| Merits and problems in high-threshold methadone maintenance treatment. Evaluation of medication-assisted rehabilitation in Norway 1998-2004. | |
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MedLine Citation:
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PMID: 17356277 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Methadone maintenance treatment (MMT) in Norway emphasizes rehabilitation and control with strict intake criteria and rules for involuntary termination. Consequently, the programme should be characterized as high threshold and restrictive, which is somewhat out of tune with the general European trend towards harm reduction and diversity. METHODS: The programme has undergone an extensive evaluation with quantitative and qualitative methods. FINDINGS: MMT is at present integrated into the general health and social security system. The restrictive traits have not prevented rapid development in the capacity and coverage. Results on retention and drug use are above average for MMT programmes, but results on vocational rehabilitation are not impressive. The system is costly and some inherent structural problems cause concern. CONCLUSION: On this basis, central authorities have decided to keep the core structure of the programme, but to implement several changes. Medical diagnosis and evaluation should replace formal regulating criteria. |
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Authors:
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Helge Waal |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European addiction research Volume: 13 ISSN: 1022-6877 ISO Abbreviation: Eur Addict Res Publication Date: 2007 |
Date Detail:
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Created Date: 2007-03-14 Completed Date: 2007-08-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9502920 Medline TA: Eur Addict Res Country: Switzerland |
Other Details:
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Languages: eng Pagination: 66-73 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2007 S. Karger AG, Basel. |
Affiliation:
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Unit for Addiction Medicine, Institute of Psychiatry, University of Oslo, Oslo, Norway. helge.waal@medisin.uio.no |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Demography Employment Female Housing Humans Male Methadone / therapeutic use* Norway / epidemiology Patient Selection Pensions Sample Size Substance-Related Disorders / drug therapy*, epidemiology, rehabilitation* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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76-99-3/Methadone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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