A follow-up study of heroin addicts five years after first admission to a methadone treatment program

A random sample (n = 260) of the first 799 admissions to the Santa Clara County Methadone Treatment Program was sought for interview five years after the date of their first dose; 80% were successfully located. Data from the year prior to entering methadone treatment were compared to data from the year prior to the follow-up interview. The two specific areas showing the most dramatic improvement were in heroin use and employment. During the year prior to the follow-up interview, 24% of the subjects with known outcome had no heroin use; 19% were abstinent from both heroin and methadone and at risk (not in jail or other treatment) for the entire year. Unemployment dropped from 51% to 19%. Subjects drank significantly more alcohol during the year prior to interview, with a 48% increase in the number of daily drinkers. Little or no change was seen in the use of other drugs, in the percentage of subjects with an arrest or jail time, or in the number living with an addicted person. Time in treatment was not a predictor of successful outcome and subjects who had left methadone treatment were doing at least as well as those continuously in methadone treatment.