Involuntary Versus Voluntary Detoxification from Methadone Maintenance Treatment: The Importance of Choice

Autor: Allyson Washburn, Lynn Wenger, Margaret S. Kelley, Kelly R. Knight, Marsha Rosenbaum, Jeanette Irwin
Rok vydání: 1996
Předmět:
Zdroj: Scopus-Elsevier
ISSN: 1058-6989
DOI: 10.3109/16066359609005248
Popis: The authors report on a subset of data from a three-year qualitative and quantitative study of 233 injection drug users (IDUs) in and out of methadone maintenance treatment (MMT) programs in the San Francisco Bay Area. We analyzed data from ten study participants detoxified from their MMT programs voluntarily and thirty involuntarily detoxified due to the defunding of their subsidized MMT slots. All of the study participants reported benefits from MMT program participation including decreased drug use or abstinence; decreased illicit activity; increased ability to maintain or initiate conventional employment; and increased ability to respond to parenting and family obligations. Those who were involuntarily detoxified from MMT programs experienced severe destabilization. Many were financially unstable and dependent on subsidized drug treatment prior to defunding. Several defunded participants were detoxified because they could not afford private fees ($225-300/month); others reverted to illicit activities ...
Databáze: OpenAIRE