By John Strang, Gillian Tober
content material: part A: advent, history and Scope --
Methadone: panacea or poison? / J. Strang and G. Tober --
The background of methadone and methadone prescribing / A. Preston and G. Bennett --
Methadone prescribing within the uk: what will we research from group pharmacy surveys? / J. Sheridan --
part B: features of medical perform and adaptations --
Negotiating a script: the dynamics of staff/client relationships / A. Quirk ... [et al.] --
Linking psychology and pharmacology / D. Raistrick --
evaluation and final result tracking / J. Marsden, M. Gossop and D. Stewart --
Plasma methadone tracking: an relief to dose overview, tracking compliance and exploration of drug interactions / ok. Wolff --
Withdrawal from methadone and methadone for withdrawal / N. Seivewright and O. Lagundoye --
part C: The certain Case of Injectables --
Injectable methadone: a weird British perform / J. Strang and J. Sheridan --
Prescribing injectable methadone: to who and for what objective? / L. promote --
The supervised injecting medical institution: a drug clinic's event of supervising the intravenous self-administration of prescribed methadone / M. Cummins --
part D: the hazards --
Dependence on methadone: the chance lurking at the back of the prescription / G. Tober --
'Using on best' and the issues it brings: extra drug use by way of methadone remedy sufferers / D. most sensible and G. Ridge --
Methadone and opioid-related deaths: altering occurrence through the years / M. Farrell and W. corridor --
The play, the plot and the gamers: the illicit industry in methadone / J. Fountain and J. Strang --
part E: provider supply --
a major care dependent professional carrier / S. Lawrence --
A crucial review carrier with extensively disseminated supply in basic care / F. Watson, L. Mays and J. Bury --
A centrally co-ordinated urban strategic procedure / R. Watson, J. Jay and L. Gruer --
Supervised intake of methadone in a group pharmacy / ok. Roberts --
part F: precise situations --
A methadone programme for substance-misusing pregnant girls / A. Walker and J. Walker --
Methadone use in youth / E. gilvarry, J. McCambridge and J. Witton --
Sectin G: Methadone reports --
Methadone remedy: results and edition in remedy reaction with NTORS / D. Stewart, M. Gossop and J. Marsden --
swift gain, yet what thereafter?: the frenzy and trickle of take advantage of methadone therapy / E. Finch --
Methadone upkeep and aid remedies: the necessity for readability of targets and strategies / M. Gossop, J. Marsden and D. Stewart --
part H: In end --
Methadone: reaching the stability / G. Tober and J. Strang.
Read or Download Methadone matters : evolving community methadone treatment of opiate addiction PDF
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Additional resources for Methadone matters : evolving community methadone treatment of opiate addiction
Example text
Also within the report was a recommendation for methadone maintenance doses to be within the range of 50–100 mg. A second survey of community pharmacies, in the South East of England in 1997, created the opportunity to study the impact of this new Department of Health guidance, since methadone data had now been collected at two time-points – one year before and one year after the government report. Little change had occurred. Mean daily doses and the frequency of daily instalments remained largely unchanged, although there was a move from weekly dispensing to several days a week.
This led to a diverse patchwork of service provision. In the UK, as in other countries that were pursuing a harm reduction approach, methadone became a central pillar of the prescribing response to opiate use. Beyond the fear of the spread of AIDS ... During the 1990s, as the threat of HIV appeared to recede, many practitioners, politicians and patients became disillusioned with methadone treatment. The possibility of getting people out of a cycle of drug-taking began to gather credence amongst all of these groups (despite the increased dangers of overdose and infection amongst detoxified heroin addicts) and the expectations of methadone treatment went beyond what could ever be expected of a pharmacological response to opiate dependence.
Clients (and staff) will inevitably bring to their encounters such perceptions, which shape their goals in interaction. For example, clients who view methadone, or at least a part of their ‘take-home’ prescription, primarily as ‘capital’ – to be exchanged on the illicit market for money or drugs – are likely to be intent on maximizing their dose (Quirk et al. 2003). In contrast, those who see it as ‘boring’ are unlikely to aim for an increase (nor are staff likely to recommend it) in order to counter occasional hedonistic use of heroin.
