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Predicting changes in drug use and treatment entry for local programs: a case study

E W Flaherty, K Olsen, M Bencivengo

    The American Journal of Drug and Alcohol Abuse
    |January 1, 1980
    PubMed
    Summary
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    Opiate abuse treatment admissions declined due to lower quality heroin and increased drug mixing. Treatment perceptions varied by sex, with methadone maintenance viewed negatively, especially by women.

    Area of Science:

    • Addiction Medicine
    • Public Health
    • Sociology of Drug Use

    Background:

    • A significant decrease in opiate abuser treatment admissions prompted a study to inform planning.
    • Understanding current trends in drug use and treatment seeking is crucial for effective resource allocation.

    Purpose of the Study:

    • To provide timely data for treatment system administrators regarding opiate abuse trends.
    • To investigate factors influencing treatment admissions and user perceptions.

    Main Methods:

    • Conducted interviews with 335 heroin addicts (196 in treatment, 139 not in treatment).
    • Analyzed data on heroin quality, availability, price, and user perceptions of treatment options.
    • Examined demographic differences, particularly by sex, in drug use patterns and treatment attitudes.

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    Main Results:

    • Observed a decline in heroin quality, availability, and price, leading to increased polydrug use.
    • Methadone maintenance received negative perceptions, particularly from female respondents.
    • Heroin's popularity decreased, while alcohol, amphetamine, and barbiturate use increased.
    • Significant differences in treatment perceptions were noted between male and female respondents.

    Conclusions:

    • Users not entering treatment may be less severely dependent due to heroin's decline and increased polydrug use.
    • Study findings offer timely, feasible, and useful data for local treatment planners and administrators.
    • Addressing sex-specific treatment perceptions and the impact of polydrug use is vital for future planning.