Johnson B D
Int J Addict. 1977 Apr;12(2-3):361-98. doi: 10.3109/10826087709027229.
The British policy of providing heroin legally to a few addicts at Drug Treatment Centres (DTCs) is referred to as "heroin maintenance" in America and as "containment" of heroin in Britain. Virtually unknown statistics produced by the Home Office for the United Nations are reproduced in some detail to make them widely available to professional researchers. These statistics indicate that the provision of legal heroin is very rare: about 4% of British opiate addicts at DTCs receive heroin without methadone for over one year. About 12% receive heroin and/or methadone for a year or more. The majority of British addicts are maintained on methadone only. Shifts in drugs being prescribed are due more to patient turnover than to physicians switching addicts from heroin to methadone. Implications of this data for the transatlantic debate on heroin maintenance are considered. An appendix of references on British opium policy is included.
英国在戒毒治疗中心(DTCs)向少数吸毒成瘾者合法提供海洛因的政策,在美国被称为“海洛因维持疗法”,在英国则被称为对海洛因的“遏制”。英国内政部为联合国提供的几乎不为人知的统计数据被详细转载,以便专业研究人员广泛获取。这些统计数据表明,合法提供海洛因的情况非常罕见:在戒毒治疗中心,约4%的英国阿片类药物成瘾者在没有美沙酮的情况下接受海洛因治疗超过一年。约12%的人接受海洛因和/或美沙酮治疗一年或更长时间。大多数英国成瘾者仅依靠美沙酮维持治疗。所开药物的变化更多是由于患者更替,而非医生将成瘾者从海洛因转换为美沙酮。本文考虑了这些数据对跨大西洋海洛因维持疗法辩论的影响。附录中包含了关于英国鸦片政策的参考文献。