Integrating primary care and methadone maintenance treatment: Implementation issues

Merrill Scot Herman, Marc N. Gourevitch

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Linking primary medical care with methadone maintenance treatment brings critical services to drug users, many with HIV/AIDS, tuberculosis and other illnesses. However, a variety of important philosophical, ethical, and systems issues may impede the process of implementing a 'linked' service delivery model. Conflicting paradigms, such as the traditional 'doctor-patient' relationship with its emphasis on continuity of care and the substance abuse treatment model of limit-setting and behavioral consequences, create tension in the treatment system. This article describes these tensions and uses clinical vignettes to demonstrate how to address these implementation issues. In conclusion, solutions are proposed for successful integrating services for medically ill substance abusers.

Original languageEnglish (US)
Pages (from-to)91-102
Number of pages12
JournalJournal of Addictive Diseases
Volume16
Issue number1
DOIs
StatePublished - 1997

Fingerprint

Methadone
Primary Health Care
Continuity of Patient Care
Drug Users
Ethics
Substance-Related Disorders
Acquired Immunodeficiency Syndrome
Tuberculosis
Therapeutics
HIV

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

Integrating primary care and methadone maintenance treatment : Implementation issues. / Herman, Merrill Scot; Gourevitch, Marc N.

In: Journal of Addictive Diseases, Vol. 16, No. 1, 1997, p. 91-102.

Research output: Contribution to journalArticle

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