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Unmet service needs in methadone maintenance.

G W Joe1, D D Simpson, R L Hubbard

  • 1Institute of Behavioral Research, Texas Christian University, Fort Worth 76129.

The International Journal of the Addictions
|January 1, 1991
PubMed
Summary

Unmet needs for ancillary services did not directly impact drug abuse treatment retention or relapse. However, clinic type and other factors indirectly influenced these critical treatment outcomes.

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Area of Science:

  • Addiction Medicine
  • Health Services Research

Background:

  • Ancillary services are crucial for addressing diverse client needs in drug abuse treatment.
  • Meeting these needs may influence client retention and treatment success.

Purpose of the Study:

  • To investigate the relationship between perceived unmet service needs and client outcomes in drug abuse treatment.
  • To examine the impact of service delivery on treatment retention and relapse rates.

Main Methods:

  • Analysis of data from 590 methadone maintenance clients across 21 clinics.
  • Examined perceived unmet needs and service receipt in relation to time in treatment and relapse to opioid use.

Main Results:

  • Perceived unmet service needs did not show a significant direct relationship with time to relapse or duration of treatment.
  • Indirect effects were observed, with variations noted across different clinic types.

Conclusions:

  • While unmet needs alone may not directly predict outcomes, they are part of a complex treatment process.
  • Clinic type and other interacting variables play a role in drug abuse treatment effectiveness.

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