A randomized clinical trial of methadone maintenance for prisoners: results at 12 months postrelease.

Abstract:

:This study examined the impact of prison-initiated methadone maintenance at 12 months postrelease. Males with pre-incarceration heroin dependence (N = 204) were randomly assigned to (a) Counseling Only: counseling in prison, with passive referral to treatment upon release; (b) Counseling + Transfer: counseling in prison with transfer to methadone maintenance treatment upon release; and (c) Counseling + Methadone: counseling and methadone maintenance in prison, continued in the community upon release. The mean number of days in community-based drug abuse treatment were, respectively, Counseling Only, 23.1; Counseling + Transfer, 91.3; and Counseling + Methadone, 166.0 (p < .01); all pairwise comparisons were statistically significant (all ps < .01). Counseling + Methadone participants were also significantly less likely than participants in each of the other two groups to be opioid-positive or cocaine-positive according to urine drug testing. These results support the effectiveness of prison-initiated methadone for males in the United States. Further study is required to confirm the findings for women.

journal_name

J Subst Abuse Treat

authors

Kinlock TW,Gordon MS,Schwartz RP,Fitzgerald TT,O'Grady KE

doi

10.1016/j.jsat.2009.03.002

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

277-85

issue

3

eissn

0740-5472

issn

1873-6483

pii

S0740-5472(09)00030-0

journal_volume

37

pub_type

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