Patient Self-Regulation of Methadone Dosage: A Two-Year Preliminary Report

  • Carl I. Thistel
  • William E. Abramson
  • Mary Louise Miller


The Sheppard and Enoch Pratt Hospital is a 288-bed private, not-for-profit, psychiatric hospital located in Towson, Maryland. The Comprehensive Drug Abuse Program (COMDAP) is one outcome of the hospital’s expansion from the traditional psychiatric inpatient service, into the broader approach of provision of a range of community-oriented mental health services, and as such is an outpatient program with a capacity of 145 patients.


Methadone Dosage Patient Regulation Methadone Maintenance Treatment Methadone Maintenance Heroin Addict 
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  1. Aldrich, C.K. 1969. Experimental self-regulated readdiction to morphine. Int. J. Addict. 4: 461–470.Google Scholar
  2. Angle, H.V., Knowles, R.R., Marrazzi, A.S., and Sletten, I.W. 1973. Method for self-administering methadone by heroin addicts. Int. J. Addict. 8: 435–441.Google Scholar
  3. Angle, H.V. and Parwatikar, S. 1973. Methadone self-prescription by heroin addicts in an inpatient detoxification program. Psychological Record. 23: 309–314.Google Scholar
  4. Burglass, M.E., Renner, J.A., Jr., and Greenfield, D.P. 1977. Comparison of dose regulation protocols in an outpatient methadone treatment program. Proc-NDAC (in preparation).Google Scholar
  5. Fulwiler, R.I. and Bortman, R.A. 1977. Self-regulation of methadone dose in outpatient heroin detoxification. Proc-NDAC (in preparation).Google Scholar
  6. Garbutt, G.D. and Goldstein, A. 1972. Blind comparison of three methadone maintenance dosages in 180 patients. Proc. Fourth Nat. Conf. on Methadone Treatment. Nat. Assoc. Prevention of Addic-tion to Narcotics, New York, pp. 411–414.Google Scholar
  7. Goldstein, A. 1971. Blind controlled dosage comparisons in two hundred patients. Proc. Third Nat. Conf. on Methadone Treatment. U.S. Public Health Service Pub. No. 2172, U.S. Govt. Printing Office, Washington, D.C., p. 31.Google Scholar
  8. Goldstein, A. and Brown, B.W., Jr. 1970. Urine testing schedules in methadone maintenance treatment of heroin addiction. JAMA. 214: 311–315.CrossRefGoogle Scholar
  9. Goldstein, A., Hanstren, R.W., Horns, W.M., and Rado, M. 1974. Control of methadone dosage by patients. Proc. First NDAC, Chicago.Google Scholar
  10. Goldstein, A. and Judson, B.A. 1973. Efficacy and side effects of three widely different methadone doses. Proc. Fifth Nat. Conf.on Methadone Treatment. Nat. Assoc. Prevention of Addiction to Narcotics. New York, pp. 21–40.Google Scholar
  11. Havassy, B. 1977. Increased freedom and control for methadone maintained heroin addicts: self-regulation of dose and contingent take-homes. Proc-NDAC (in preparation).Google Scholar
  12. Renault, P.F. 1973. Methadone maintenance-effect of knowledge of dosage. Int. J. Addict. 8: 41–47.Google Scholar
  13. Scher, J., O’Connor, H., and Childers, B. 1977. Methadone maintenance: patient participant known dosage setting, dosage changing, and self-determined detoxification scheduling, a four year study. Proc-NDAC (in preparation).Google Scholar
  14. Scher, J., Rice, H.M., and Baig, K. 1977. Methadone maintenace: a national comparative study of dosage, dirty urines and dropouts. Proc-NDAC (in preparation).Google Scholar
  15. Schuster, C.R., Smith, B.B., and Jaffe, J.H. 1971. Drug abuse in heroin users. An experimental study of self-administration of methadone, codeine, and pentazocine. Arch. Gen. Psychiat. 24: 359–362.CrossRefGoogle Scholar
  16. Wikler, A. 1952. A psychodynamic study of patients during experimental self-regulated re-addiction to morphine. Psychiat. Quart. 26: 270–293.CrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1981

Authors and Affiliations

  • Carl I. Thistel
    • 1
  • William E. Abramson
    • 1
  • Mary Louise Miller
    • 1
  1. 1.Comprehensive Drug Abuse Program (COMDAP)The Sheppard and Enoch Pratt HospitalUSA

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