A treatment crisis: cocaine use by clients in methadone maintenance programs.

Abstract:

:We surveyed 11 methadone maintenance treatment programs in the Baltimore, Maryland, area to examine cocaine use among their 2414 clients and the methods employed to cope with that use. The percent of clients with at least one urine sample positive for cocaine during the month previous to study was 15.7% (379/2414) and ranged from 5.9% to 33.0% among the 11 programs. We determined the programs' use of monitoring strategies, treatment services, and administrative controls. We discuss the policy implications of our findings for methadone maintenance programs' efforts to address cocaine use with particular regard to the epidemic of human immunodeficiency virus (HIV) among intravenous drug users, their sexual partners, and offspring.

journal_name

J Subst Abuse Treat

authors

Kolar AF,Brown BS,Weddington WW,Ball JC

doi

10.1016/0740-5472(90)90005-b

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

101-7

issue

2

eissn

0740-5472

issn

1873-6483

journal_volume

7

pub_type

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