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Heroin users seeking methadone treatment.

J Bell1, D Fernandes, R Batey

  • 1Drug and Alcohol Unit, Westmead Hospital, NSW.

The Medical Journal of Australia
|April 2, 1990
PubMed
Summary
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This study assessed 767 patients in Sydney

Area of Science:

  • Addiction Medicine
  • Public Health
  • Epidemiology

Background:

  • Patients seeking methadone treatment often have extensive histories of illicit drug use.
  • This population frequently engages in criminal activities and prostitution.
  • Co-occurring multiple drug abuse and high hepatitis B virus exposure are common.

Purpose of the Study:

  • To characterize the demographic and clinical profile of patients entering public methadone programs in Sydney.
  • To assess the prevalence of infectious diseases, particularly human immunodeficiency virus (HIV), within this patient group.
  • To understand the challenges associated with rehabilitation for a highly disadvantaged population in methadone treatment.

Main Methods:

  • Retrospective analysis of patient data.

Related Experiment Videos

  • Assessment of 767 patients admitted to a public methadone program.
  • Data collection occurred between 1986 and 1988 at Westmead Hospital's Drug and Alcohol Unit.
  • Main Results:

    • The study population exhibited long-term illicit drug use, criminal involvement, and prostitution.
    • High rates of hepatitis B virus exposure were observed.
    • The human immunodeficiency virus (HIV) seropositivity rate was notably low.

    Conclusions:

    • Public methadone programs in Sydney's western suburbs serve a highly disadvantaged demographic.
    • Rehabilitation for these patients is anticipated to be a protracted and challenging undertaking.
    • The findings underscore the need for comprehensive, long-term support services for individuals in opioid substitution therapy.