Drug use, HIV-related risk behaviors and dropout status of new admissions and re-admissions to methadone treatment.
New entrants to methadone maintenance treatment programs (MMTP) have been reported to have different drug use patterns than re-admissions. This study assesses differences between 211 re-admissions and 128 new admissions to a NYC MMTP. Those new to MMTP were found to be less likely to have ever injected drugs, have used more types of drugs, and used heroin at higher frequencies in the 30 days prior to admission. Within the first three months of treatment, new admissions dropped out at a higher rate than the re-admissions (31% vs. 20%, p < 0.05). The most frequent reasons for dropout, for both groups, included "lost to contact" and incarceration. Further research on strategies to address polydrug use of MMTP admissions is needed. Efforts to identify concerns of new admissions early in treatment, and programs to continue drug treatment services to incarcerated clients, are indicated.
Deren
S
S
National Development and Research Institutes, Inc., Two World Trade Center, 16th Floor, New York, NY 10048, USA. sherry.deren@ndri.org
Goldstein
M F
MF
Des Jarlais
D C
DC
Richman
B L
BL
Kang
S
S
Flom
P L
PL
D000328:Adult; D019970:Cocaine-Related Disorders / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation; D016578:Crack Cocaine; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000523:psychology / Q000635:transmission*; D006556:Heroin Dependence / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D008875:Middle Aged; D009519:New York City; D010352:Patient Dropouts / Q000523:psychology / Q000706:statistics & numerical data*; D010359:Patient Readmission / Q000706:statistics & numerical data*; D018570:Risk Assessment; D016320:Substance Abuse Treatment Centers; D015819:Substance Abuse, Intravenous / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation
D016578:Crack Cocaine; D008691:Methadone