Reasons for discharge from methadone maintenance for addicts at high risk of HIV infection or transmission

Journal of Psychoactive Drugs
C E GrellaA Hasson

Abstract

This article reports on a methadone maintenance program that had the goal of retaining in treatment heroin addicts at high risk of HIV infection and/or transmission. Subjects were recruited from four-high-risk target groups and randomly assigned to either an enhanced or standard methadone maintenance group. The analysis examined predictors of any type of discharge, negative discharge, and circumstantial discharge. Discharge for any reason was more likely for younger individuals, sex industry workers, and high-risk sex partners. Legal supervision at intake and coercion into treatment reduced the probability of discharge for any reason. HIV-positive individuals were more likely to discharge for circumstantial reasons than negative reasons. The probability of circumstantial discharge was increased for males, individuals reporting suicidal ideation, and those scoring higher on an impulse expression scale. The likelihood of circumstantial discharge was decreased for individuals who reported more sources of legal income or who lived someone using illegal drugs. Participation in the enhanced treatment group appeared to reduce the probability of negative, compared with circumstantial, discharge. The findings should assist methadone tre...Continue Reading

References

Jan 1, 1977·The American Journal of Drug and Alcohol Abuse·W H McGlothlinB D Wilson
Jan 1, 1991·Journal of Substance Abuse·G W JoeR L Hubbard
Sep 20, 1990·The New England Journal of Medicine·D R Gerstein, L S Lewin
Jan 1, 1989·Journal of Substance Abuse Treatment·J L SorensenK Wilkinson
Sep 1, 1988·Journal of Health and Social Behavior·J C BallS R Friedman
Oct 1, 1966·Archives of Internal Medicine·V P DoleM J Kreek
Dec 1, 1973·Preventive Medicine·M W Kampfer
Oct 1, 1980·Drug and Alcohol Dependence·F A AprillG J Parker
Jun 1, 1993·The International Journal of the Addictions·Y I Hser
Jan 1, 1993·The American Journal of Drug and Alcohol Abuse·W S Condelli, G H Dunteman

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Citations

Nov 1, 2011·AIDS and Behavior·Traci C GreenPeter D Friedmann
May 1, 1996·Drug and Alcohol Dependence·M TorrensV Pérez-Solá
May 24, 2000·Drug and Alcohol Dependence·U SambamoorthiJ Walkup
May 1, 1996·Journal of Substance Abuse Treatment·C E GrellaA Hasson
Feb 7, 2009·Journal of Addictive Diseases·Ingrid DavstadAnders Romelsjö
Mar 5, 2013·Journal of Addiction Medicine·Sharon M KellyRobert P Schwartz
Dec 6, 2005·Journal of Health Care for the Poor and Underserved·Kim M BlankenshipKristin Mattocks
Apr 8, 2014·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Michael S GordonHamin Shabazz
Aug 31, 2006·Reproduction : the Official Journal of the Society for the Study of Fertility·Lihua WenJulang Li
May 25, 2001·The American Journal of Drug and Alcohol Abuse·R H Nishimoto, A C Roberts

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