto, Ontario, Canada.

Substance Use & Misuse
|May 16, 2009
PubMed
Summary
This summary is machine-generated.

Supervised methadone consumption in maintenance treatment can be stigmatizing. Dispensing environments impact client identity and treatment outcomes, suggesting improvements are needed to reduce stigma.

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Area of Science:

  • Public Health
  • Addiction Medicine
  • Qualitative Research

Background:

  • Supervised methadone consumption is integral to methadone maintenance treatment (MMT).
  • This supervised consumption may inadvertently contribute to social stigma for patients undergoing MMT.

Purpose of the Study:

  • To explore MMT clients' experiences with supervised methadone consumption.
  • To understand how dispensing environments influence client identity and stigmatization within MMT.

Main Methods:

  • Qualitative interviews were conducted with 64 MMT clients in Canada (2002-2003).
  • Thematic analytic methods were used to analyze interview data.

Main Results:

  • Three key themes emerged: convenient access to services, staff relationships, and dispensing space attributes.
  • These themes were closely linked to clients' experiences of stigmatization.
  • Dispensing contexts varied in their effect, with some mitigating and others amplifying stigma.

Conclusions:

  • Dispensing environments significantly influence the stigmatization of MMT clients.
  • Modifying dispensing settings to be less stigmatizing may enhance MMT outcomes.
  • Reducing stigma can lower barriers to accessing and continuing methadone maintenance treatment.