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The value of clinical case management in a methadone maintenance treatment program
Carolyn J Plater-Zyberk1, Michael Varenbut, Jeff Daiter
1Ontario Addiction Treatment Centres, Richmond Hill, ON, Canada. cplater@toxpro.ca
Background/Objective:
This study sought to determine whether case management was positively associated with improved outcomes and treatment compliance in those enrolled in a methadone maintenance treatment (MMT) program.
Methods:
An intervention group (n = 396) received case management while the other group (n = 1308) did not. Total N = 1704.
Results:
Statistically significant reductions were seen in the intervention group, in the proportion of urine samples positive for drugs of abuse (relative risk reduction = -15.4% (95% confidence interval (CI): -17.7, -13.1)), missed daily methadone doses (-1.9% (95% CI: -2.4, -1.4)), and missed physician appointments (-40.1% (95% CI: -43.7, -36.3)). CONCLUSIONS/SCIENTIFIC SIGNIFICANCE: Case management appears to be a very valuable tool in MMT programs.
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