Historique
Article de Périodique
Premature discharge from methadone treatment: patient perspectives (2009)
Auteur(s) :
REISINGER, H. S. ;
SCHWARTZ, R. P. ;
MITCHELL, S. G. ;
PETERSON, J. A. ;
KELLY, S. M. ;
O'GRADY, K. E. ;
MARRARI, E. A. ;
BROWN, B. S. ;
AGAR, M. H.
Année :
2009
Page(s) :
285-296
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
METHADONE
;
ETUDE QUALITATIVE
;
TRAITEMENT DE MAINTENANCE
;
SATISFACTION
;
ETHNOGRAPHIE
;
OBSERVANCE DU TRAITEMENT
;
ENTRETIEN
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Psychoactive Drugs, 2009, 41, (3), 285-296
Résumé :
ENGLISH :
Longer retention in drug abuse treatment is associated with better patient outcomes, and research indicates the first 12 months of methadone treatment are critical to patient success. Nevertheless, large-scale multisite longitudinal studies over the past three decades indicate that the majority of patients drop out during the first year of methadone treatment. Through an examination of 42 qualitative interviews with patients prematurely discharged from six methadone treatment programs in Baltimore, this study highlights factors patients describe as contributing to their reasons for being discharged within the first 12 months of the treatment. The two most consistent themes are program-related factors and incarceration. The former factors are richly described through patients' words and underscore the ways in which patients' perceptions of control exerted by the program and by the medication and misunderstandings of program structure can lead to premature discharge. Patients' reasons for discharge were compared to counselors' reasons as indicated in discharge summary forms. An analysis of the patterns of agreement and disagreement are presented. Patient-centered program and policy implications are discussed. (Author' s abstract)
Affiliation :
Iowa City VA Medical Center, 601 Hwy 6 West, Iowa City, IA 52246. Email : heather.reisinger@va.gov
Etats-Unis. United States.
Etats-Unis. United States.
Cote :
Abonnement