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How much heroin maintenance (containment) in Britain?

B D Johnson

    The International Journal of the Addictions
    |April 1, 1977
    PubMed
    Summary

    Legal heroin provision for British opiate addicts is rare, with most receiving methadone. Data from the Home Office reveals these prescribing patterns, impacting the heroin maintenance debate.

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    Area of Science:

    • Addiction Medicine
    • Public Health Policy
    • Pharmacology

    Background:

    • British Drug Treatment Centres (DTCs) offer legal heroin, termed 'heroin maintenance' in the US and 'containment' in the UK.
    • Limited statistics on this policy are now available to researchers.
    • Opiate addiction treatment in the UK involves prescribed medications.

    Purpose of the Study:

    • To present detailed statistics on the prescribing of legal heroin and methadone to addicts in British DTCs.
    • To analyze the prevalence and duration of heroin prescription versus methadone.
    • To inform the transatlantic discussion on heroin maintenance policies.

    Main Methods:

    • Analysis of Home Office statistics provided to the United Nations.
    • Examination of drug prescription data for opiate addicts in DTCs.
    • Focus on the duration of heroin and/or methadone prescription.

    Main Results:

    • Legal heroin prescription is uncommon: only 4% of addicts at DTCs receive heroin without methadone for over a year.
    • Approximately 12% of addicts receive heroin and/or methadone for a year or longer.
    • The majority of British addicts are primarily maintained on methadone, with shifts attributed to patient turnover.

    Conclusions:

    • The study highlights the limited scale of legal heroin provision in the UK.
    • Prescribing practices indicate a preference for methadone maintenance for most addicts.
    • Findings offer crucial data for the ongoing debate regarding heroin maintenance strategies.

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