title: Walking through mud; history of the Polish methadone maintenance treatment from its stakeholders' perspective.
abstract: This paper presents Polish methadone maintenance treatment (MMT) against the background of the dominant therapeutic community approach. The perspectives of various stakeholders-supporters and opponents-are examined as well as the barriers, facilitators, ideological conflicts, and financial interests influencing MMT policy and practice. In-depths interviews were carried out with 18 major stakeholders around 2012, almost two decades after the first MMT was launched. The interviews shed light on stakeholders' inter- and intragroup conflicts as well as on their official and hidden agendas, but they also show the relevant wider international and national, economic, and political contexts.
authors: Institute of Psychiatry and Neurology, Warsaw, Poland. moskalew@ipin.edu.pl
authors: Jacek
authors: J
authors: Moskalewicz
authors: Marta
authors: M
authors: Welbel
mesh_terms: D006801:Humans; D008691:Methadone / Q000627:therapeutic use*; D058850:Opiate Substitution Treatment; D009293:Opioid-Related Disorders / Q000188:drug therapy*; D011044:Poland; D036301:Qualitative Research
chemical_list: D008691:Methadone