Can syringe exchange serve as a conduit to substance abuse treatment?


:To determine how the city-run New Haven syringe exchange program (SEP) expedited requests, for entry into treatment, records of the SEP's drug treatment coordinator were analyzed. During the study period, a majority of those requesting treatment did not use the SEP to obtain sterile syringes. Comparisons between the people requesting treatment and those exchanging syringes revealed that those requesting treatment were more likely female and less like White. Factors associated with failure to enter treatment included long lag times, worse insurance, cocaine use, and requesting primary detoxification only. Majorities of the requests, appointments, and entries came from individuals whose treatment was to be paid through city welfare. A managed care initiative from the city welfare department, which excluded the SEP, halved requests or entries. Subsequent addition of the SEP to the initiative did not significantly increase requests or entries. Although the SEP initially acted as a conduit to treatment its effectiveness was curtailed by the imposition of bureaucratic restrictions.


J Subst Abuse Treat


Heimer R




Has Abstract


1998-05-01 00:00:00














  • The relevance to clinical care of recent research in neurobiology.

    abstract::Progress continues to be made in clarifying neurobiological factors in alcoholism and other chemical dependencies. Research in animal behavioral genetics and human genetics has revealed substantial genetic predispositions for some cases of alcoholism. Studies of neurotransmitters suggest that some alcoholics may have ...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,评审


    authors: Wallace J

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  • A community-based support group for HIV positive i.v. drug abusers: the HERO program.

    abstract::The I.V. drug abuser who has a history of non-compliance is perhaps the most difficult to reach among those at risk for contracting AIDS. This article details one approach being attempted at HERO, that of a community-based support group run by an indeginous worker where the emphasis is on support, education, and outre...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章


    authors: Greif GL,Price C

    更新日期:1988-01-01 00:00:00

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    abstract::Incorporation of very low doses of phenobarbital into a methadone linctus has enabled us to monitor the compliance of 7 patients receiving a reducing dose of methadone (detoxification) for treatment for opioid addiction. By measuring both plasma phenobarbital and methadone we detected 4 patients who consumed extra ill...

    journal_title:Journal of substance abuse treatment

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    authors: Wolff K,Hay AA,Raistrick D,Feely M

    更新日期:1993-09-01 00:00:00

  • Computer simulation games as an adjunct for treatment in male veterans with alcohol use disorder.

    abstract::This study examined the impact of a computer simulation designed to provide the opportunity for individuals with alcohol use disorders (AUDs) to practice relapse prevention skills. Participants were 41 male veterans enrolled in an intensive outpatient substance abuse treatment program. Participants were randomly assig...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,随机对照试验


    authors: Verduin ML,LaRowe SD,Myrick H,Cannon-Bowers J,Bowers C

    更新日期:2013-03-01 00:00:00

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    abstract::Smoking is endemic in drug abuse treatment populations, and smoking prevalence in this population appears unresponsive to existing tobacco control strategies. Clinical and policy guidelines encourage programs to address smoking among clients, and research has identified key barriers to doing so. This report explores t...

    journal_title:Journal of substance abuse treatment

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    authors: Guydish J,Le T,Campbell B,Yip D,Ji S,Delucchi K

    更新日期:2017-05-01 00:00:00

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    authors: Peters RH,Strozier AL,Murrin MR,Kearns WD

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    pub_type: 杂志文章,随机对照试验


    authors: McManama O'Brien KH,Sellers CM,Battalen AW,Ryan CA,Maneta EK,Aguinaldo LD,White E,Spirito A

    更新日期:2018-11-01 00:00:00

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    authors: Halperin AC,McAfee TA,Jack LM,Catz SL,McClure JB,Deprey TM,Richards J,Zbikowski SM,Swan GE

    更新日期:2009-06-01 00:00:00

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    journal_title:Journal of substance abuse treatment

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    authors: Smith IE,Dent DZ,Coles CD,Falek A

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    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章


    authors: Pinedo M,Villatoro AP

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    journal_title:Journal of substance abuse treatment

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    authors: Spear SE,Brown AH,Rawson RA

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    authors: Humphreys K,Wagner TH,Gage M

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    更新日期:2013-10-01 00:00:00

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    journal_title:Journal of substance abuse treatment

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    journal_title:Journal of substance abuse treatment

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    authors: Wise BK,Cuffe SP,Fischer T

    更新日期:2001-10-01 00:00:00

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    更新日期:2018-03-01 00:00:00

  • Alcohol and masculinity.

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    authors: Lemle R,Mishkind ME

    更新日期:1989-01-01 00:00:00

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    abstract::Many drug abusers have repeated exposure to treatment, yet little is known about the reasons some individuals re-enter treatment following relapse to drug use. This paper examines the predictors of treatment re-entry among cocaine abusers who relapsed to cocaine use (N = 347) within 5 years following their index treat...

    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章,多中心研究


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    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章


    authors: Slesnick N,Meyers RJ,Meade M,Segelken DH

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    authors: Winhusen T,Lewis D,Adinoff B,Brigham G,Kropp F,Donovan DM,Seamans CL,Hodgkins CC,Dicenzo JC,Botero CL,Jones DR,Somoza E

    更新日期:2013-05-01 00:00:00

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    journal_title:Journal of substance abuse treatment

    pub_type: 杂志文章


    authors: Toumbourou JW,Hamilton M,U'Ren A,Stevens-Jones P,Storey G

    更新日期:2002-07-01 00:00:00