A randomized trial of an interim methadone maintenance clinic

S. R. Yancovitz, D. C. Des Jarlais, N. P. Peyser, E. Drew, P. Friedmann, H. L. Trigg, J. W. Robinson

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Abstract

Background. Interim methadone maintenance has been proposed as a method of providing clinically effective services to heroin addicts waiting for treatment in standard comprehensive methadone maintenance programs. Methods. A clinic that provided initial medical evaluation, methadone medication, and AIDS education, but did not include formal drug abuse counseling or other social support services was established in New York City. A sample of 301 volunteer subjects recruited from the waiting list for treatment in the Beth Israel methadone program were randomly assigned to immediate entry into the interim clinic or a control group. Results. There were no differences in initial levels of illicit drug use across the experimental and control groups. One-month urinalysis follow-up data showed a significant reduction in heroin use in the experimental group (from 63% positive at intake to 29% positive) with no change in the control group (62% to 60% positive). No significant change was observed in cocaine urinalyses (approximately 70% positive for both groups at intake and follow-up). A higher percentage of the experimental group were in treatment at 16-month follow-up (72% vs 56%). Conclusions. Limited services interim methadone maintenance can reduce heroin use among persons awaiting entry into comprehensive treatment and increase the percentage entering treatment.

Original languageEnglish (US)
Pages (from-to)1185-1191
Number of pages7
JournalAmerican journal of public health
Volume81
Issue number9
DOIs
StatePublished - Jan 1 1991
Externally publishedYes

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ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Yancovitz, S. R., Des Jarlais, D. C., Peyser, N. P., Drew, E., Friedmann, P., Trigg, H. L., & Robinson, J. W. (1991). A randomized trial of an interim methadone maintenance clinic. American journal of public health, 81(9), 1185-1191. https://doi.org/10.2105/AJPH.81.9.1185