Clients and Outcomes of a Methadone Treatment Program

Anderson, Gina; Nutter, Richard

doi:10.3109/10826087509028352

Cited by 15 publications

(2 citation statements)

References 12 publications

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“…However, wide variations in the level of efficacy have been observed. For example, methadone successfully reduced illicit opioid use in 36-73% of patients, and crime rates in 20-90% of patients(Dole et al 1968, Maddux & McDonald 1973, Anglin & McGlothin 1984, whilst a small number of studies reported absence of an effect(Anderson & Nutter 1975, Paxton et al 1978, Bale et al 1980. More recently,Marsch (1998) carried out a metanalysis of 24 studies which have investigated the effect of methadone maintenance treatment in reducing criminal behaviour.…”

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confidence: 99%

Opiates, Criminal Behaviour, and Methadone Treatment

Coid¹,

Carvell²,

Kittler³

et al. 2000

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of Study 4 Opiates and Criminal Behaviour -a review of the literature 6 Criminal Behaviour in Treatment-seeking Opiate Addicts 34 Crime and Opioid Dependence: changes after entering a methadone treatment programme 59 Economic Evaluation: Does methadone treatment lead to reduced expenditures on illegal drugs and a fall in criminal earnings? 84 References 105substantially related to obtaining money for their drugs -the more crimes that they committed the more drugs they could purchase. The rate of their criminal activity was influenced, however, by previous involvement in crime, especially acquisitive offending. The criminal activities of the sample also appeared to be independently driven by both the cost of their drug habit and their previous history and experience of acquisitive crime. Overall use of heroin decreased by 50%. There was a significant reduction in expenditure on drugs, injecting behaviour, and high-risk behaviours involving sharing of syringes and needles. Expenditure showed a threefold reduction. However, there were no changes in a range of other illicit drugs misused. But there were no increases in the use of other drugs and subjects had not substituted these for heroin. There was a significant increase in legally obtained income during the treatment phase, certain subjects having found work.Burglaries and theft were reduced by a half and the impact on drug-dealing was even greater.However, there were no changes in the level of fraudulent activities, muggings, sex work, or signing on for Department of Social Security Benefits whilst simultaneously working.Treatment appeared to have had its greatest impact on those individuals who were most heavily involved in crime. This important finding did not suggest that methadone treatment is most effective with subjects who are thought to be "easy" to treat and not engaged in crime.Retention in the treatment programme was confirmed as a highly important factor, strongly and independently associated with both reduction in illicit use of opiates and reduction in criminal activities. Economic EvaluationAn economic evaluation was carried out on the effectiveness of methadone treatment on the sample of 81 subjects. Subjects who remained on methadone treatment for longer periods were found to have better outcomes over the six month follow-up period. If an opiate addict were to be maintained in methadone treatment for six months, statistical modelling predicted that expenditure on street drugs would fall by £35 per day on average over the period of the study. Based on the 95% confidence intervals from the regression equations, this would lead to an average fall in monthly criminal earnings of between £714 and £2,626 over the six months study period. The results support the view that, in the short-term, methadone treatment may be a viable policy tool for intervening in drug use and drugrelated crime.

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confidence: 99%

Opiates, Criminal Behaviour, and Methadone Treatment

Coid¹,

Carvell²,

Kittler³

et al. 2000

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“…In one study, 60 per cent of patients were reported to have become employed and to have reduced criminal involvement during methadone maintenance treatment [10]. Anderson and Nutter (1975), however, report that regardless of the amount of treatment provided, social stability, employment and involvement in criminal activities are not improved after treatment is stopped [11]. In a 4-year follow-up of high-dose methadone-treated addicts.…”

Section: Effectiveness Of Methadone Treatmentmentioning

confidence: 99%

Methadone Treatment of Opiate Dependence in Canada

Peachey

Franklin

1985

British Journal of Addiction

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Although methadone has been used in Canada for the treatment of opiate-dependent persons since 1959, information concerning its use in Canada is limited. Methadone treatment in Canada is discussed with respect to national and provincial drug laws, public and professional support for the treatment, patient characteristics, and me sources and types of illicit and licit opiates abused. The paper also reports on the results of a survey of the physicians in Canada who were authorized during 1981-82 to prescribe methadone to opiate-dependent persons. These physicians were asked to provide information on the number of patients they treated zvith methadone during the previous 12 months, their indication(s) for the use of methadone, the dosages used and duration of treatment, and the auxiliary treatments provided. Information concerning specific provincial methadone treatment programmes is also presented.

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Patient Characteristics as Predictors of Treatment Outcomes for Alcohol and Drug Abusers

Ogborne¹

1978

Research Advances in Alcohol and Drug Problems

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Clients and Outcomes of a Methadone Treatment Program

Cited by 15 publications

References 12 publications

Opiates, Criminal Behaviour, and Methadone Treatment

Opiates, Criminal Behaviour, and Methadone Treatment

Methadone Treatment of Opiate Dependence in Canada

Patient Characteristics as Predictors of Treatment Outcomes for Alcohol and Drug Abusers

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