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Status of Methadone Maintenance Treatment and Research in the United States

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Book cover The Effectiveness of Methadone Maintenance Treatment
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Abstract

Methadone maintenance treatment was established in New York City in 1964 by Drs. Vincent Dole and Marie Nyswander.1,2 The original treatment regimen implemented by Drs. Dole and Nyswander with their staff provided comprehensive medical and rehabilitative services to intravenous heroin addicts. Criteria for admission included: 4 years of heroin addiction, a history of prior treatment failure, voluntary desire for treatment, age over 19, primary dependence upon opiates, and absence of psychosis or major medical complications. In the initial studies, addicts were evaluated and stabilized on a daily oral dose of methadone on an inpatient service before transfer to an outpatient clinic for continued treatment. With further experience, it was found feasible to eliminate the inpatient phase of treatment and start with the outpatient clinic.

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References

  1. Dole VP, Nyswander M (1965) A medical treatment for diacetylmorphine (heroin) addiction: a clinical trial with methadone hydrochloride. JAMA 193: 80–84

    Google Scholar 

  2. Dole V (1989) Methadone maintenance. In Courtwright D, Joseph H, Des Jarlais D: Addicts Who Survived: An Oral History of Narcotic Use in America, 1923–1965. Knoxville: University of Tennessee Press, pp 331–343

    Google Scholar 

  3. Dole VP, Nyswander ME, Warner A (1968) Successful treatment of 750 criminal addicts. JAMA 206: 2708–2711

    Article  PubMed  CAS  Google Scholar 

  4. Gearing FR (1972) Methadone maintenance: six years later. Contemp Drug Prob 1: 191–206

    Google Scholar 

  5. Gearing FR (1970) Successes and failures in methadone maintenance treatment of heroin addiction in New York City. In: Proceedings of the Third National Conference on Methadone Treatment. Rockville: US Public Health Service, Pub. No. 2172, pp 2–16

    Google Scholar 

  6. Connell PH (1975) Review of methadone maintenance schemes. In Boström H, Larsson T, Ljungstedt N (eds): Skandia International Symposia: Drug Dependence-Treatment and Treatment Evaluation. Stockholm: Almqvist & Wiksell, pp 133–146

    Google Scholar 

  7. Newman RG, in collaboration with Cates MS (1977) The role of social and psychiatric services. In Methadone Treatment in Narcotic Addiction: Program Management, Findings, and Prospects for the Future. New York: Academic Press, pp 64–68

    Google Scholar 

  8. Lowinson JH (1981) Methadone maintenance in perspective. In Lowinson JH, Ruiz P (eds): Substance Abuse: Clinical Problems and Perspectives. Baltimore: Williams & Wilkins, pp 344–354

    Google Scholar 

  9. D’Amanda C (1983) Program policies and procedures associated with treatment outcome. In Cooper JR, Altman F, Brown BS, Czechowicz D (eds): NIDA Treatment Research Monograph Series: Research on the Treatment of Narcotic Addiction: State of the Art. (ADM) 83–1281. Rockville: US Department of Health and Human Services, pp 637–679

    Google Scholar 

  10. Boume PG (1981) A 10-year perspective on the addiction problem. In Lowinson JH, Ruiz P (eds): Substance Abuse: Clinical Problems and Perspectives. Baltimore: Williams & Wilkins, pp 35–42

    Google Scholar 

  11. Kirn TF (1988) Methadone maintenance treatment remains controversial even after 23 years of experience. JAMA 260: 2970–2975

    Article  PubMed  CAS  Google Scholar 

  12. Gerstein DR, Harwood HJ (eds) (1990) Treating Drug Problems, Vol. 1. Washington, DC: National Academy Press

    Google Scholar 

  13. United States General Accounting Office (1990) Methadone maintenance: some treatment programs are not effective; greater federal oversight needed. In: GAO Report to the Chairman, Select Committee on Narcotics Abuse and Control, House of Representatives (March). Washington, DC: US Government Printing Office

    Google Scholar 

  14. Klepak D (1978) Evaluation of treatment effectiveness: the New York State experience. Ann NY Acad Sci 311: 248–252

    Article  PubMed  CAS  Google Scholar 

  15. FDA, personal communication, January 1989

    Google Scholar 

  16. Butynski W, Canova D, Jensen S (1989) State Resources and Services Related to Alcohol and Drug Abuse Problems—Fiscal Year 1988: An analysis of state alcohol and drug abuse. Washington, DC: National Association of State Alcohol and Drug Abuse Directors

    Google Scholar 

  17. Parrino M (1989) Letter to Bennett WJ

    Google Scholar 

  18. Murphy S, Rosenbaum M (1988) Money for methadone. II. Unintended consequences of limited-duration methadone maintenance. J Psychoactive Drugs 20: 397–402

    PubMed  CAS  Google Scholar 

  19. Des Jarlais DC, Friedman SR (1989) AIDS and the IV drug user. Science 245: 578

    Article  PubMed  Google Scholar 

  20. Des Jarlais DC, Friedman SR (1987) Target groups for preventing AIDS among intravenous drug users. J Appl Soc Psychol 17: 251–268

    Article  Google Scholar 

  21. Galea RP, Lewis BF, Baker LA (eds) (1988) AIDS and IV Drug Abusers: Current Perspectives. Owings Mills: National Health Publishing, Exhibit I-1, I-2, pp xxvii, xxx-xxxi

    Google Scholar 

  22. Novick DM, Joseph H, Croxson TS, et al (1990) Absence of antibody to human immunodeficiency virus in long-term, socially rehabilitated methadone maintenance patients. Arch Intern Med 150: 97–99

    Article  PubMed  CAS  Google Scholar 

  23. Des Jarlais DC (1990) Stages in the response of the drug abuse treatment system to the AIDS epidemic in New York City. J Drug Issues 20: 335–347

    Google Scholar 

  24. Cooper JR, Altman F, Brown B, Czechowicz D (eds) (1983) NIDA Treatment Research Monograph Series: Research on the Treatment of Narcotic Addiction: State of the Art. (ADM) 83–1281. Rockville: US Department of Health and Human Services

    Google Scholar 

  25. Tims FM, Ludford JP (eds) (1984) NIDA Research Monograph 51: RAUS: Drug Abuse Treatment Evaluation: Strategies, Progress, and Prospects. (ADM) 84–1329. Rockville: US Department of Health and Human Services

    Google Scholar 

  26. Hubbard RL, Marsden ME, Rachal JV, et al (1989) Drug Abuse Treatment: A National Study of Effectiveness. Chapel Hill: University of North Carolina Press

    Google Scholar 

  27. Simpson DD, Sells SB (eds) (1990) Opioid Addiction and Treatment: a 12-year follow-up. Malabar: Robert E. Krieger Publishing Company

    Google Scholar 

  28. Jaffe JH (1979) The swinging pendulum: the treatment of drug users in America. In Dupont RI, Goldstein A, O’Donnell J (eds): Handbook on Drug Abuse. Washington, DC: US Government Printing Office, pp 3–16

    Google Scholar 

  29. Cooper JR (1989) Methadone treatment and acquired immunodeficiency syndrome. JAMA 262: 1664–1668

    Article  PubMed  CAS  Google Scholar 

  30. Pickens RW, Fletcher BW (1991) Overview of treatment issues. In: Improving Drug Abuse Treatment: NIDA Monograph. In press

    Google Scholar 

  31. Lipton DS, Appel P (1984) The state perspective. In Tims FM, Ludford JP (eds): NIDA Research Monograph Series 51: RAUS: Drug Abuse Treatment Evaluation: Strategies, Progress, and Prospects. (ADM) 84–1329. Rockville: US Department of Health and Human Services, pp 151–166

    Google Scholar 

  32. Hall SM (1983) Methadone treatment: a review of the research findings. In Cooper JR, Altman F, Brown B, Czechowicz D (eds): NIDA Treatment Research Monograph Series: Research on the Treatment of Narcotic Addiction: State of the Art. (ADM) 83–1281. Rockville: US Department of Health and Human Services, pp 575–632

    Google Scholar 

  33. Gottheil E, McLellan AT, Druley KA (eds) (1981) Reasonable and unreasonable methodological standards for the evaluation of alcoholism treatment. In: Matching Patient Needs and Treatment Methods in Alcoholism and Drug Abuse. Springfield: Charles C Thomas, pp 371–389

    Google Scholar 

  34. Altman F, Schnoll SH (1983) Discussion summary. In Cooper JR, Altman F, Brown B, Czechowicz D (eds): NIDA Treatment Research Monograph Series: Research on the Treatment of Narcotic Addiction: State of the Art. (ADM) 83–1281. Rockville: US Department of Health and Human Services, pp 573–574

    Google Scholar 

  35. Hubbard RL, Rachal JV, Craddock SG, Cavanaugh ER (1984) Treatment outcome prospective study (TOPS): client characteristics and behaviors before, during, and after treatment. In: Tims FM, Ludford JP (eds): NIDA Research Monograph Series 51: RAUS Drug Abuse Treatment Evaluation: Strategies, Progress, and Prospects. (ADM) 84–1329. Rockville: US Department of Health and Human Services, pp 42–68

    Google Scholar 

  36. Meyer R (1983) Introduction to part III: factors affecting the outcome of methadone treatment. In Cooper JR, Altman F, Brown B, Czechowicz D (eds): NIDA Treatment Research Monograph Series: Research on the Treatment of Narcotic Addiction: State of the Art. (ADM) 83–1281. Rockville: US Department of Health and Human Services, pp 495–499

    Google Scholar 

  37. Woody GE (1983) Treatment characteristics associated with outcome. In Cooper JR, Altman F, Brown B, Czechowicz D (eds): NIDA Treatment Research Monograph Series: Research on the Treatment of Narcotic Addiction: State of the Art. (ADM) 83–1281. Rockville: US Department of Health and Human Services, pp 541–564

    Google Scholar 

  38. Tonry M (1990) Research on drugs and crime. In Tonry M, Wilson JQ (eds): Drugs and Crime, Vol. 13. Chicago: University of Chicago Press, pp 1–8

    Google Scholar 

  39. Moos RH, Finney JW (1987–1988) Alcoholism program evaluation: the treatment domain. Drugs Society 2: 31–51

    Article  Google Scholar 

  40. Terry CE, Pellens M (1970) The Opium Problem. Montclair, NJ: Patterson Smith

    Google Scholar 

  41. Pescor MJ (1943) A statistical analysis of the clinical records of hospitalized drug addicts. Public Health Rep Suppl 143. Washington, DC: US Government Printing Office, pp 1–30

    Google Scholar 

  42. Second Triennial Report to Congress from the Secretary (1987) Drug Abuse and Drug Abuse Research. DHHS (ADM) 87–1486. Rockville: US Department of Health and Human Services, pp. 59–75

    Google Scholar 

  43. Moos RH, Finney JW, Cronkite RC (eds) (1990) Alcoholism Treatment: Context, Process, and Outcome. New York: Oxford University Press

    Google Scholar 

  44. McLellan AT, Alterman AI, Woody GE (1991) A quantitative measure of substance abuse treatment programs: the treatment services review. J Nery Ment Dis (in press)

    Google Scholar 

  45. Anglin MD, Hser YI (1990) Treatment of drug abuse. In Tonry M, Wilson JQ (eds): Drugs and Crime, pp 393–460

    Google Scholar 

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© 1991 Springer-Verlag New York Inc.

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Ball, J.C., Ross, A. (1991). Status of Methadone Maintenance Treatment and Research in the United States. In: The Effectiveness of Methadone Maintenance Treatment. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9089-3_1

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  • DOI: https://doi.org/10.1007/978-1-4613-9089-3_1

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-9091-6

  • Online ISBN: 978-1-4613-9089-3

  • eBook Packages: Springer Book Archive

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