“…They have the poorest posttreatment outcomes and the worst record of behavior problems during therapeutic community treatments, often disrupting treatment activities and dropping out prematurely (McLellan, Druley, & Carson, 1978;Simpson, Savage, Lloyd, & Sells, 1978). Treatment within a methadone maintenance modality is often inappropriate or illegal, since many mixed abusers have not had sufficient opiate abuse to meet FDA admission requirements.…”