Périodique
Fortnightly review: methadone maintenance treatment in opiate dependence: a review
(Synthèse bimensuelle : une revue du traitement de maintenance à la méthadone de la dépendance aux opiacés)
Auteur(s) :
FARRELL, M. ;
WARD, J. ;
MATTICK, R. ;
HALL, W. ;
STIMSON, G. V. ;
DES JARLAIS, D. C. ;
GOSSOP, M. ;
STRANG, J.
Année :
1994
Page(s) :
997-1001
Langue(s) :
Anglais
Refs biblio. :
93
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
METHADONE
;
TRAITEMENT DE MAINTENANCE
;
PROGRAMME
;
MODELE
;
EVALUATION
;
EVOLUTION
Thésaurus géographique
AUSTRALIE
;
ROYAUME-UNI
Note générale :
British Medical Journal, 1994, 309, 997-1001
Résumé :
ENGLISH :
This paper examines the changes and advances in research and clinical practice and examines the role of treatment structure and programme characteristics in the delivery of methadone maintenance. Methadone prescribing has become much more available over the past decade, both in countries with a history of its use, such as the United Kingdom and Australia, and in countries around the world which previously had not endorsed substitute prescribing. There is a need to examine closely the framework in which this treatment is delivered to ensure that the modes of delivery most effective from both cost and benefit perspectives are utilised. This review focuses entirely on methadone maintenance because this is the most extensively evaluated and most used treatment, with about a quarter of a million drug misusers receiving methadone treatment globally. A small number of experimental diamorphine and buprenorphine substitute programmes are being evaluated in several countries.
Affiliation :
Nat. Addiction Centre, Inst. Psychiatry and Maudsley Hospital, London SE5 8AF
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.