Evaluation of a minimal services treatment track for noncompliant patients in opioid substitution treatment

Calsyn et al evaluate minimal services (MS) treatment track for noncompliant patients in opioid substitution treatment (OST). Nearly three quarters of the patients placed in MS were retained in treatment, and more than one third of those retained improved sufficiently to return to the regular OST program. These suggest that retention of drug-using patients in modified OST can benefit those patients without an associated significant increase in harm to the larger clinic population.