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Titre : A 12 year follow-up of a methadone medical maintenance program Titre traduit : (Suivi de 12 ans d'un programme médical de traitement de maintenance à la méthadone.) Type de document : Périodique Auteurs : R. P. SCHWARTZ ; R. K. BROONER ; I. D. MONTOYA ; M. CURRENS ; M. HAYES Année de publication : 1999 Importance : 293-299 Note générale : American Journal on Addictions, 1999, 8, (4), 293-299 Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE
METHADONE ; TRAITEMENT DE MAINTENANCE ; EFFICACITE ; OBSERVANCE DU TRAITEMENT ; ETUDE LONGITUDINALEDiscipline : TRA Traitement et prise en charge / Treatment and care Résumé : FRANÇAIS :
L'efficacité et la sûreté à long terme des modalités d'un programme de maintenance où la méthadone est délivrée mensuellement à domicile par un médecin sont évaluées dans un échantillon de 21 patients, à Baltimore. Le contrôle est effectué par analyse mensuelle des urines prélevées par le médecin qui dispense la méthadone. Les résultats montrent que seulement 6 patients (28,6%) ont abandonné le traitement au cours des 12 années. Douze (0,5%) des 2290 échantillons d'urine se sont révélés positifs. Aucune surdose et aucun détournement d'usage n'ont été observés. Les participants à ce programme ont rapporté une amélioration de leur qualité de vie. Cette étude prouve l'efficacité et la sûreté d'une maintenance à la méthadone stable.
ENGLISH:
Methadone Medical Maintenance (MDM) is an alternative for treatment of stable methadone maintained individuals. It involves a monthly physician's visit, at which methadone take-home doses are dispensed to last until the next appointment. The safety and efficacy of this treatment modality is currently under investigation. The purpose of this study was to evaluate the long-term safety and efficacy of MDM in a methadone program in Baltimore. A sample of 21 patients was enrolled in the study and followed, for 12 years. They were evaluated once a month by a primary care physician affiliated with a methadone clinic who collected urine toxicology samples and dispensed the monthly methadone dose. The results showed that only 6 (28.6%) patients dropped out during the 12 years of the study. Twelve (0.5%) of 2,290 urine samples collected were positive for drugs. No methadone overdose or diversion was observed. Participants reported significant improvement in their quality of life. The results of this study support the safety and efficacy of medical maintenance of stable methadone maintained individuals. (Author' s abstract)Domaine : Drogues illicites / Illicit drugs Refs biblio. : 10 Affiliation : 630 W. Fayette St, Baltimore, MD 21201.
Etats-Unis. United States.Numéro Toxibase : 204978 Centre Emetteur : 02 Coordonnateur Permalink : https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=29069
Titre : A multicenter randomized evaluation of methadone medical maintenance Titre traduit : (Evaluation multicentrique randomisée d'un traitement de maintenance à la méthadone) Type de document : Périodique Auteurs : V. L. KING ; K. B. STOLLER ; M. HAYES ; A. UMBRICHT ; M. CURRENS ; M. S. KIDORF ; J. A. CARTER ; R. SCHWARTZ ; R. K. BROONER Année de publication : 2002 Importance : 137-148 Présentation : graph. ; tabl. Note générale : Drug and Alcohol Dependence, 2002, 65, (2), 137-148 Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE
METHADONE ; TRAITEMENT DE MAINTENANCE ; PROGRAMME ; SUIVI DU PATIENT ; EVALUATION ; EFFICACITEDiscipline : TRA Traitement et prise en charge / Treatment and care Résumé :
ENGLISH :
Methadone medical maintenance (MMM) is a rational, cost-effective method to match treatment intensity to level of needed services. In the present study, 73 highly stable methadone maintenance patients were randomly assigned to either a routine methadone treatment, MMM - a once monthly reporting schedule - at the methadone maintenance program or MMM at a physician office. A "stepped care" intensified treatment approach was used for patients who had drug-positive urine specimens or failed the medication recall procedure. Patients left two urine specimens for analysis each month (at least one on a random basis) and responded to one medication recall each month. Results are presented for the first 6 months of the 1-year trial. Only 1% of urine specimens were positive for illicit drugs, there was no evidence of methadone diversion and there were very low rates of medication misuse, with no between group differences. MMM patients initiated more new employment or family/social activities than the routine care patients. MMM patients were more satisfied with their treatment than the routine treatment patients, but all patients rated themselves satisfied or very satisfied with their treatment. Stepped care was well-tolerated and helped match patients to an appropriate intensity of service. The good outcomes observed with the present sample suggest that MMM can be implemented effectively as part of a continuum of care in clinic and office-based sites. (Author's abstract.)Note de contenu : graph. ; tabl. Domaine : Drogues illicites / Illicit drugs Refs biblio. : 28 Affiliation : Dept. Psychiatr. Behav. Sci., J. Hopkins Univ. Sch. Med., 5510 Nathan Shock Drive, Ste. 1500, Baltimore, MD 21224
Etats-Unis. United States.Numéro Toxibase : 803767 Centre Emetteur : 08 CAS Strasbourg Permalink : https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=22329 On the epistemology of risk: language, logic and social science / M. HAYES in Social Science and Medicine, Vol.35, n°4 (1992)
Titre : On the epistemology of risk: language, logic and social science Type de document : Périodique Auteurs : M. HAYES Année de publication : 1992 Article en page(s) : 401-407 Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE
THEORIE ; CONDUITE A RISQUE ; DEFINITION ; SOCIOLOGIE ; LANGAGE
Thésaurus Géographique
FRANCEDiscipline : SHS Sciences humaines et sociales / Human and social sciences Résumé : ‘Risk’ is a widely used concept in literatures related to health, health care and medicine. In recent decades, three bodies of literature have emerged in which ‘risk’ is the primary focus of concern: Health Risk Appraisal, the Risk Approach and Risk Analysis/Assessment/Management. These literatures overlook important concepts and theoretical developments is contemporary social science. They also lack conceptual coherence. Reduction of incoherence will require re-examination of the epistemology of risk in relation to both its language and its logic in light of developments in social science. Domaine : Hors addiction / No addiction Refs biblio. : 45 Affiliation : Department of Geography, Simon Fraser University, Burnaby, B.C., Canada V5A 1S6 Centre Emetteur : 13 OFDT Cote : A00893 Permalink : https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=59283
in Social Science and Medicine > Vol.35, n°4 (1992) . - 401-407[article]
Titre : Short-term outcomes after brief ambulatory opioid detoxification with buprenorphine in young heroin users Titre traduit : (Résultats à court terme d'une désintoxication rapide en ambulatoire, à la buprénorphine, de jeunes usagers d'héroïne.) Type de document : Périodique Auteurs : D. H. GANDHI ; J. H. JAFFE ; S. McNARY ; G. J. KAVANAGH ; M. HAYES ; M. CURRENS Année de publication : 2003 Article en page(s) : 453-462 Présentation : fig. ; tabl. Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE
HEROINE ; CURE DE DESINTOXICATION ; TRAITEMENT AMBULATOIRE ; EFFICACITE ; ETUDE TRANSVERSALEDiscipline : TRA Traitement et prise en charge / Treatment and care Résumé : FRANÇAIS :
Etude des résultats de la désintoxication à 1, 3 et 6 mois, de 123 usagers d'héroïne, âgés de 18 à 25 ans : on observe une réduction de la fréquence et de l'intensité de la consommation. Ce mode de traitement permet de diminuer la gravité de la dépendance chez de jeunes usagers d'héroïne pas prêt à s'engager dans un traitement long de substitution ou visant l'abstinence.
ENGLISH :
Aims: This study examines the outcomes at 1. 3 and 6 months after a very brief outpatient detoxification with buprenorphine in 18-25-year-old heroin users. Design: Prospective follow-up study Setting: Outpatient drug treatment clinic, providing brief detoxification in downtown Baltimore. Maryland, USA. Participants: One hundred and twenty-three subjects between 18 and 25 years old; 56% male; 95% Caucasian; seeking detoxification: living in Baltimore City and five surrounding counties. Intervention: Detoxification with buprenorphine over 3 days. Follow-up at 1, 3 and 6 months. Measurements: Drug use history, the Addiction Severity Index at baseline and follow-up, urine drug screens, evaluation of the detoxification experience. Findings: By self-report, 37% of the total sample were not currently using heroin at 1 month. 32% at 3 months and 29% at 6 months, and 6.7%, 10.1%, and 11.8% had an opioid negative urine test at l. 3 and 6 months, respectively. 'There was a significant reduction from the baseline in mean Addiction Severity Index drug use composite score, as well as the mean number of days of heroin and cocaine use during past 30 days, that was sustained over the three follow-up points. Engagement in aftercare was generally poor. Conclusions: The findings show a reduced frequency and intensity of drug use, suggesting a possible role for brief outpatient detoxification in reducing the severity of dependence for some younger heroin users who may not yet be ready to engage in long-term abstinence-oriented or opioid substitution treatments. (Review' s abstract)Domaine : Drogues illicites / Illicit drugs Refs biblio. : 31 Affiliation : 701 W. Pratt St., Room 334, Baltimore, MD 21201.
Etats-Unis. United States.Numéro Toxibase : 206771 Centre Emetteur : 02 Coordonnateur Permalink : https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=20292
in Addiction > Vol.98, n°4 (April 2003) . - 453-462[article]
