Historique
Périodique
Methadone treatment for opiate dependent patients in general practice and specialist clinic settings : outcomes at 2-year follow-up
(Traitement à la méthadone en médecine générale et en clinique spécialisée de patients dépendants aux opiacés : résultats après deux ans de suivi)
Auteur(s) :
GOSSOP, M. ;
STEWART, D. ;
BROWNE, N. ;
MARSDEN, J.
Année
2003
Page(s) :
313-321
Langue(s) :
Anglais
Refs biblio. :
62
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
METHADONE
;
TRAITEMENT DE MAINTENANCE
;
MEDECIN GENERALISTE
;
CSST
;
COMPARAISON
;
EFFICACITE
;
ETUDE PROSPECTIVE
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Substance Abuse Treatment, 2003, 24, (4), 313-321
Note de contenu :
tabl.
Résumé :
ENGLISH :
Few studies have investigated methadone treatment of opiate dependent patients in primary health care settings. Using a prospective cohort design, the study investigated outcomes at 1 and 2 years for 240 patients treated by general practitioners (n = 79) or drug clinics (n = 161) at sites across England. Mean daily methadone dose for both groups was 50 mg. Reductions in illicit drug use, injecting, sharing injecting equipment, psychological and physical health problems, and crime, were found in both groups at follow-up. Patients treated in general practitioner (GP) settings reported less frequent benzodiazepine and stimulant use, and fewer psychological health problems at follow-up. Alcohol use outcomes were poor for both groups. Differences in treatment practices were found for GPs and clinics. Results show substantial reductions in a range of problems behaviours, among unselected samples of opiate dependent patients treated in GP and in clinic settings, which are sustained to 1-year and 2-year follow-up. (Editor's abstract.)
Affiliation :
Natl. Addict. Ctr., Maudsley Hosp/Inst. Psychiat., 4 Windsor Walk, London SE5 8 AF. E-mail : spjemrgiop.kcl.ac.uk
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.