Historique
Périodique
A Novel opioid maintenance program for prisoners: preliminary findings
(Un nouveau programme de maintenance contre l'usage d'opioides chez des prisonniers : recherches préliminaires)
Auteur(s) :
KINLOCK, T. W. ;
BATTJES, R. J. ;
SCHWARTZ, R. P. ;
MTC Project Team
Année
2002
Page(s) :
141-147
Langue(s) :
Anglais
Refs biblio. :
27
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
OPIOIDES
;
PRISON
;
DEPENDANCE
;
HEROINE
;
TRAITEMENT DE MAINTENANCE
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Substance Abuse Treatment, 2002, 22, (3), 141-147
Résumé :
ENGLISH :
Effective postincarceration treatment for individuals with preincarceration heroin dependence is urgently needed because relapse typically follows release. This article presents first-year findings from a unique 2-year pilot study of opioid agonist maintenance treatment initiated in prison and continued in the community. Incarcerated males with preincarceration heroin dependence were randomly assigned to Levo-alpha- acetylmethadol (LAAM) maintenance or control conditions 3 months before release. Approximately 92% of eligible inmates volunteered to participate; 36 of 58 subjects who were eligible and randomly assigned to LAAM maintenance successfully initiated treatment. Twenty-eight of these continued on LAAM until release; 22 (78.6%) entered community-based maintenance treatment; and 11 (50%) remained in treatment at least 6 months postrelease. Changes in LAAM's labeling because of its association with cardiac arrhythmias now makes it a second-line treatment for heroin dependence, unsuitable for treatment initiation. Nonetheless, study findings may also be applicable to methadone maintenance treatment, suggesting such treatment may be a promising means of engaging prisoners with preincarceration heroin dependence into continuing treatment. (Editor's abstract.)
Affiliation :
Social Res. Ctr., Friends Res. Instit., 1040 Park ave., suite 103, Baltimore, MD 21201. E-mail : tkinlock@frisrc.org
Etats-Unis. United States.
Etats-Unis. United States.