Methadone Treatment for Opioid Dependence

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9780801861369: Methadone Treatment for Opioid Dependence
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Throughout the world, hundreds of thousands of people are addicted to opiates. The human, economic, and societal costs of this addiction are staggering: more than one-quarter of prison inmates are incarcerated for drug offenses and there has been a dramatic increase in the prevalence of HIV and hepatitis among intravenous drug users.

Methadone Treatment for Opioid Dependence examines various aspects of the most widely used medication for the treatment of opioid dependence. Used clinically for more than thirty years, methadone is the most common pharmacological treatment for opioid dependence. Some 115,000 people are actively enrolled in methadone programs in the United States, and estimates range as high as 250,000 worldwide. Methadone eases withdrawal symptoms and blocks the sensation of "high" if the person should take an opioid. But as the authors note, methadone treatment is more than simply the delivery of medication -- it is a combination of pharmacologic and nonpharmacologic treatments. The latter can include individual and group therapies, urine testing, education and vocation training, medical and psychiatric treatment of co-morbid conditions, and other services appropriate to the needs of the patient. When delivered properly, methadone treatment can be highly effective in decreasing illicit drug use and increasing prosocial behaviors in patients.

The authors -- all faculty members of the Johns Hopkins Medical Institutions -- provide a historical overview of methadone treatment as well as a review of the regulations associated with the treatment. While important principles and theory are thoroughly examined, the emphasis throughout is on such practical issues as dosing, urine testing, detoxification schedules, and contingency management. Other topics include individual and group counseling, behavioral treatments, and special issues for women. Finally, the book provides comparative information about the utility of other pharmacotherapies for opioid dependence, such as LAAM, buprenorphine, naltrexone, clonidine, and lofexidine. Methadone Treatment for Opioid Dependence is a focused and comprehensive reference for drug treatment policy makers, as well an invaluable resource for professionals who treat opioid substance abusers -- psychiatrists, psychologists, social workers, mental health nurses, and addictions counselors.

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About the Author:

Eric C. Strain, M.D., is an associate professor and director of the Substance Abuse Service Line of the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins University School of Medicine. Maxine L. Stitzer, Ph.D., is a professor of behavioral biology in the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins University School of Medicine.

Review:

"At last! The wait for a single text that covers all relevant aspects of methadone treatment of opioid addiction is over. This book should be required reading for clinicians, researchers, students, patient advocates, patients and their families, representatives of criminal justice, and those charged with the responsibility to make policy in matters related to opioid dependence.... A scholarly and thorough reference providing broad coverage of truly comprehensive methadone treatment. While providing great clinical utility the connection to the scientific foundation of this modality of treatment is maintained. A new and valuable resource!... After 35 years in the methadone treatment field, I now have a text I would choose should I be marooned on a desert island -- with but one book." -- J. Thomas Payte, M.D.Founder and Medical DirectorDrug Dependence AssociatesSan AntonioTx, Editor, Journal of Maintenance in the Addictions, Co-Chair, American Society of Addiction Medicine, Committee on Opioid Agonist Treatment

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9780801861376: Methadone Treatment for Opioid Dependence (Johns Hopkins Paperback)

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ISBN 10:  0801861373 ISBN 13:  9780801861376
Publisher: The Johns Hopkins University Press, 1999
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Published by The Johns Hopkins University P (1999)
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