A 5-year evaluation of a methadone medical maintenance program

Kenneth A. Harris, Julia H. Arnsten, Herman Joseph, Joe Hecht, Ira Marion, Patti Juliana, Marc Gourevitch

Research output: Contribution to journalArticle

Abstract

Methadone medical maintenance (MMM) is a model for the treatment of opioid dependence in which a monthly supply of methadone is distributed in an office setting, in contrast to more highly regulated settings where daily observed dosing is the norm. We assessed patient characteristics and treatment outcomes of an MMM program initiated in the Bronx, New York, in 1999 by conducting a retrospective chart review. Participant characteristics were compared with those of patients enrolled in affiliated conventional methadone maintenance treatment programs. Patients had diverse ethnicities, occupations, educational backgrounds, and income levels. Urine toxicology testing detected illicit opiate and cocaine use in 0.8% and 0.4% of aggregate samples, respectively. The retention rate was 98%, which compares favorably with the four other MMM programs that have been reported in the medical literature. This study demonstrates that selected patients from a socioeconomically disadvantaged population remained clinically stable and engaged in treatment in a far less intensive setting than traditional methadone maintenance.

Original languageEnglish (US)
Pages (from-to)433-438
Number of pages6
JournalJournal of Substance Abuse Treatment
Volume31
Issue number4
DOIs
StatePublished - Dec 2006

Fingerprint

Methadone
Maintenance
Opiate Alkaloids
Vulnerable Populations
Cocaine
Occupations
Toxicology
Opioid Analgesics
Therapeutics
Urine
Population

Keywords

  • Abstinence
  • intravenous
  • Methadone
  • Opioid-related disorders
  • Substance abuse
  • Substance abuse treatment centers

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Phychiatric Mental Health
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Harris, K. A., Arnsten, J. H., Joseph, H., Hecht, J., Marion, I., Juliana, P., & Gourevitch, M. (2006). A 5-year evaluation of a methadone medical maintenance program. Journal of Substance Abuse Treatment, 31(4), 433-438. https://doi.org/10.1016/j.jsat.2006.05.018

A 5-year evaluation of a methadone medical maintenance program. / Harris, Kenneth A.; Arnsten, Julia H.; Joseph, Herman; Hecht, Joe; Marion, Ira; Juliana, Patti; Gourevitch, Marc.

In: Journal of Substance Abuse Treatment, Vol. 31, No. 4, 12.2006, p. 433-438.

Research output: Contribution to journalArticle

Harris, KA, Arnsten, JH, Joseph, H, Hecht, J, Marion, I, Juliana, P & Gourevitch, M 2006, 'A 5-year evaluation of a methadone medical maintenance program', Journal of Substance Abuse Treatment, vol. 31, no. 4, pp. 433-438. https://doi.org/10.1016/j.jsat.2006.05.018
Harris KA, Arnsten JH, Joseph H, Hecht J, Marion I, Juliana P et al. A 5-year evaluation of a methadone medical maintenance program. Journal of Substance Abuse Treatment. 2006 Dec;31(4):433-438. https://doi.org/10.1016/j.jsat.2006.05.018
Harris, Kenneth A. ; Arnsten, Julia H. ; Joseph, Herman ; Hecht, Joe ; Marion, Ira ; Juliana, Patti ; Gourevitch, Marc. / A 5-year evaluation of a methadone medical maintenance program. In: Journal of Substance Abuse Treatment. 2006 ; Vol. 31, No. 4. pp. 433-438.
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