The phases-of-treatment model for methadone maintenance: implementation and evaluation

Journal of Psychoactive Drugs
J A Hoffman, E T Moolchan

Abstract

The phases-of-treatment model for methadone maintenance provides a clinical framework for the use of methadone to effectively meet the needs of individual patients. The therapeutic process is highly structured and is divided into several phases of treatment for opioid addiction. The first three phases--Intensive Stabilization, Commitment, and Rehabilitation--provide intensive services and are designed to stabilize patients and allow them to attain an optimal level of productive functioning. Then, in consultation with the treatment team, patients select one of two tracks, the Medical Maintenance phase or the Tapering phase, followed by the Reinforcement phase. This article provides an overview of the phases-of-treatment model and discusses procedures for its implementation. Also discussed are staffing patterns and staff training issues, as well as the use of performance-based standards for program evaluation and quality improvement within the context of the phases model.

References

Dec 1, 1979·Journal of Affective Disorders·B J RounsavilleH D Kleber
Jun 1, 1979·The British Journal of Addiction to Alcohol and Other Drugs·B P AngleU Odim
Jan 1, 1992·Journal of Substance Abuse Treatment·A T McLellanM Argeriou
Oct 1, 1991·The British Journal of Psychiatry : the Journal of Mental Science·C J Ball
Jan 1, 1991·The American Journal of Drug and Alcohol Abuse·P R Marques, A J McKnight
Jan 1, 1991·Journal of Substance Abuse Treatment·W S CondelliJ V Rachal
Jul 1, 1991·American Journal of Public Health·M T FrenchJ V Rachal
Sep 1, 1988·Journal of Health and Social Behavior·J C BallS R Friedman
Nov 1, 1985·Archives of General Psychiatry·E J Khantzian, C Treece
Jan 21, 1982·The New England Journal of Medicine·V P DoleH Joseph
Feb 1, 1982·Archives of General Psychiatry·B J RounsavilleC Wilber
Jan 1, 1994·The International Journal of the Addictions·E T Moolchan, J A Hoffman
Jul 1, 1993·Research in Developmental Disabilities·J Szempruch, J W Jacobson

❮ Previous
Next ❯

Citations

Jan 5, 2000·Drug and Alcohol Dependence·G W JoeK M Broome
May 14, 2003·Forensic Science International : Synergy·Frank MusshoffBurkhard Madea
Jun 8, 2006·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Luc R Pelletier, Jeffrey A Hoffman
Jun 17, 2008·Science & Practice Perspectives·Ira J Marion
Jan 4, 2001·Substance Use & Misuse·D D SimpsonG A Rowan-Szal

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved