Retention in treatment of heroin users in Italy: the role of treatment type and of methadone maintenance dosage

Retention in treatment among 1503 heroin users attending public treatment centres in 1995 was studied. Three different treatments were considered: methadone maintenance, drug-free program and naltrexone. The retention rate after 1 year was 40% for patients in methadone maintenance, 18% in naltrexone...

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Bibliographic Details
Published in:Drug and alcohol dependence 1998-10, Vol.52 (2), p.167-171
Main Authors: D’Ippoliti, Daniela, Davoli, Marina, Perucci, Carlo A, Pasqualini, Fulvia, Bargagli, Anna Maria
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Clinic policy
Dose-Response Relationship, Drug
Drug abuse treatment
Drug addictions
Female
Heroin Dependence - epidemiology
Heroin Dependence - rehabilitation
Humans
Italy
Male
Medical sciences
Methadone - administration & dosage
Methadone dose
Methadone maintenance
Naltrexone - administration & dosage
Patient Dropouts - psychology
Patient Dropouts - statistics & numerical data
Retention
Toxicology
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Summary:Retention in treatment among 1503 heroin users attending public treatment centres in 1995 was studied. Three different treatments were considered: methadone maintenance, drug-free program and naltrexone. The retention rate after 1 year was 40% for patients in methadone maintenance, 18% in naltrexone and 15% in drug-free program. For patients in maintenance, methadone dosage and clinic policy were the most important factors for retention. Patients taking ≥60 mg/day and 30–59 mg/day were respectively 70 and 50% more likely to remain in treatment than those receiving a
ISSN:0376-8716
1879-0046
DOI:10.1016/S0376-8716(98)00091-X