Resultate internationaler und bundesdeutscher Evaluationsstudien zur Substitutionstherapie mit Methadon--eine Ubersicht
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Resultate internationaler und bundesdeutscher Evaluationsstudien zur Substitutionstherapie mit Methadon--eine Ubersicht. / Verthein, U; Kalke, J; Raschke, P.
In: PSYCHOTHER PSYCH MED, Vol. 44, No. 3-4, 01.03.1994, p. 128-36.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Resultate internationaler und bundesdeutscher Evaluationsstudien zur Substitutionstherapie mit Methadon--eine Ubersicht
AU - Verthein, U
AU - Kalke, J
AU - Raschke, P
PY - 1994/3/1
Y1 - 1994/3/1
N2 - After a brief historical review results of German evaluation studies are contrasted for the first time with international results concerning the efficiency of methadone treatment of heroin addicts. All studies report a fast and obvious improvement of the patients' physical and psychic well-being. Decrease is observed in drug related criminality as well as in its following consequences such as arrests, trials, and inprisonments. Patients distance themselves from the drug-scene and at the same time increase communication with a drug-free environment. One problem persisting for German methadone-patients is the reintegration into their education or job. As to this only minor improvements have been obtained. Already after a short time patients on a methadone-therapy reduce their illicit use of drugs substantially. Especially the consume of heroin is getting reduced if not totally given up. The use of other drugs such as cocaine, tranquilizers and barbiturates gets reduced. For a number of patients the use of benzodiazepines remains a problem. The time patients stay in methadone-therapies (and to a high degree the success of the therapy itself) depends on a well structured arrangement of the methadone program and on the methadone dosage. Long-term follow-up studies abroad show that after methadone treatment the percentage of patients staying abstinent in the long run is almost the same as after drugfree treatment.
AB - After a brief historical review results of German evaluation studies are contrasted for the first time with international results concerning the efficiency of methadone treatment of heroin addicts. All studies report a fast and obvious improvement of the patients' physical and psychic well-being. Decrease is observed in drug related criminality as well as in its following consequences such as arrests, trials, and inprisonments. Patients distance themselves from the drug-scene and at the same time increase communication with a drug-free environment. One problem persisting for German methadone-patients is the reintegration into their education or job. As to this only minor improvements have been obtained. Already after a short time patients on a methadone-therapy reduce their illicit use of drugs substantially. Especially the consume of heroin is getting reduced if not totally given up. The use of other drugs such as cocaine, tranquilizers and barbiturates gets reduced. For a number of patients the use of benzodiazepines remains a problem. The time patients stay in methadone-therapies (and to a high degree the success of the therapy itself) depends on a well structured arrangement of the methadone program and on the methadone dosage. Long-term follow-up studies abroad show that after methadone treatment the percentage of patients staying abstinent in the long run is almost the same as after drugfree treatment.
KW - Cross-Cultural Comparison
KW - Germany
KW - Heroin Dependence
KW - Humans
KW - Methadone
KW - Comparative Study
KW - English Abstract
KW - Journal Article
KW - Review
M3 - SCORING: Zeitschriftenaufsatz
C2 - 8177939
VL - 44
SP - 128
EP - 136
JO - PSYCHOTHER PSYCH MED
JF - PSYCHOTHER PSYCH MED
SN - 0937-2032
IS - 3-4
ER -
