title: The value of clinical case management in a methadone maintenance treatment program.
abstract: OBJECTIVE
  This study sought to determine whether case management was positively associated with improved outcomes and treatment compliance in those enrolled in a methadone maintenance treatment (MMT) program.
  
  
  METHODS
  An intervention group (n = 396) received case management while the other group (n = 1308) did not. Total N = 1704.
  
  
  RESULTS
  Statistically significant reductions were seen in the intervention group, in the proportion of urine samples positive for drugs of abuse (relative risk reduction = -15.4% (95% confidence interval (CI): -17.7, -13.1)), missed daily methadone doses (-1.9% (95% CI: -2.4, -1.4)), and missed physician appointments (-40.1% (95% CI: -43.7, -36.3)). CONCLUSIONS/SCIENTIFIC SIGNIFICANCE: Case management appears to be a very valuable tool in MMT programs.
authors.affiliation: Ontario Addiction Treatment Centres, Richmond Hill, ON, Canada. cplater@toxpro.ca
authors.forename: Carolyn J
authors.initials: CJ
authors.lastname: Plater-Zyberk
authors.forename: Michael
authors.initials: M
authors.lastname: Varenbut
authors.forename: Jeff
authors.initials: J
authors.lastname: Daiter
authors.forename: Andrew
authors.initials: A
authors.lastname: Worster
mesh_terms: D019090:Case Management; D006556:Heroin Dependence / Q000188:drug therapy*; D006801:Humans; D008691:Methadone / Q000627:therapeutic use*; D058850:Opiate Substitution Treatment; D010349:Patient Compliance; D012189:Retrospective Studies; D015813:Substance Abuse Detection; D016896:Treatment Outcome
chemical_list: D008691:Methadone