PMID: 2503346Aug 1, 1989Paper

Methadone-assisted rehabilitation of Swedish heroin addicts

Drug and Alcohol Dependence
L Grönbladh, L M Gunne

Abstract

During its first 20 years of existence a national Swedish methadone maintenance programme received 174 heroin addicts. Programme policy, with a massive emphasis on vocational rehabilitation, and outcome data are described. In 75% of the cases the subjects abandoned their drug abuse behaviour and took up work while 25% were expelled from the programme due to violation of rules. The stability of the programme was established by 14 yearly check-ups of the percentage working and studying, which remained about 80%. The tendency towards maturing out of addiction was low in Swedish heroin addicts (6%) as evidenced by a special study including a 6-year follow-up of 34 subjects fulfilling admission criteria. Half of this group received methadone, while the other half were randomly assigned controls. The death rate among controls was at least 73 times the expected for the age group studied (20-24 years), while 81% of those receiving methadone became free of drug abuse and vocationally rehabilitated. The control group also showed a high rate of drug abuse-related morbidity. Among 34 female heroin addicted prostitutes 71% abandoned drugs and street prostitution and took up regular work.

References

Jun 1, 1981·Drug and Alcohol Dependence·B OlssonC Roth
Mar 1, 1980·Drug and Alcohol Dependence·B Frykholm, L M Gunne

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Citations

Jan 1, 1990·Journal of Substance Abuse Treatment·J G Barber
Sep 11, 2002·Journal of Substance Abuse Treatment·Mary Jeanne Kreek, Frank J Vocci
Feb 7, 2009·Journal of Addictive Diseases·Ingrid DavstadAnders Romelsjö
Apr 15, 2010·Journal of Addictive Diseases·Albert Stuart Reece
Sep 1, 1990·Acta Psychiatrica Scandinavica·L GrönbladhL M Gunne
Jul 7, 2007·Substance Abuse Treatment, Prevention, and Policy·Albert S Reece, Peter Davidson
Jul 18, 2000·American Journal of Public Health·G S ZaricM L Brandeau
Apr 29, 2008·The Journal of Infection·Albert Stuart Reece
Apr 1, 1990·Drug and Alcohol Dependence·L M Gunne
Nov 5, 1997·Scandinavian Journal of Primary Health Care·J S JonssonS Magnusson
Sep 16, 2015·AIDS·Bohdan NosykUNKNOWN STOP HIVAIDS Study Group
Sep 29, 2001·Medical Decision Making : an International Journal of the Society for Medical Decision Making·G S Zaric, M L Brandeau
Apr 17, 2014·The Cochrane Database of Systematic Reviews·Soraya MayetMarina Davoli
May 30, 1992·BMJ : British Medical Journal·C BrewerJ Marks

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