title: Need for medical and psychosocial services among injection drug users: a comparative study of needle exchange and methadone maintenance.
abstract: This study compares the prevalence of perceived and unmet needs of HIV-negative injection drug users (IDUs) not receiving drug treatment (n = 251) and those recruited from a methadone maintenance program (n = 312) in 1998. We studied self-reported needs for six community services: medical, mental health, housing, income assistance, alcohol treatment, and drug treatment. Respondents reported the highest levels of need for mental health and housing services. Ninety-four percent of out-of-treatment IDUs reported having at least one need compared to 62% of methadone clients (p < .001). Across all reported service needs, at least 69% of respondents in both cohorts reported their needs were unmet. While HIV-infected drug users receive assistance through the Ryan White CARE Act, these findings suggest that seronegative drug users may benefit from similar community service programs.
authors.affiliation: Brown University Medical School, Providence, RI, USA. mstein@Lifespan.org
authors.forename: Michael D
authors.initials: MD
authors.lastname: Stein
authors.forename: Peter
authors.initials: P
authors.lastname: Friedmann
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D018023:HIV Seronegativity; D015438:Health Behavior; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D018671:Needle-Exchange Programs; D015819:Substance Abuse, Intravenous / Q000453:epidemiology* / Q000534:rehabilitation; D011795:Surveys and Questionnaires
chemical_list: D008691:Methadone