“Narcan Challenge” A Four Year Study of Addiction Determination
The determination of the presence or absence of addiction is often a difficult and uncertain task. Dependence upon clearly defined “tracks”, other stigmas of heroin addiction, history and verifying third parties can be chancy, if not downright unreliable. This is particularly the case with so-called “snorters”. Withdrawal symptoms can be fabricated, particularly before the less experienced examiner. And the mere presence of a “dirty” urine is no proof of addiction. These issues are vital in avoiding the inadvertent admission of a non-addict, a user who has not become fully addicted, or an individual who is attempting to simulate addiction. To minimize or avoid mistakes in determining addiction so that non-addicts are not admitted, a Narcan Challenge test is given all doubtful, questionable or border-line patients applying to the Methadone Maintenance Institute.
KeywordsMethadone Treatment Withdrawal Symptom Pupil Size Methadone Maintenance Methadone Program
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