Capodanno A E, Fram D H, Holden R, Targum S D
Psychiatr Hosp. 1984 Winter;15(1):25-30.
This study is a two- to five-year follow-up of 40 patients who were discharged from a methadone maintenance program. Both "graduates" and prematurely discharged patients were surveyed. Forty-five percent of patients had been in treatment for one year or more. Outcome evaluation was based on a reduction of illicit drug use, an increase in social stability, and a decline in criminal activity. Eighteen of 40 clients were located and interviewed. Seven (39 percent) were found to be either drug free or using only prescribed methadone, and five had substantially reduced their drug use. Relapse to illicit drug use was associated with a pre-treatment history of poly-drug use, poorer work and arrest records, and a greater number of previous treatments. Abstinence appeared to be a realistic goal for only a few. The importance of retaining patients in treatment longer is discussed.
本研究对40名从美沙酮维持治疗项目出院的患者进行了为期两到五年的随访。对“毕业”患者和提前出院患者均进行了调查。45%的患者接受治疗达一年或更长时间。结果评估基于非法药物使用的减少、社会稳定性的提高以及犯罪活动的下降。40名服务对象中有18名被找到并接受了访谈。其中7名（39%）已戒毒或仅使用处方美沙酮，5名患者的药物使用量大幅减少。非法药物使用复发与治疗前的多药使用史、较差的工作和被捕记录以及更多的既往治疗次数有关。戒毒似乎只是少数人的现实目标。文中讨论了让患者接受更长时间治疗的重要性。
