Clinic Policy and Retention in Methadone Maintenance

Advantage was taken of a natural experiment to investigate the relationship of clinic objectives and procedures with retention in methadone maintenance. Assessment, maximum dose, and time in treatment data on 238 patients were summarized using Cox regression. While allowing for patient descriptors a...

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Veröffentlicht in:International journal of the addictions 1993, Vol.28 (1), p.73-89
Hauptverfasser: Caplehorn, John R. M., McNeil, Donald R., Kleinbaum, David G.
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container_title International journal of the addictions
container_volume 28
creator Caplehorn, John R. M.
McNeil, Donald R.
Kleinbaum, David G.
description Advantage was taken of a natural experiment to investigate the relationship of clinic objectives and procedures with retention in methadone maintenance. Assessment, maximum dose, and time in treatment data on 238 patients were summarized using Cox regression. While allowing for patient descriptors and maximum dose of methadone, those subjects assigned to a strongly abstinence-oriented program were 26% (95% C.I., 18 to 33%), 98% (66 to 137%), 213% (132 to 322%), and 393% (224 to 651%) more likely to leave treatment in the first, second, third, fourth 6 months of treatment, respectively, than those subjects assigned to a more laissez-faire program.
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source Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis Online; MEDLINE; Taylor & Francis Medical Library - CRKN
subjects Adult
Data Interpretation, Statistical
Drug abusers
Female
Health Policy
Humans
Male
Methadone
Methadone - administration & dosage
Methadone - therapeutic use
Patient Compliance
Retention
Substance Abuse Treatment Centers
Substance-Related Disorders - rehabilitation
Sydney
Time Factors
Treatment
title Clinic Policy and Retention in Methadone Maintenance
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