title: Case management within a methadone maintenance program. A research demonstration project for HIV risk reduction.
abstract: The Los Angeles Enhanced Methadone Maintenance Project has incorporated case management in order to evaluate its effectiveness in reducing the risk of infection and/or transmission of human immunodeficiency virus among high-risk heroin addicts. Those recruited into the National Institute on Drug Abuse-funded treatment/research demonstration project were randomly assigned to either an enhanced group that received case management services or to a control group receiving standard methadone maintenance services. To date, the project has identified several barriers to implementation on a wide scale, including the inordinate amount of time spent assisting patients to procure basic necessities; the unwillingness of patients to participate in certain support services; and the reluctance of many service providers to work with methadone patients.
authors.forename: A L
authors.initials: AL
authors.lastname: Hasson
authors.forename: C E
authors.initials: CE
authors.lastname: Grella
authors.forename: R
authors.initials: R
authors.lastname: Rawson
authors.forename: M D
authors.initials: MD
authors.lastname: Anglin
mesh_terms: D015658:HIV Infections / Q000209:etiology*; D006801:Humans; D015141:Los Angeles; D008329:Managed Care Programs; D008691:Methadone / Q000627:therapeutic use*; D010347:Patient Care Planning / Q000458:organization & administration*; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000150:complications / Q000534:rehabilitation*
chemical_list: D008691:Methadone