Tapering from methadone maintenance: Attitudes of clients and staff
To investigate the barriers to tapering from methadone and to generate ideas for clinical services, 60 clients on methadone maintenance and 30 staff members in five methadone maintenance clinics were interviewed. The interview format combined quantitative and qualitative response options and assesse...
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| Veröffentlicht in: | Journal of substance abuse treatment 1988, Vol.5 (1), p.37-44 |
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| container_end_page | 44 |
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| container_title | Journal of substance abuse treatment |
| container_volume | 5 |
| creator | Gold, Marc L. Sorensen, James L. McCanlies, Nancy Trier, Mella Dlugosch, Gabriele |
| description | To investigate the barriers to tapering from methadone and to generate ideas for clinical services, 60 clients on methadone maintenance and 30 staff members in five methadone maintenance clinics were interviewed. The interview format combined quantitative and qualitative response options and assessed subjects' experience with tapering from methadone, ideas about barriers to tapering, suggestions about services that would aid them in getting off methadone, and aftercare services that would help them to remain drug-free. Both staff and patients noted significant barriers to methadone detoxification, estimating the likehood of completing a successful taper at 10% and 14%, respectively. Patients reported psychological symptoms of withdrawal discomfort, but they emphasized physical problems of withdrawal much more than did staff. Both groups noted the need for counseling, role models of detoxified former addicts, and a wide array of available services. |
| doi_str_mv | 10.1016/0740-5472(88)90037-2 |
| format | Article |
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The interview format combined quantitative and qualitative response options and assessed subjects' experience with tapering from methadone, ideas about barriers to tapering, suggestions about services that would aid them in getting off methadone, and aftercare services that would help them to remain drug-free. Both staff and patients noted significant barriers to methadone detoxification, estimating the likehood of completing a successful taper at 10% and 14%, respectively. Patients reported psychological symptoms of withdrawal discomfort, but they emphasized physical problems of withdrawal much more than did staff. 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Psychiatry ; rapering ; Substance Withdrawal Syndrome - psychology ; treatment</subject><ispartof>Journal of substance abuse treatment, 1988, Vol.5 (1), p.37-44</ispartof><rights>1988</rights><rights>1989 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-4c508b73f8747dfa5daae980efab0a456ed8682dd4924b9b659775c7c3257da93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0740-5472(88)90037-2$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7045423$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3361625$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gold, Marc L.</creatorcontrib><creatorcontrib>Sorensen, James L.</creatorcontrib><creatorcontrib>McCanlies, Nancy</creatorcontrib><creatorcontrib>Trier, Mella</creatorcontrib><creatorcontrib>Dlugosch, Gabriele</creatorcontrib><title>Tapering from methadone maintenance: Attitudes of clients and staff</title><title>Journal of substance abuse treatment</title><addtitle>J Subst Abuse Treat</addtitle><description>To investigate the barriers to tapering from methadone and to generate ideas for clinical services, 60 clients on methadone maintenance and 30 staff members in five methadone maintenance clinics were interviewed. The interview format combined quantitative and qualitative response options and assessed subjects' experience with tapering from methadone, ideas about barriers to tapering, suggestions about services that would aid them in getting off methadone, and aftercare services that would help them to remain drug-free. Both staff and patients noted significant barriers to methadone detoxification, estimating the likehood of completing a successful taper at 10% and 14%, respectively. Patients reported psychological symptoms of withdrawal discomfort, but they emphasized physical problems of withdrawal much more than did staff. Both groups noted the need for counseling, role models of detoxified former addicts, and a wide array of available services.</description><subject>Adult</subject><subject>Antineoplastic agents</subject><subject>Attitude of Health Personnel</subject><subject>Attitude to Health</subject><subject>attitudes</subject><subject>Biological and medical sciences</subject><subject>Chemotherapy</subject><subject>detoxification</subject><subject>drug abuse</subject><subject>Drug Administration Schedule</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methadone</subject><subject>Methadone - administration & dosage</subject><subject>Middle Aged</subject><subject>Opioid-Related Disorders - psychology</subject><subject>Opioid-Related Disorders - rehabilitation</subject><subject>Patient Dropouts - psychology</subject><subject>Pharmacology. Drug treatments</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>rapering</subject><subject>Substance Withdrawal Syndrome - psychology</subject><subject>treatment</subject><issn>0740-5472</issn><issn>1873-6483</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1rGzEQhkVJSB23_6CFPZSSHLbV6mOlzaFgTL7A0It7FrPSqFHYD1fSBvrvs46NjznNYZ73neEh5EtFf1S0qn9SJWgphWJXWl83lHJVsg9kUWnFy1pofkYWJ-QjuUzpmVLKGNUX5ILzuqqZXJD1FnYYw_C38HHsix7zE7hxwKKHMGQcYLB4U6xyDnlymIrRF7YLOORUwOCKlMH7T-TcQ5fw83EuyZ-72-36odz8vn9crzalFZXKpbCS6lZxr5VQzoN0ANhoih5aCkLW6HStmXOiYaJt2lo2SkmrLGdSOWj4knw_9O7i-G_ClE0fksWugwHHKZlKUqmams-gOIA2jilF9GYXQw_xv6mo2bszezFmL8Zobd7cGTbHvh77p7ZHdwodZc37b8c9JAudj7OckE6YokIKtr_-64Dh7OIlYDTJzsYsuhDRZuPG8P4fr-0Nifg</recordid><startdate>1988</startdate><enddate>1988</enddate><creator>Gold, Marc L.</creator><creator>Sorensen, James L.</creator><creator>McCanlies, Nancy</creator><creator>Trier, Mella</creator><creator>Dlugosch, Gabriele</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope></search><sort><creationdate>1988</creationdate><title>Tapering from methadone maintenance: Attitudes of clients and staff</title><author>Gold, Marc L. ; Sorensen, James L. ; McCanlies, Nancy ; Trier, Mella ; Dlugosch, Gabriele</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-4c508b73f8747dfa5daae980efab0a456ed8682dd4924b9b659775c7c3257da93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Adult</topic><topic>Antineoplastic agents</topic><topic>Attitude of Health Personnel</topic><topic>Attitude to Health</topic><topic>attitudes</topic><topic>Biological and medical sciences</topic><topic>Chemotherapy</topic><topic>detoxification</topic><topic>drug abuse</topic><topic>Drug Administration Schedule</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methadone</topic><topic>Methadone - administration & dosage</topic><topic>Middle Aged</topic><topic>Opioid-Related Disorders - psychology</topic><topic>Opioid-Related Disorders - rehabilitation</topic><topic>Patient Dropouts - psychology</topic><topic>Pharmacology. Drug treatments</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>rapering</topic><topic>Substance Withdrawal Syndrome - psychology</topic><topic>treatment</topic><toplevel>online_resources</toplevel><creatorcontrib>Gold, Marc L.</creatorcontrib><creatorcontrib>Sorensen, James L.</creatorcontrib><creatorcontrib>McCanlies, Nancy</creatorcontrib><creatorcontrib>Trier, Mella</creatorcontrib><creatorcontrib>Dlugosch, Gabriele</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Journal of substance abuse treatment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gold, Marc L.</au><au>Sorensen, James L.</au><au>McCanlies, Nancy</au><au>Trier, Mella</au><au>Dlugosch, Gabriele</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tapering from methadone maintenance: Attitudes of clients and staff</atitle><jtitle>Journal of substance abuse treatment</jtitle><addtitle>J Subst Abuse Treat</addtitle><date>1988</date><risdate>1988</risdate><volume>5</volume><issue>1</issue><spage>37</spage><epage>44</epage><pages>37-44</pages><issn>0740-5472</issn><eissn>1873-6483</eissn><abstract>To investigate the barriers to tapering from methadone and to generate ideas for clinical services, 60 clients on methadone maintenance and 30 staff members in five methadone maintenance clinics were interviewed. The interview format combined quantitative and qualitative response options and assessed subjects' experience with tapering from methadone, ideas about barriers to tapering, suggestions about services that would aid them in getting off methadone, and aftercare services that would help them to remain drug-free. Both staff and patients noted significant barriers to methadone detoxification, estimating the likehood of completing a successful taper at 10% and 14%, respectively. Patients reported psychological symptoms of withdrawal discomfort, but they emphasized physical problems of withdrawal much more than did staff. Both groups noted the need for counseling, role models of detoxified former addicts, and a wide array of available services.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3361625</pmid><doi>10.1016/0740-5472(88)90037-2</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0740-5472 |
| ispartof | Journal of substance abuse treatment, 1988, Vol.5 (1), p.37-44 |
| issn | 0740-5472 1873-6483 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Antineoplastic agents Attitude of Health Personnel Attitude to Health attitudes Biological and medical sciences Chemotherapy detoxification drug abuse Drug Administration Schedule Female Humans Male Medical sciences Methadone Methadone - administration & dosage Middle Aged Opioid-Related Disorders - psychology Opioid-Related Disorders - rehabilitation Patient Dropouts - psychology Pharmacology. Drug treatments Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry rapering Substance Withdrawal Syndrome - psychology treatment |
| title | Tapering from methadone maintenance: Attitudes of clients and staff |
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