Predicting Methadone Treatment Retention and Success with the Mini-Mult

  • Bruce Duthie
  • J. Ray Hays


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.


Minnesota Multiphasic Personality Inventory Therapeutic Community Heroin Addict Methadone Program Opiate Addiction 
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Copyright information

© Plenum Press, New York 1981

Authors and Affiliations

  • Bruce Duthie
    • 1
  • J. Ray Hays
    • 1
  1. 1.Texas Research Institute of Mental SciencesUSA

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