Kaufman E
Int J Addict. 1979 Jan;14(1):83-97. doi: 10.3109/10826087909054577.
The combination of a therapeutic community (TC) and gradual methadone detoxification of 3 to 4 months to treat long-term methadone patients is described. Most patients have done poorly on methadone and come only after serious drug and alcohol abuse or criminal behavior. An individualized treatment plan is implemented which includes individual, group, and family therapy; psychotropic drugs; blind methadone detoxification, and the techniques used in contemporary TC's. Of 215 admissions, 44% have been fully detoxified from methadone over an average of 3 1/2 months (94 patients). Of 94 patients detoxified, 20 (21%) returned to methadone treatment elsewhere and 15 (16%) stayed on such treatment.
本文描述了采用治疗社区（TC）与为期3至4个月的美沙酮逐步脱毒相结合的方法来治疗长期服用美沙酮的患者。大多数患者服用美沙酮效果不佳，且多在出现严重药物和酒精滥用或犯罪行为后才前来就诊。实施了个性化治疗方案，包括个体、团体和家庭治疗；精神药物治疗；美沙酮盲法脱毒，以及当代治疗社区所采用的技术。在215名入院患者中，44%（94名患者）平均经过3个半月已完全停用美沙酮。在94名已脱毒的患者中，20名（21%）在其他地方又重新接受美沙酮治疗，15名（16%）仍继续接受此类治疗。
