Historique
Périodique
Outcome of contingency contracting for illicit drug use in a methadone maintenance program
(Résultat d'un programme de maintenance à la méthadone basé sur un cadre contractuel)
Auteur(s) :
SAXON, A. J. ;
CALSYN D.A. ;
KIVLAHAN, D. R. ;
ROSZELL, D. K.
Année
1993
Langue(s) :
Anglais
ISBN :
0376-8716
Refs biblio. :
27
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
HEROINE
;
METHADONE
;
TRAITEMENT
;
PROGRAMME
;
TRAITEMENT DE MAINTENANCE
;
DEPISTAGE
;
CONTRAT THERAPEUTIQUE
Note générale :
Drug and Alcohol Dependence, 1993, 31, 205-214
Résumé :
FRANÇAIS :
Evaluation de l'efficacité d'un programme méthadone, où un contrat écrit assez strict, est établi avec le patient. Il semblerait que l'usage d'opiacés diminue plus pour ces patients "cadrés", bien que 35% d'entre eux rompent rapidement le contrat.
ENGLISH :
This study evaluates the outcome of mandatory, clinic wide, structured contingency contracting system in a methadone maintenance program. The system involved weekly urine screening and placement on written individualized contracts for any of 106 male patient who displayed illicit drug use. Methadone dose decreases were the penultimate and detoxification and discharge the ultimate contingencies for unremitting drug use. Sixty subjects (56.6%) received contracts and 36 (35%) eventuality left treatement. The contracts did not decrease the overall number of positive urines for the contract subjects, but opiate use did decrease significantly for subjects on more stringent contracts.(Author's abstract)
Evaluation de l'efficacité d'un programme méthadone, où un contrat écrit assez strict, est établi avec le patient. Il semblerait que l'usage d'opiacés diminue plus pour ces patients "cadrés", bien que 35% d'entre eux rompent rapidement le contrat.
ENGLISH :
This study evaluates the outcome of mandatory, clinic wide, structured contingency contracting system in a methadone maintenance program. The system involved weekly urine screening and placement on written individualized contracts for any of 106 male patient who displayed illicit drug use. Methadone dose decreases were the penultimate and detoxification and discharge the ultimate contingencies for unremitting drug use. Sixty subjects (56.6%) received contracts and 36 (35%) eventuality left treatement. The contracts did not decrease the overall number of positive urines for the contract subjects, but opiate use did decrease significantly for subjects on more stringent contracts.(Author's abstract)
Affiliation :
Dept Psychiatr., Univ. Washington Sch. Med., 1660 S. Columbian Wy, Seattle WA 98108
Etats-Unis. United States.
Etats-Unis. United States.