Predicting Methadone Treatment Retention and Success with the Mini-Mult
Treatment success for methadone patients can be approached in various ways but might best be defined as the complete rehabilitation of the addict. The four general areas which should be assessed by any evaluation of the rehabilitation of the opiate addict are reduced drug use, reduced legal involvement, improved psychological functioning, and improved vocational circumstance. There are many approaches to this rehabilitation such as vocational adjustment (Meyer, 1972; Schoolar, Winburn and Hays, 1973), legal involvement, and illicit drug use (Winburn and Hays, 1974). Before an addict may reach the point of successful treatment the addict/prospective patient must undergo a rather severe transition in lifestyle and severe internal changes, psychological and physiological. The changes are best illustrated in a pioneering study which examined a cohort of eight individuals in their transitions from opiate addiction to methadone patient (Pablant and Hays, 1976). The drop-out rate for programs remains quite high with the general rate of only 25% pursuing treatment after the initial contact with the clinic. This statistic is based upon informal analysis of data on contacts, intakes, and those admitted to treatment. The number of drop-outs creates difficulties for the administration of programs; it may not represent treatment failures but is at least a failure on the program’s part to deal effectively with that erstwhile patient.
KeywordsMinnesota Multiphasic Personality Inventory Therapeutic Community Heroin Addict Methadone Program Opiate Addiction
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- Bess, B., Janus, S., Rikkin, A. 1972. Factors in successful narcotics renunciation. American Journal of Psychiatry. 128: 86 1–865.Google Scholar
- Cavior, N, Kurtzberg, R.L., and Lipton, D.S. 1967. The development and validation of a heroin addiction scale with the MMPI. International Journal of the Addictions. 2: 129–137.Google Scholar
- Henriques, E., Arsenian, J., Cutter, H., and Samaraweera, A.B. 1972. Personality characteristics and drug of choice. International Journal of the Addictions. 7: 73–76.Google Scholar
- Hill, H.E., Haertzen, C.A., and Glaser, R. 1960. Personality characteristics of narcotic addicts and criminals. 62: 127–139.Google Scholar
- Levy, N.M. and Tortelli, J.A. 1974. Methadone dropouts in a drug free therapeutic community. Drug Forum. 3: 225–231.Google Scholar
- Rosenberg, C.M., Davidson, G.E., Patch, V.D. 1972. Patterns of dropouts from a methadone program for narcotic addicts. International Journal of the Addictions. 7: 415–425.Google Scholar
- Schoolar, J.C., Winburn, G.M., and Hays, J.R. 1973. Rehabilitation of drug abusers-A continuing enigma. Rehabilitation Literature. 34: 327–330.Google Scholar
- Winburn, G.M. and Hays, J.R. 1974. Methadone: The carrot at the end of the stick. In J.M. Singh and H. Lal (eds.), Drug Addiction Volume 4. New York: Stratton Intercontinental Medical Book Corporation.Google Scholar