title: Efficacy of treatment in an opioid -dependent population group using the Maudsley Addiction Profile (MAP) tool.
abstract: A pilot study was performed to assess the effectiveness of treatment in an opioid dependent population using the Maudsley Addiction Profile (MAP) tool1.The primary outcome of the study was to assess if treatment had an effect on 1. Substance use (quantity and frequency of use), 2. Health risk behaviour (injecting and sharing injecting equipment), 3. Health symptoms (physical and psychological) and 4. Personal /Social functioning (relationships, employment and crime). A secondary outcome was also sought.The study took place in 2007 in an inner city Belfast hospital specialising in the treatment of addiction, over a two month period. Fifteen patients, all opioid dependent and receiving outpatient community treatment, were interviewed at baseline (prior to the commencement of treatment) and at eight weeks follow up.Three patients were lost to follow up. Two patients stopped using altogether. Of the remaining patients, improvements were seen in most areas. There was a decrease in the use of heroin (71.28%), cocaine (99.72%), crack cocaine (100%), cannabis (99.94%) and alcohol (33.17%). There was a reduction in injecting behaviour (60.93%). Improvements were observed in health with a reduction in physical (41.35%) and psychological (35%) symptoms. Overall personal and social functioning improved regarding interactions with family and friends. A reduction in crime was also observed (75%).Opinions and views of staff involved in the study were generally positive.This patient population presents with multiple and complex needs. Effective treatment needs to address these needs and not just drug addiction alone. The Maudsley Addiction Profile tool highlights this.
authors.affiliation: Shaftsebury Square Hospital, 116-120 Great Victoria Street, Belfast BT2 7BG, Republic of Ireland. RuthE.Collins@hse.ie
authors.forename: Ruth
authors.initials: R
authors.lastname: Collins
authors.forename: Bob
authors.initials: B
authors.lastname: Boggs
authors.forename: Noel
authors.initials: N
authors.lastname: Taggart
authors.forename: Martin
authors.initials: M
authors.lastname: Kelly
authors.forename: Aileen
authors.initials: A
authors.lastname: Drillington
authors.forename: Ivy
authors.initials: I
authors.lastname: Swanton
authors.forename: Diane
authors.initials: D
authors.lastname: Patterson
mesh_terms: D000328:Adult; D005260:Female; D015438:Health Behavior; D006556:Heroin Dependence / Q000188:drug therapy* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009660:Northern Ireland; D010045:Outpatients; D010865:Pilot Projects; D015397:Program Evaluation; D011446:Prospective Studies; D036301:Qualitative Research; D012309:Risk-Taking; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000188:drug therapy / Q000628:therapy; D016896:Treatment Outcome