The Government Should Get Involved With The — страница 3

Peyser NP, et al. A randomized trial of an interim methadone maintenance clinic. American Journal of Public Health. 1991;81:1185-1191)Finally, given that only 5 to 10% of the cost of MMT actually pays for the medication itself, methadone could be prescribed and delivered even less expensively, through physicians in general medical practice, low-service clinics, and pharmacies. MMT as part of general medical practice is increasingly common throughout Europe, Australia, New Zealand, and Canada, but is severely restricted in the U.S. A few “medical maintenance” experiments in the United States, which permitted some long-term methadone recipients to transfer from traditional methadone clinics to office-based physicians, have achieved excellent treatment results. Medical

maintenance is also cost-effective, and patients often prefer it over traditional methadone clinics. (Drucker E. Harm reduction: A public health strategy. Current Issues in Public Health. 1995;1:64-70) I n maintenance treatment, in proper doses, methadone does not create euphoria, sedation, or analgesia. Methadone has no adverse effects on motor skills, mental capacity, or employability. Bibliography 1. Institute of Medicine. Federal Regulation of Methadone Treatment. Washington, DC: National Academy Press; 1995:22. 2. Institute of Medicine. Treating Drug Problems, vol. 1: A Study of the Evolution, Effectiveness, and Financing of Public and Private Drug Treatment Systems 3. Ball JC, Ross A. The Effectiveness of Methadone Maintenance Treatment. New York: Springer-Verlag;

1991:160-175 4. Institute of Medicine. Federal Regulation of Methadone Treatment. Washington, DC: National Academy Press; 1995:162 5. http://www.methadone.org/origin.html 6. Drucker E. Harm reduction: A public health strategy. Current Issues in Public Health. 1995;1:64-70 7. Ward J, Mattick R, Hall W. Key Issues in Methadone Maintenance Treatment. New South Wales, Australia: New South Wales University Press; 1992:46-61 8. Yancovitz SR, Des Jarlais DC, Peyser NP, et al. A randomized trial of an interim methadone maintenance clinic. American Journal of Public Health. 1991;81:1185-1191