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 |
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container_title | International journal of the addictions |
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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. |
doi_str_mv | 10.3109/10826089309038923 |
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M.</creatorcontrib><creatorcontrib>McNeil, Donald R.</creatorcontrib><creatorcontrib>Kleinbaum, David G.</creatorcontrib><title>Clinic Policy and Retention in Methadone Maintenance</title><title>International journal of the addictions</title><addtitle>Int J Addict</addtitle><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.</description><subject>Adult</subject><subject>Data Interpretation, Statistical</subject><subject>Drug abusers</subject><subject>Female</subject><subject>Health Policy</subject><subject>Humans</subject><subject>Male</subject><subject>Methadone</subject><subject>Methadone - administration & dosage</subject><subject>Methadone - therapeutic use</subject><subject>Patient Compliance</subject><subject>Retention</subject><subject>Substance Abuse Treatment Centers</subject><subject>Substance-Related Disorders - rehabilitation</subject><subject>Sydney</subject><subject>Time Factors</subject><subject>Treatment</subject><issn>1082-6084</issn><issn>0020-773X</issn><issn>1532-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9UMtKAzEUDaLUWv0AF8Ks3I0mczMzCa6k-IIWRXQ9ZJI7NGWa1GRm0b830uJGcHUvnAfnHEIuGb0BRuUto6KoqJBAJQUhCzgiU1ZCkRdcsuP0JzxPBH5KzmJcU8oEAzYhEwGCFgKmhM9766zO3nxv9S5TzmTvOKAbrHeZddkSh5Uy3mG2VNYlQDmN5-SkU33Ei8Odkc_Hh4_5c754fXqZ3y9yXQIbctMiSlFWZYoGvDCVrGvNdZFS8K7uOGMFVggApu1MTVvGUHEUImWvTAsdzMj13ncb_NeIcWg2Nmrse-XQj7Epaw4gU_UZYXuiDj7GgF2zDXajwq5htPlZqvmzVNJcHczHdoPmV3GYJuF3e9y6zoeNWqHqh5VWAZu1H4NLxf9x_wY16nQF</recordid><startdate>1993</startdate><enddate>1993</enddate><creator>Caplehorn, John R. 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M.</creatorcontrib><creatorcontrib>McNeil, Donald R.</creatorcontrib><creatorcontrib>Kleinbaum, David G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><jtitle>International journal of the addictions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Caplehorn, John R. 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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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